Inflatable penile prosthesis implantation into scarred corporal bodies: timing may decrease postoperative problems. (29th July 2019)

• Record Type: Journal Article
• Authors: Hebert, Kristi L.; Yafi, Faysal A.; Wilson, Steve
• Is Part Of: BJU international. Volume 125:Number 1(2020)
• Page Start: 168
• Page End: 172
• Publication Date: 2019-07-29
• Subjects: corporal fibrosis -- erosion -- perforation -- prosthesis -- priapism -- #Andrology; Genitourinary organs -- Diseases -- Periodicals; Genitourinary organs -- Surgery -- Periodicals; Urology -- Periodicals; 616.6
• DOI: 10.1111/bju.14859
• Languages: English
• ISSNs: 1464-4096

Abstract

Abstract : Objectives: To compare the rates of intra‐ and postoperative complications between early (<4 months) or delayed (>4 months) inflatable penile prosthesis (IPP) re‐implantation performed after a fibrosis‐inducing event. Patients and Methods: Cases of IPP re‐implantation were performed by a single, high‐volume prosthetic surgeon in hospitals domestically and abroad over a 15‐year period (2001–2016). The time interval from the precipitating event to operation, intra‐operative complications and postoperative complications for up to 1 year after implantation, were recorded. Results: A total of 72 cases of IPP re‐implantation were recorded. There were 16 (53%) intraoperative complications in patients who had surgery at <4 months (Group 1) and 23 (55%) in patients operated at >4 months (Group 2). There were four (13%) postoperative complications in Group 1 and 14 (33%) in Group 2. Conclusion: Re‐implantation of an IPP into fibrotic corporal bodies is associated with less serious postoperative complications when performed within 4 months of the fibrosis‐inducing event.