Long-term outcomes after penile prosthesis placement for the Management of Erectile Dysfunction: a single-Centre experience

Basic and Clinical Andrology

Marie Audouin¹  Pietro Grande²  Pierre Mozer²  William Akakpo²  Emmanuel Chartier-Kastler²  Thomas Seisen³  Morgan Roupret³  Valentine Frydman³  Ugo Pinar³  Maher Abdessater³ 

[1] Department of Urology, Sorbonne Université, APHP, Hôpital Tenon, F-75013, Paris, France;Department of Urology, Sorbonne Université, APHP, Hôpitaux universitaires Pitié-Salpêtrière-Charles Foix, F-75013, Paris, France;Department of Urology, Sorbonne Université, GRC n 5, Predictive Onco-Urology, APHP, Hôpital Pitié-Salpêtrière, F-75013, Paris, France;

关键词: Erectile dysfunction;    Outcomes;    Intraoperative events;    Penile prosthesis;    Functional results;    dysfonction érectile;    événements peripératoires;    prothèse pénienne;    résultats fonctionnels;   

DOI  :  10.1186/s12610-021-00123-x

来源: Springer

【 摘 要 】

BackgroundPenile prothesis (PP) is the gold-standard treatment of drug-refractory erectile dysfunction (ED). While postoperative outcomes have been widely described in the literature, there are few data about patient satisfaction and intraoperative events. We aimed to assess long-term patient satisfaction and perioperative outcomes after PP implantation in a single-centre cohort of unselected patients using validated scales.ResultsA total of 130 patients received a PP (median age: 62.5 years [IQR: 58–69]; median International Index of Erectile Function (IEEF-5) score: 6 [IQR: 5–7]). Median follow-up was 6.3 years [IQR: 4–9.4]. Thirty-two (24.6%) patients underwent surgical revision, of which 20 were PP removals (15.4%). Global PP survival rate was 84.6% and previous PP placement was a risk factor for PP removal (p = 0.02). There were six (4.6%) non-life-threatening intraoperative events including two which resulted in non-placement of a PP (1.5%). EAUiaic grade was 0 for 124 procedures (95.4%), 1 for four procedures (3.1%) and 2 for two procedures (1.5%). Of patients who still had their PP at the end of the study, 91 (80.5%) expressed satisfaction.ConclusionsPP implantation is a last-resort treatment for ED with a satisfactory outcome. PPs are well accepted by patients.

【 授权许可】

CC BY