Surgical Treatment of Erectile Dysfunction: Historical Perspective and Overview

  • Afonso Morgado
  • Nuno Tomada
  • Joaquim Sarquella


In this chapter the surgical treatment of erectile dysfunction and its historical perspective are reviewed. The standard surgical treatment of erectile dysfunction is the implantation of a penile prothesis, either semirigid or inflatable ones. Penile prothesis materials and design have improved along the last three decades, contributing to a lower rate of mechanical complications and an increased long-term durability. Both penile prothesis hydrophilic- and antibiotic impregnated-coatings, as well as new operative approaches such as the “no touch” approach, have greatly contributed to the lower rate of post-operative infection observed in recent years. Surgeons must be aware of both intra- and post-operative complications of penile prothesis implantation and their management as its prevention is key to success. Penile revascularization still has a minor role in the surgical treatment of erectile dysfunction, although patient selection is key.


Erectile dysfunction Penile prothesis Semi-rigid Inflatable Erosion Infection Penile revascularization 


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Afonso Morgado
    • 1
    • 2
  • Nuno Tomada
    • 3
  • Joaquim Sarquella
    • 4
  1. 1.Serviço de Urologia, Centro Hospitalar Universitário São JoãoPortoPortugal
  2. 2.Departamento de BiomedicinaFaculdade de Medicina da Universidade do PortoPortoPortugal
  3. 3.Nuno Tomada Urologia e Cirurgia ReconstrutivaPortoPortugal
  4. 4.Andrology DepartmentFundació PuigvertBarcelonaSpain

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