OBJECTIVE: To evaluate satisfaction rates and results in patients with penile prosthesis (5 PP).
MATERIALS AND METHODS: From January 2000 till 2009, 50 patients with organic erectile dysfunction (ED) were implanted with hydraulics penile prosthesis by the same surgeon. Medical records were collected retrospectively. We analysed demographic characteristics, type of prosthesis used, per- and postoperative complications, prosthesis explantations and satisfaction rate measured by EDITS modified.
RESULTS: Mean age of patients was 60.2 ± 8.46 years (35-75). Thirty implanted patients (60%) were diabetics. We used a peno-scrotal incision in all patients. Three types of prosthesis were used; AMS Ambicor, AMS 700, Titan OTR. A bi-compartment and three-compartment prosthesis were implanted respectively in 24 and 26 patients. The prosthesis was retrieved in two patients secondary to a mechanical failure, in three patients for prosthesis erosion, in two patients for prosthesis infection. In four out of the seven explanted patients, a second prosthesis was implanted. The EDITS questionnary was realized by telephonic interview in 47 patients after a mean follow-up of 45 months (5-114). The response rate was of 83%. The satisfaction rate was of 81%.
CONCLUSION: In our series, the satisfaction rate was better for the three-compartment prosthesis. After 45 months of follow-up, 73% (31/42) of patients had a functional prosthesis. The non-satisfaction most frequently found were patients who have complications as sepsis; mechanical failure, and prosthesis erosion, and subjective feeling of penile length reduction.
Written by:
Obadia F, Mouracade P, Terrier JE, Amiel J, Gigante M, Li G, Chevallier D. Are you the author?
Service d'urologie, CHU Nord de Saint-Étienne, avenue Albert-Raimond, 42270 Saint-Priest-en-Jarez, France.
Reference: Prog Urol. 2013 Dec;23(16):1419-27.
doi: 10.1016/j.purol.2013.04.004
PubMed Abstract
PMID: 24274947
Article in French.
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