A Novel Video-Based Patient Education Program to Reduce Penile Prosthetic Surgery Cancellations

Abstract

Penile prosthetic surgery is an effective treatment for men with erectile dysfunction. Cancellation of surgery is disruptive and costly to patients, physicians, and the healthcare system. This pilot study sought to analyze surgery cancellations and implement a video-based patient education program to decrease surgery noncompletion.Baseline penile prosthetic surgery completion, rescheduling, and cancellation rates among consecutively scheduled surgeries were determined using a national cohort. Selected prosthetic surgeons then implemented Vidscrip, a video-based patient education program. Prerecorded videos were delivered via text message 14 days, 7 days, and 1 day preoperatively, as well as 1 day postoperatively. Subsequent analysis determined noncompletion rates, reasons for noncompletion, surgeon volume, and video utilization.Two-hundred twenty-six surgeries were scheduled in the baseline cohort; 141 were completed, and 85 were rescheduled or canceled. Among the intervention cohort, 290 patients completed, 7 rescheduled, and 37 canceled surgery. After program implementation, the surgery noncompletion rate was reduced compared to baseline (13.2% vs. 37.6%, p < .05), corresponding to a number needed to treat of 4.1. When stratified by surgeon volume, there was no difference in noncompletion rate (>20 cases vs. ≤20 cases: 8.20% vs. 32.0%, p = .35). Video utilization was widely variable among practices (median viewing time 58.6 min, IQR 5.09–113).Penile prosthetic surgery is frequently rescheduled or canceled. Implementing a video-based patient education program reduces surgery noncompletion, improving efficiency and quality of care. Wider implementation is needed to validate these findings, while cost-effectiveness analyses may further support their broad adoption.

Patient Perceptions of Audio and Video Recording in the Operating Room

“…Continuous audio-video recording in the operating room has the potential to benefit both surgeons and patients through surgeon 13,14 and patient 15,16 education; surgeon 17,18 and surgical team 19,20 performance evaluation; and Al-driven quality improvement. 21,22,23,24 Despite these potential benefits, there is minimal understanding of how these devices are viewed by patients.…”

Rapid distribution of information by SMS-embedded video link to patients during a pandemic

“…5 The only other intervention based on SMS-linked video that we are aware of, in a small selected cohort, did not evaluate the patient experience. 7 Researchers sent 30-sec video clips directly to phones, with an SMS evaluation; however, these could not be recalled or revised. 8 This is the first intervention that we are aware of to adopt SMS-linked video to explore impact in a large patient group.…”