Comparison of penile prosthesis types' complications: A retrospective analysis of single center
Objectives: The aim of this study was to compare clinical outcomes and complication rates associated with semirigid (malleable) and inflatable penile prostheses (PPs) and investigate the factors that influence these complications. Material and methods: The records of 131 patients who had undergone p...
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PAGEPress Publications
2020-12-01
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| Series: | Archivio Italiano di Urologia e Andrologia |
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| Online Access: | https://www.pagepressjournals.org/index.php/aiua/article/view/8321 |
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| author | Erdem Kisa Mehmet Zeynel Keskin Cem Yucel Murat Ucar Okan Yalbuzdag Yusuf Ozlem Ilbey |
| author_facet | Erdem Kisa Mehmet Zeynel Keskin Cem Yucel Murat Ucar Okan Yalbuzdag Yusuf Ozlem Ilbey |
| author_sort | Erdem Kisa |
| collection | DOAJ |
| description | Objectives: The aim of this study was to compare clinical outcomes and complication rates associated with semirigid (malleable) and inflatable penile prostheses (PPs) and investigate the factors that influence these complications. Material and methods: The records of 131 patients who had undergone penile prosthesis implantation (PPI) in our clinic due to erectile dysfunction (ED) between January 2010 and March 2019 were retrospectively reviewed. The initial surgery included 116 primary implants and 15 men had two revision operations. Patients were assigned to two groups as semirigid (malleable) PPI (group 1) and inflatable PPI (group 2) patients, and obtained data were compared across these two groups. Results: Group 1 included 93 patients, while Group 2 included 38 patients. Postoperative complication rates of Group 1 were 8.6% (n = 8), and Group 2 were 21% (n = 8), and the comparison of postoperative complication rates revealed a statistically significant difference between the two groups (p = 0.025). The majority of these complications (50%) was constituted by mechanical failure associated with inflatable PPs. When patients were further segregated as those with and without diabetes type 2 (DM) and those who had and had not undergone radical pelvic surgery (RPS), the comparison of complication rates across these subgroups did not yield any significant difference. Conclusions: We determined in this study that semirigid (malleable) PPs were associated with lower complication rates compared to the inflatable group, particularly with regard to mechanic failure, and that DM and history of RPS did not make a difference in complication rates in patients planned to undergo PPI. |
| first_indexed | 2024-12-20T18:00:34Z |
| format | Article |
| id | doaj.art-b4069b1d77274ba7a94a4f23673d9b62 |
| institution | Directory Open Access Journal |
| issn | 1124-3562 2282-4197 |
| language | English |
| last_indexed | 2024-12-20T18:00:34Z |
| publishDate | 2020-12-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Archivio Italiano di Urologia e Andrologia |
| spelling | doaj.art-b4069b1d77274ba7a94a4f23673d9b622022-12-21T19:30:39ZengPAGEPress PublicationsArchivio Italiano di Urologia e Andrologia1124-35622282-41972020-12-0192410.4081/aiua.2020.4.386Comparison of penile prosthesis types' complications: A retrospective analysis of single centerErdem Kisa0Mehmet Zeynel Keskin1Cem Yucel2Murat Ucar3Okan Yalbuzdag4Yusuf Ozlem Ilbey5Tepecik Training and Research Hospital, Urology Department, Izmir Tepecik Training and Research Hospital, Urology Department, Izmir Tepecik Training and Research Hospital, Urology Department, Izmir Tepecik Training and Research Hospital, Urology Department, Izmir Tepecik Training and Research Hospital, Urology Department, Izmir Tepecik Training and Research Hospital, Urology Department, Izmir Objectives: The aim of this study was to compare clinical outcomes and complication rates associated with semirigid (malleable) and inflatable penile prostheses (PPs) and investigate the factors that influence these complications. Material and methods: The records of 131 patients who had undergone penile prosthesis implantation (PPI) in our clinic due to erectile dysfunction (ED) between January 2010 and March 2019 were retrospectively reviewed. The initial surgery included 116 primary implants and 15 men had two revision operations. Patients were assigned to two groups as semirigid (malleable) PPI (group 1) and inflatable PPI (group 2) patients, and obtained data were compared across these two groups. Results: Group 1 included 93 patients, while Group 2 included 38 patients. Postoperative complication rates of Group 1 were 8.6% (n = 8), and Group 2 were 21% (n = 8), and the comparison of postoperative complication rates revealed a statistically significant difference between the two groups (p = 0.025). The majority of these complications (50%) was constituted by mechanical failure associated with inflatable PPs. When patients were further segregated as those with and without diabetes type 2 (DM) and those who had and had not undergone radical pelvic surgery (RPS), the comparison of complication rates across these subgroups did not yield any significant difference. Conclusions: We determined in this study that semirigid (malleable) PPs were associated with lower complication rates compared to the inflatable group, particularly with regard to mechanic failure, and that DM and history of RPS did not make a difference in complication rates in patients planned to undergo PPI.https://www.pagepressjournals.org/index.php/aiua/article/view/8321Penile prosthesis; Penile prosthesis implant; Erectile dysfunction; Impotence; Radical surgery; Satisfaction |
| spellingShingle | Erdem Kisa Mehmet Zeynel Keskin Cem Yucel Murat Ucar Okan Yalbuzdag Yusuf Ozlem Ilbey Comparison of penile prosthesis types' complications: A retrospective analysis of single center Archivio Italiano di Urologia e Andrologia Penile prosthesis; Penile prosthesis implant; Erectile dysfunction; Impotence; Radical surgery; Satisfaction |
| title | Comparison of penile prosthesis types' complications: A retrospective analysis of single center |
| title_full | Comparison of penile prosthesis types' complications: A retrospective analysis of single center |
| title_fullStr | Comparison of penile prosthesis types' complications: A retrospective analysis of single center |
| title_full_unstemmed | Comparison of penile prosthesis types' complications: A retrospective analysis of single center |
| title_short | Comparison of penile prosthesis types' complications: A retrospective analysis of single center |
| title_sort | comparison of penile prosthesis types complications a retrospective analysis of single center |
| topic | Penile prosthesis; Penile prosthesis implant; Erectile dysfunction; Impotence; Radical surgery; Satisfaction |
| url | https://www.pagepressjournals.org/index.php/aiua/article/view/8321 |
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