Malleable Penile Implant Rod Diameter Predicts Complications and Patient Satisfaction
Background: One of the most common complaints after malleable prosthesis implantation (MPI) is thinning of the penis and decreasing girth. Some surgeons try to insert the largest diameter they can to improve patient satisfaction Aim: To investigate if malleable rod diameter (MRD) has an impact on ou...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Oxford University Press
2022-04-01
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| Series: | Sexual Medicine |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2050116121001677 |
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| author | Mohamad Habous, MD, FEBU, FECSM Mohamed Omar, MD Mohammed Farag, MD, FECSM Osama Abdelwahab, MD Osama Laban, MD, FEBU Saleh Binsaleh, MD, FECSM John P. Mulhall, MD, FECSM David Ralph, MD, FECSM Mohammed Aziz, MD |
| author_facet | Mohamad Habous, MD, FEBU, FECSM Mohamed Omar, MD Mohammed Farag, MD, FECSM Osama Abdelwahab, MD Osama Laban, MD, FEBU Saleh Binsaleh, MD, FECSM John P. Mulhall, MD, FECSM David Ralph, MD, FECSM Mohammed Aziz, MD |
| author_sort | Mohamad Habous, MD, FEBU, FECSM |
| collection | DOAJ |
| description | Background: One of the most common complaints after malleable prosthesis implantation (MPI) is thinning of the penis and decreasing girth. Some surgeons try to insert the largest diameter they can to improve patient satisfaction Aim: To investigate if malleable rod diameter (MRD) has an impact on outcome and patient satisfaction Methods: Consecutive malleable prosthesis implantation (MPI) was assessed in a high-volume center over 1 year. The same preoperative, intraoperative, and postoperative protocols were used for all patients and one brand of the malleable device was used only. We recorded MRD and length for all patients. All patients had data on comorbidities including glycated hemoglobin (HbA1c) and clinical Peyronie's disease (PD). Revision cases and those who lost for follow-up were excluded from the study. We also excluded patients operated on by low-volume surgeons. All complications, minor (edema, ecchymosis, pain), and major (infection and erosion) were recorded. After 1-year, patients were assessed and given a Likert scale from 1 to 5 where 5 is most satisfied with their MPI. We stratified patients according to MRD into 2 groups: group A for diameter 9.5 and 11 mm and group B for 13 mm. Outcome: : Larger diameter of malleable penile implants may be associated with more complications Results: 183 patients had full data and filled the questionnaire after 1-year follow-up. All patients had Coloplast, Genesis penile implants. Major complications rate (infection, erosion, and removal) was significantly higher in group B 11% vs 1.2% in group A (P = .016). At 4 weeks postoperative visit, 90 % of group A showed no complications vs 60% only in group B that was statistically significant (P = .0003). Satisfaction rate was more in patients in group A (88.6%) compared to patients in group B (75.7%) but this did not reach to be statistically significant (P = .0519) Clinical Implications: MRD predicts outcome. Strengths & Limitations: The strengths of our study include that it is the first prospective study with good number of malleable implants. Limitations include: no validated satisfaction instrument and MRD choice was based on surgeon preference. Conclusions: Larger diameter of malleable penile implants are not associated with a higher rate of patient satisfactionHabous M, Omar M, Farag M et al. Malleable Penile Implant Rod Diameter Predicts Complications and Patient Satisfaction. Sex Med 2022;10:100486. |
| first_indexed | 2024-03-12T11:11:52Z |
| format | Article |
| id | doaj.art-a8bc1969d9494c7cb2c51e892d75f12e |
| institution | Directory Open Access Journal |
| issn | 2050-1161 |
| language | English |
| last_indexed | 2024-03-12T11:11:52Z |
| publishDate | 2022-04-01 |
| publisher | Oxford University Press |
| record_format | Article |
| series | Sexual Medicine |
