Penile implant surgery for conservative therapy resistant erectile dysfunction in a 19y-old

A 19y-old male with a history of β-thalassemia presented with lifelong Erectile Dysfunction (ED), refractory to different PDE-5i's and both intra-urethral and intra cavernosal prostaglandins. Pelvic arteriography showed a severe hypogenesis of the left cavernous artery. Psychological and other organic causes were excluded. After informing the patient and his family thoroughly during several visits, he agreed on performing penile implant surgery. An AMS Cx 21cm +2cm rear tip extenders was implanted via penoscrotal incision. The procedure was uncomplicated and with 1 year of post-operative follow-up, the patient is very satisfied.