Penile prosthesis (PP) implantation is feasible as an outpatient surgery. The present study describes the surgical process and establishes a consensus for improving the care circuit for outpatient PP implantation in Spain. A working group composed of a scientific committee with extensive experience in PP implantation and representatives of important scientific societies reached a consensus about the recommendations for outpatient PP implantation. The consensus was based on a structured methodology and evidence extracted from a systematic review, literature review and clinical experience. This study details the consensus reached regarding the profile of patients who are candidates for outpatient PP implantation; the care process in the presurgical, surgical and postsurgical phases; and the quality indicators for monitoring and evaluating the quality-of-care standards for outpatient PP implantation. Based on the insights of the working group, this study gives a description of the process map of outpatient PP implantation and promotes the map as a useful tool for urologist physicians and hospital managers.
Revista internacional de andrologia. 2024 Dec 30 [Epub]
Óscar Gorría, Matilde Zaballos, María Presa, Luis A Hidalgo, Jessica M Lorenzo, Juan I Martínez-Salamanca, Rosario Merino, Ignacio Moncada, Esperanza Torres, Miguel A Casado, Josep Torremadé
Reconstructive Urology and Andrology Department, Navarra University Hospital, 31008 Navarra, Spain., Department of Anesthesiology, Gregorio Marañón General University Hospital, 28007 Madrid, Spain., Health Economics, Pharmacoeconomics & Outcomes Research Iberia (PORIB), 28224 Madrid, Spain., Outpatient Surgery Unit of the Hospital de Mataró, 08304 Barcelona, Spain., Preventive Medicine Unit and Quality Assurance Unit (Terres d'Ebre), 43500 Tarragona, Spain., Urology Department, Puerta de Hierro-Majadahonda University Hospital, 28222 Madrid, Spain., Spanish Association of Surgical Nurses (AEEQ), 28020 Madrid, Spain., Urology Department, La Zarzuela University Hospital, 28023 Madrid, Spain., Health Economics & Market Access, Boston Scientific Iberia & Italia, 28042 Madrid, Spain., Urology Department, Hospital Clínic of Barcelona, 08036 Barcelona, Spain.