| spelling | doaj.art-a8bc1969d9494c7cb2c51e892d75f12e2023-09-02T02:44:28ZengOxford University PressSexual Medicine2050-11612022-04-01102100486Malleable Penile Implant Rod Diameter Predicts Complications and Patient SatisfactionMohamad Habous, MD, FEBU, FECSM0Mohamed Omar, MD1Mohammed Farag, MD, FECSM2Osama Abdelwahab, MD3Osama Laban, MD, FEBU4Saleh Binsaleh, MD, FECSM5John P. Mulhall, MD, FECSM6David Ralph, MD, FECSM7Mohammed Aziz, MD8Al-Themal Medical Center, Abha, Saudi Arabia; Corresponding Author: Mohamad Habous, MD, FEBU, FECSM, Consultant Urologist, Al-Themal Medical Center, 8137 Alkhaleej Street, Alrabei Distrect, Khamis Mushait, 62454, Saudi Arabia. Tel: 00 9665 99950131Urology Department, Menofia University, EgyptUrology Department, Azhar University, Assuit Branch, EgyptUrology Department, Benha University, EgyptUrology Department, King Fahad Hospital, Tabuk, Saudi ArabiaDivision of Urology, Department of Surgery, Faculty of Medicine, King Saud University, Riyadh, Saudi ArabiaSexual & Reproductive Medicine, Memorial Sloan Kettering Cancer Center, New York City, NY, USASt. Peters Institute of Andrology, University College London Hospital, London, UKUrology Department, Menofia University, EgyptBackground: One of the most common complaints after malleable prosthesis implantation (MPI) is thinning of the penis and decreasing girth. Some surgeons try to insert the largest diameter they can to improve patient satisfaction Aim: To investigate if malleable rod diameter (MRD) has an impact on outcome and patient satisfaction Methods: Consecutive malleable prosthesis implantation (MPI) was assessed in a high-volume center over 1 year. The same preoperative, intraoperative, and postoperative protocols were used for all patients and one brand of the malleable device was used only. We recorded MRD and length for all patients. All patients had data on comorbidities including glycated hemoglobin (HbA1c) and clinical Peyronie's disease (PD). Revision cases and those who lost for follow-up were excluded from the study. We also excluded patients operated on by low-volume surgeons. All complications, minor (edema, ecchymosis, pain), and major (infection and erosion) were recorded. After 1-year, patients were assessed and given a Likert scale from 1 to 5 where 5 is most satisfied with their MPI. We stratified patients according to MRD into 2 groups: group A for diameter 9.5 and 11 mm and group B for 13 mm. Outcome: : Larger diameter of malleable penile implants may be associated with more complications Results: 183 patients had full data and filled the questionnaire after 1-year follow-up. All patients had Coloplast, Genesis penile implants. Major complications rate (infection, erosion, and removal) was significantly higher in group B 11% vs 1.2% in group A (P = .016). At 4 weeks postoperative visit, 90 % of group A showed no complications vs 60% only in group B that was statistically significant (P = .0003). Satisfaction rate was more in patients in group A (88.6%) compared to patients in group B (75.7%) but this did not reach to be statistically significant (P = .0519) Clinical Implications: MRD predicts outcome. Strengths & Limitations: The strengths of our study include that it is the first prospective study with good number of malleable implants. Limitations include: no validated satisfaction instrument and MRD choice was based on surgeon preference. Conclusions: Larger diameter of malleable penile implants are not associated with a higher rate of patient satisfactionHabous M, Omar M, Farag M et al. Malleable Penile Implant Rod Diameter Predicts Complications and Patient Satisfaction. Sex Med 2022;10:100486.http://www.sciencedirect.com/science/article/pii/S2050116121001677Malleable Penile ImplantsMalleable Rod DiameterSatisfactionErectile Dysfunction |
| spellingShingle | Mohamad Habous, MD, FEBU, FECSM Mohamed Omar, MD Mohammed Farag, MD, FECSM Osama Abdelwahab, MD Osama Laban, MD, FEBU Saleh Binsaleh, MD, FECSM John P. Mulhall, MD, FECSM David Ralph, MD, FECSM Mohammed Aziz, MD Malleable Penile Implant Rod Diameter Predicts Complications and Patient Satisfaction Sexual Medicine Malleable Penile Implants Malleable Rod Diameter Satisfaction Erectile Dysfunction |
| title | Malleable Penile Implant Rod Diameter Predicts Complications and Patient Satisfaction |
| title_full | Malleable Penile Implant Rod Diameter Predicts Complications and Patient Satisfaction |
| title_fullStr | Malleable Penile Implant Rod Diameter Predicts Complications and Patient Satisfaction |
| title_full_unstemmed | Malleable Penile Implant Rod Diameter Predicts Complications and Patient Satisfaction |
| title_short | Malleable Penile Implant Rod Diameter Predicts Complications and Patient Satisfaction |
| title_sort | malleable penile implant rod diameter predicts complications and patient satisfaction |
| topic | Malleable Penile Implants Malleable Rod Diameter Satisfaction Erectile Dysfunction |
| url | http://www.sciencedirect.com/science/article/pii/S2050116121001677 |
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