Herein is discussed 25 men between 26 and 66 years old who underwent implantation of paired hinged silicone penile prostheses for impotence. Subtracrion of 20 mm. from the maximum symphysis to the mid glans length obtained in the outpatient setting provided an accurate estimate of the rigid shaft length of the implanted prostheses. The prothesis, itself, was a satisfactory corporeal dilator in 84 per cent of the patients. In 1 case the prosthesis had to be removed because of infection and 4 patients would have benefited from a narrower shaft diameter prosthesis. After implantation of the new prosthesis 96 per cent of the patients had satisfactory intercourse.
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