Impact of Surgeon Case Volume on Reoperation Rates after Inflatable Penile Prosthesis Surgery

Abstract

Patients treated by higher volume implanters are less likely to require reoperation after inflatable penile prosthesis insertion than those treated by lower volume surgeons. This trend appears to be driven by associations between surgeon volume and the risk of prosthesis infection.

Prevention, identification, and management of post-operative penile implant complications of infection, hematoma, and device malfunction

“…Alternatively, this may indicate that these studies did indeed capture patients who received revision surgery at institutions different than their original surgery. This consideration may be supported by the lower revision rates observed in the Onyeji et al study ( 10 ).…”

“…This is particularly relevant for many single surgeon or small multi-institutional studies. However, this may be less applicable to the large, state-wide registry studies such as those performed by Grewal et al ( 14 ) and Onyeji et al ( 10 ) or voluntary manufacturer registries as used by Carson et al ( 17 ). Further, the reoperation rate due to infection that Mirheydar et al reported is higher (3.84%) than the rates reported in the Onyeji et al (2.3%) and the Carson et al study (1.1–2.5%) but similar to the rate in the Grewal et al study (3.23%) ( 10 , 14 , 17 ).…”

“…In a recent study, Onyeji et al investigated the impact of surgeon case volume on reoperation rates after IPP surgery through a large retrospective study examining data pertaining to 14,969 patients from 1996 to 2014 in the New York Statewide Planning and Research Cooperative System Database (SPARCS) ( 10 ). The overall rate of reoperation due to infection was 2.3% (N=343).…”

Medicinal Plants as Aphrodisiac Agents: A Current Status

“…Sexual relationships are some of the foremost necessary social and biological relationship in human life. According to World Health Organization (WHO) Sexual health is prime to the physical or emotional health and wellbeing of people, couples and families and to the social or economic development of communities and countries [7,8]. The National Institutes of Health Consensus Development Conference on Impotence (7 December 1992) has outlined, Male impotence conjointly known as ED may be a common medical condition that affects the sexual life of millions of men worldwide.…”

3D pelvic cadaver model: a novel approach to surgical training for penile implant surgery

“…Last but not least, training and surgical education takes place in centres of excellence under direct supervision of high-volume dedicated surgeons. Once trainees have completed this training module they can become safety certified to offer their patients these types of interventions [1][2][3][4][5][6].…”