ABSTRACT
The introduction of effective oral medications has revolutionized treatment options for erectile dysfunction (ED). These medications have increased the visibility of the disorder and have increased the acceptance of ED in the general public. For most men, systemic oral therapy with a phosphodiesterase inhibitor, such as sildenafil, vardenafil, or tadalafil, will be sufficient as these medications have demonstrated long-term safety1,2 and efficacy.3,4 For men in whom systemic therapy is unsuccessful or contraindicated due to underlying medical conditions, alternative therapies exist. Intracorporeal injection therapy, intraurethral prostaglandin, and vacuum erection devices all provide reasonable options for many men with ED. However, placement of a penile prosthesis remains the sole surgical therapeutic option for many patients and it is a successful procedure in almost every patient population.
