Objective: To assess the efficacy of sildenafil in increasing penile glans tumescence and improving patient satisfaction in men with a penile prosthesis, as this remains a major treatment for erectile dysfunction but a common complaint is the lack of glans engorgement.
Patients and methods: To determine whether sildenafil combined with a penile prosthesis improves satisfaction, patients used an implant alone for at least 1 month, after which they completed the International Index of Erectile Function (IIEF) questionnaire. The same patients were then given sildenafil citrate and completed the IIEF questionnaire after using the sildenafil/implant combination.
Results: Patients who responded to sildenafil with glans engorgement reported significantly greater satisfaction scores than with an implant alone.
Conclusion: We currently offer sildenafil citrate after implantation to all men who have a penile prosthesis placed.