Clinical outcomes and patient satisfaction rates among elderly male aged ≥75 years with inflatable penile prosthesis implant for medically refractory erectile dysfunction

Chung, Eric; Solomon, Matt; DeYoung, Ling; Brock, Gerald

doi:10.1007/s00345-013-1102-7

Cited by 28 publications

(15 citation statements)

References 17 publications

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“…With aging, there is a recognized functional decline in both innate and adaptive immune response [29], predisposing elderly patients to infection. The one prior study on post-IPP infections among the elderly found no infections among the 30 patients aged ≥75 [30]. Our study reinforces this data, showing no infections in our 31 patients aged ≥75.…”

Section: Discussionsupporting

confidence: 91%

Infection following penile prosthesis placement at an academic training center remains low despite involvement of surgeons-in-training

2018

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PurposePrimary care providers harbor misconceptions regarding penile prosthetic surgery, largely overestimating the rate of infection. Rates of infection following surgery for primary placement and revision are estimated as 1% to 3% and 10% to 18%, respectively. Our objective was to determine the contemporary incidence of infection following inflatable penile prostheses surgery at an academic training center where surgeons-in-training are routinely involved.Materials and MethodsReview of a prospectively collected single-surgeon database was performed. All cases of inflatable penile prostheses placement from January 2011 through June 2017 were reviewed. Information regarding training level of assistant surgeon(s) was collected, and follow-up data was compiled regarding postoperative infections and need for revision surgery.ResultsThree hundred nine cases meeting inclusion criteria were identified. Mean patient age was 64.2 years, and mean follow-up was 28.7 months. Distribution involved 257 (83.2%) for primary placement, 45 (14.6%) for removal/replacement, and 7 (2.3%) in setting of prior device removal. Diabetes was noted in 31.1% of men. Surgeon-in-training involvement was noted in 100% of cases. Infection was confirmed in a patient who had skin breakdown over an area of corporal reconstruction with polytetrafluoroethylene. The overall postoperative infection rate was 0.3%.ConclusionsIn this series from an academic training center, infection following penile prosthetic surgery is low, similar to other centers of excellence, even with 100% involvement of surgeons-in-training. This data should be used to better inform primary care providers and members of the general public potentially interested in restoration of sexual function.

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Section: Discussionsupporting

confidence: 91%

Infection following penile prosthesis placement at an academic training center remains low despite involvement of surgeons-in-training

2018

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“…Infected or eroding prostheses must be surgically removed (Alberson et al, 2012). Chung, Solomon, DeYoung, and Brock (2013) assessed clinical outcomes and patient satisfaction rates among men post inflatable penile prosthesis (IPP) implantation. A retrospective chart review of all men who received initial IPP implantation between 2006 to 2010 indicated that the majority of men were satisfied and would recommend IPP to other men with ED.…”

Section: Surgical Therapymentioning

confidence: 99%

Erectile Dysfunction in the Older Adult Male

Mola¹

2015

UNJ

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Erectile dysfunction (ED) in the older adult male is a significant problem affecting more than 75% of men over 70 years of age in the United States. Older men have an increased likelihood of developing ED due to chronic disease, comorbid conditions, and age-related changes. Research has demonstrated that while the prevalence and severity of ED increases with age, sexual desire often remains unchanged. This article discusses the clinical picture of ED, including relevant pathophysiology, clinical presentation, and evaluation and treatment options.

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“…The inflatable penile prosthesis (IPP) has become the standard of care for severe erectile dysfunction refractory to non-surgical therapies. IPP placement is a reliable, safe surgical treatment option with high patient satisfaction rates [1][2][3]. The use of Rear Tip Extenders (RTEs) is an underexplored aspect of IPP placement.…”

Section: Introductionmentioning

confidence: 99%

The Rear Tip Extender for Inflatable Penile Prostheses: Introduction of “Rigidity Factor” and Review of the Literature

Thirumavalavan

Cordon

Gross

et al. 2019

Sexual Medicine Reviews

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Clinical outcomes and patient satisfaction rates among elderly male aged ≥75 years with inflatable penile prosthesis implant for medically refractory erectile dysfunction

Abstract: Men aged ≥75 years reported satisfactory outcome with IPP surgery with no statistical significant difference identified across device survival and satisfaction rates compared to men aged <75 years.

Cited by 28 publications

References 17 publications

Infection following penile prosthesis placement at an academic training center remains low despite involvement of surgeons-in-training

Infection following penile prosthesis placement at an academic training center remains low despite involvement of surgeons-in-training

Erectile Dysfunction in the Older Adult Male

The Rear Tip Extender for Inflatable Penile Prostheses: Introduction of “Rigidity Factor” and Review of the Literature

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