Erectile Dysfunction (ED) seriously affects the quality of life of men, and there are about 150 million patients with different degrees of ED worldwide, and the number of patients in China is estimated to be 8-10 million. In today’s highly developed medical science, ED patients can choose a variety of effective treatment methods according to their own situation. Currently, internationally recognized treatment methods include first-line (psychotherapy and behavioral therapy, oral medication, vacuum negative pressure suction), second-line (urethral drug delivery, cavernous body injection) and third-line treatment (penile support implant). Under the name, “Viagra” is sometimes not really a good idea. ”Viagra is a generic term for a class of drugs (including sildenafil, vardenafil and tadanafil, etc.) whose clinical application has led to breakthroughs in the treatment of ED, with an overall success rate of nearly 70% after treatment, making it one of the most effective and popular ED treatments. However, despite this, this class of drugs is still facing the following problems: 1, serious organic ED effect is poor or even ineffective. 2, some patients because of headache, facial flushing, back pain, visual abnormalities and other side effects are not tolerated. 3, some patients because of the need for long-term use of nitric acid drugs and contraindicated the use of this type of drugs. So, are there other options? Of course – patients can also choose vacuum negative pressure suction, transurethral drug delivery, cavernous drug injection and other methods, however, due to inconvenience, less than ideal results, pain, cavernous fibrosis and many other different factors, the overall proportion of patients abandoning treatment can be as high as 50%. The last option – “penile support” to support the confidence of men. Once called “penile prosthesis” and now also called “penile erector”, the penile support was inspired by Bogaras’ attempt to perform phalloplasty using rib cartilage as a scaffold in 1930, and over time, a series of semi Over time, a series of semi-rigid flexible and expandable supports were introduced. The latter includes single-piece, two-piece, and three-piece prostheses, which consist of a pair of fluid-filled cylinders, a pump valve to control penile erection, and a reservoir capsule, which are surgically placed in the scrotum and the reservoir capsule in the posterior symphysis pubis using a connecting catheter, The cylinder is placed in the white membrane cavity of the penile corpus cavernosum. During sexual intercourse, the hydraulic pump in the scrotum is squeezed and the fluid in the reservoir is pressed into the cylinder to support penile erection. After sexual intercourse, the liquid in the cylinder flows back to the reservoir when the control switch of the pump valve is pressed, and the penis returns to a weak state. The three-piece support body is currently the most popular due to its concealment and proximity to a physiological erection, and the application of a pre-connected head and antibacterial coating makes the procedure safer and faster. Unlike the aforementioned non-surgical treatments that are only effective in some patients, the penile support implantation technique is effective in almost all ED patients and is the most satisfying ED treatment for patients and partners. Patients with organic erectile dysfunction or severe psychological erectile dysfunction for whom other treatments have failed. As the performance of the support and implantation techniques continue to improve, its long-term efficacy is much higher than that of procedures targeting the penile vasculature and its clinical use is gradually shrinking. In the United States, more than 20,000 ED patients are restored to sexual life through penile implantation each year. In China, however, according to incomplete statistics, there are only a few dozen cases of penile support surgery each year. What is it that causes such a significant difference between the United States and China? There is no accepted and authoritative explanation yet, and I believe that it includes at least the following reasons: 1. Due to the lack of relevant knowledge and technology, many male surgeons do not further recommend the use of penile support for patients whose first- or second-line treatments are ineffective, and the overall level of social awareness of support is also low. 2. Traditional culture and concepts in China often lead to the rejection of the treatment by patients and their families.3 Economic factors and and The degree of sexual awakening that corresponds to the level of economic and social development, etc. As male practitioners, it is our responsibility and obligation to make it clear to ED patients that in cases where first- or second-line treatments are ineffective or unwilling or unavailable, penile brace implantation is an alternative and effective treatment method. It is also important to explain the cost to the patient so that he or she can weigh the financial implications, the difference between a supported erection and a physiological erection, the possibility of mechanical failure and post-operative complications such as infection, erosion, and post-operative pain. The operator should also properly assess his or her level of experience and the difficulty of the procedure in order to obtain a high success rate and good surgical results. Nowadays, the three-piece penile support body that can be approved for use in China includes domestic and imported products, with each set of domestic support body costing about 20,000 yuan and imported (with antibacterial coating) costing about 60,000 yuan, and in the Department of Urology of the Third Affiliated Hospital of Sun Yat-sen University, support body implantation has become a routine procedure, with the overall cost of domestic products being about 30,000-35,000 yuan and imported products being about 75,000-80,000 yuan. Patients can choose according to their own economic situation.