Initial experience of a single center with the use of ZSI 475 penile prosthesis
Objective: To evaluate surgical outcomes after implantation of the Zephyr ZSI 475 inflatable penile prosthesis (IPP) and patients' quality of life. Methods: From December 2014 to September 2018, 15 patients underwent prosthesis implantation with ZSI 475. A retrospective review of clinical data...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2021-04-01
|
| Series: | Asian Journal of Urology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214388220300059 |
| _version_ | 1819076178834620416 |
|---|---|
| author | Fulvio Colombo Giorgio Gentile Valerio Vagnoni Alessandro Fiorillo Pietro Piazza Fabrizio Sartorio Alessandro Franceschelli |
| author_facet | Fulvio Colombo Giorgio Gentile Valerio Vagnoni Alessandro Fiorillo Pietro Piazza Fabrizio Sartorio Alessandro Franceschelli |
| author_sort | Fulvio Colombo |
| collection | DOAJ |
| description | Objective: To evaluate surgical outcomes after implantation of the Zephyr ZSI 475 inflatable penile prosthesis (IPP) and patients' quality of life. Methods: From December 2014 to September 2018, 15 patients underwent prosthesis implantation with ZSI 475. A retrospective review of clinical data was performed. Patients' quality of life after implantation was investigated with Quality of Life and Sexuality with Penile Prosthesis (QoLSPP) questionnaire. Results: The median age of patients was 57 years and the average follow-up time was 22 months. Twelve patients received a standard implantation due to severe erectile dysfunction (ED); three patients also presented penile curvature and additional corporoplasty with grafting was necessary. Three procedures had to be interrupted due to defects of the insertion tools. In one case a manufacturing defect resulted in a pump leak. In one case, a severe postoperative complication occurred, which requested explanation of the device. During the follow-up, four patients experienced mechanical failure of the prosthesis. Results of QoLSPP questionnaire at 12 months were skewed toward the positive end of the scale in all domains. Conclusion: In our initial experience, ZSI 475 suffered a high rate of mechanical failures; on the other hand, the company showed great commitment in order to improve the quality and reliability of the device. The lower cost of ZSI 475 may add to the chances of the product to become a cost-effective alternative to treat those patient who need a IPP. |
| first_indexed | 2024-12-21T18:37:11Z |
| format | Article |
| id | doaj.art-cf9bccaf7c2e4619b6c96afd6ba17075 |
| institution | Directory Open Access Journal |
| issn | 2214-3882 |
| language | English |
| last_indexed | 2024-12-21T18:37:11Z |
| publishDate | 2021-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asian Journal of Urology |
| spelling | doaj.art-cf9bccaf7c2e4619b6c96afd6ba170752022-12-21T18:54:06ZengElsevierAsian Journal of Urology2214-38822021-04-0182176182Initial experience of a single center with the use of ZSI 475 penile prosthesisFulvio Colombo0Giorgio Gentile1Valerio Vagnoni2Alessandro Fiorillo3Pietro Piazza4Fabrizio Sartorio5Alessandro Franceschelli6Andrology Unit, University Hospital S. Orsola-Malpighi, Bologna, ItalyAndrology Unit, University Hospital S. Orsola-Malpighi, Bologna, Italy; Corresponding author.Andrology Unit, University Hospital S. Orsola-Malpighi, Bologna, ItalyDepartment of Urology, University of Bologna, Bologna, ItalyDepartment of Urology, University of Bologna, Bologna, ItalyDepartment of Urology, University of Bologna, Bologna, ItalyAndrology Unit, University Hospital S. Orsola-Malpighi, Bologna, ItalyObjective: To evaluate surgical outcomes after implantation of the Zephyr ZSI 475 inflatable penile prosthesis (IPP) and patients' quality of life. Methods: From December 2014 to September 2018, 15 patients underwent prosthesis implantation with ZSI 475. A retrospective review of clinical data was performed. Patients' quality of life after implantation was investigated with Quality of Life and Sexuality with Penile Prosthesis (QoLSPP) questionnaire. Results: The median age of patients was 57 years and the average follow-up time was 22 months. Twelve patients received a standard implantation due to severe erectile dysfunction (ED); three patients also presented penile curvature and additional corporoplasty with grafting was necessary. Three procedures had to be interrupted due to defects of the insertion tools. In one case a manufacturing defect resulted in a pump leak. In one case, a severe postoperative complication occurred, which requested explanation of the device. During the follow-up, four patients experienced mechanical failure of the prosthesis. Results of QoLSPP questionnaire at 12 months were skewed toward the positive end of the scale in all domains. Conclusion: In our initial experience, ZSI 475 suffered a high rate of mechanical failures; on the other hand, the company showed great commitment in order to improve the quality and reliability of the device. The lower cost of ZSI 475 may add to the chances of the product to become a cost-effective alternative to treat those patient who need a IPP.http://www.sciencedirect.com/science/article/pii/S2214388220300059Erectile dysfunctionImplantationPenile prosthesisSatisfactionZephyr ZSI 475 |
| spellingShingle | Fulvio Colombo Giorgio Gentile Valerio Vagnoni Alessandro Fiorillo Pietro Piazza Fabrizio Sartorio Alessandro Franceschelli Initial experience of a single center with the use of ZSI 475 penile prosthesis Asian Journal of Urology Erectile dysfunction Implantation Penile prosthesis Satisfaction Zephyr ZSI 475 |
| title | Initial experience of a single center with the use of ZSI 475 penile prosthesis |
| title_full | Initial experience of a single center with the use of ZSI 475 penile prosthesis |
| title_fullStr | Initial experience of a single center with the use of ZSI 475 penile prosthesis |
| title_full_unstemmed | Initial experience of a single center with the use of ZSI 475 penile prosthesis |
| title_short | Initial experience of a single center with the use of ZSI 475 penile prosthesis |
| title_sort | initial experience of a single center with the use of zsi 475 penile prosthesis |
| topic | Erectile dysfunction Implantation Penile prosthesis Satisfaction Zephyr ZSI 475 |
| url | http://www.sciencedirect.com/science/article/pii/S2214388220300059 |
| work_keys_str_mv | AT fulviocolombo initialexperienceofasinglecenterwiththeuseofzsi475penileprosthesis AT giorgiogentile initialexperienceofasinglecenterwiththeuseofzsi475penileprosthesis AT valeriovagnoni initialexperienceofasinglecenterwiththeuseofzsi475penileprosthesis AT alessandrofiorillo initialexperienceofasinglecenterwiththeuseofzsi475penileprosthesis AT pietropiazza initialexperienceofasinglecenterwiththeuseofzsi475penileprosthesis AT fabriziosartorio initialexperienceofasinglecenterwiththeuseofzsi475penileprosthesis AT alessandrofranceschelli initialexperienceofasinglecenterwiththeuseofzsi475penileprosthesis |