Epidemiology regarding penile prosthetic surgery

Saavedra-Belaunde, Jose; Clavell-Hernández, Jonathan; Wang, Run

doi:10.4103/aja.aja_124_19

Cited by 12 publications

(4 citation statements)

References 75 publications

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“…Bladder cancer and prostate cancer videos have been scrutinised and the results are almost identical, both highlighting the scarce quality of information available to patients (Loeb et al, 2019(Loeb et al, , 2020. Erectile dysfunction (ED) is estimated to affect more than 50% of men between 40 and 70 years old; however, only a tiny percentage of them undergo penile prosthesis implantation (Saavedra-Belaunde et al, 2020). Fode et al (2020) have already established that patients searching for information are mainly exposed to poor-quality videos.…”

Section: Introductionmentioning

confidence: 99%

YouTube as a source of information on penile prosthesis

et al. 2021

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The purpose of this study is to evaluate the quality of information on YouTube regarding penile prosthesis. We searched the term ‘penile prosthesis’ on YouTube recording the first 100 video links. Each video was analysed by three evaluators through the validate Patient Education Materials Assessment Tool (PEMAT), the DISCERN quality criteria for consumer health information and a misinformation assessment tool specifically created for this subject. All the videos were viewed 10′011′232 times. Median duration time was 5′13″ (IQR = 7′25″–1′58″). Sixty‐eight per cent were nonsurgical videos and 32% of them contained surgical procedures. Most of the videos were uploaded by Private Companies (51%). Videos were primarily directed at patients (73 of 100 videos). The mean PEMAT understandability score was 57.8% ± 19.2%, the actionability score was 0% (IQR = 33%–0%). The median DISCERN score was 26 (IQR = 30–21). None of the videos provided a complete patients’ information and the overall mean misinformation score was 3.21 ± 2.24. Based on our data, video's quality according to PEMAT and DISCERN score is mostly poor. Furthermore popularity does not correlate with the quality of the videos, and most of them fail to provide adequate patient's information.

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Section: Introductionmentioning

confidence: 99%

YouTube as a source of information on penile prosthesis

et al. 2021

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“…Therefore, the distribution of ED etiology differed significantly from the general population, with postprostatectomy ED heavily over-represented. 18 This led to a small control group with potentially limited generalizability compared to the general population. Our analysis demonstrated no significant differences between the 2 populations studied, but the further multicenter study would benefit from a larger sample size for patients with more diverse etiologies.…”

Section: Limitationsmentioning

confidence: 99%

Comparison of Satisfaction With Penile Prosthesis Implantation in Patients With Radical Prostatectomy or Radical Cystoprostatectomy to the General Population

Howell¹,

Palasi²,

Green

et al. 2021

Sexual Medicine

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Introduction: Penile prosthesis implantation is a widely used treatment option for erectile dysfunction. Data is limited with regard to patient satisfaction with a penile prosthesis following radical prostatectomy/cystoprostatectomy vs patients with erectile dysfunction of other etiologies. Aim: To examine patient satisfaction with penile prosthesis implantation and determine if a difference in satisfaction exists in post-prostatectomy/cystoprostatectomy patients vs patients with erectile dysfunction of other etiologies. We hypothesize that etiology does not affect satisfaction. Methods: A total of 164 patients underwent penile prosthesis implantation at our institution between August 2017 and December 2019, with 102 patients completing a validated 14 item questionnaire, Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS), at 6 months postoperation. Demographics, surgical characteristics, and erectile dysfunction etiology were recorded. Patients were assigned to one of 2 groups: postprostatectomy/ postcystoprostatectomy erectile dysfunction or other etiologies. The study group was further analyzed between radical prostatectomy or radical cystoprostatectomy. Main Outcome Measures: Satisfaction based on key EDITS questions with postradical prostatectomy/cystoprostatectomy vs patients with erectile dysfunction of other etiologies. Results: Responses to 3 questions were analyzed: overall satisfaction, expectations met in the past 4 weeks, and confidence in the ability to participate in sexual activity. Chi-square analysis was performed to determine the difference in responses. No difference was seen in overall satisfaction (P ¼ .96), expectations (P ¼ .78), or confidence (P ¼ .78) between groups. On subgroup analysis, there was no difference in reported overall satisfaction (P ¼ .47) or confidence (P ¼ .080) between postprostatectomy and postcystoprostatectomy patients. Postprostatectomy and postcystoprostatectomy patients differed in whether the penile prosthesis implantation met expectations (P ¼ .033). Postprostatectomy patients reported a mean score of 3.5/4 compared to postcystoprostatectomy patients, who reported a mean of 3.0/4. Conclusions: Our analysis suggests that key erectile function scores are not significantly different between postprostatectomy/postcystoprostatectomy patients compared to other etiologies. The difference in measures between postprostatectomy and postcystoprostatectomy patients is not significant or of unclear significance. Registration # of clinical trial: HSC-MS-19-0320 Howell S, Palasi S, Green T, et al. Comparison of Satisfaction With Penile Prosthesis Implantation in Patients With Radical Prostatectomy or Radical Cystoprostatectomy to the General Population. Sex Med 2020;XX:XXXeXXX.

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“…Именно они влияют на изменения структуры и функции сосудов различной локализации, приводя к основным смертельным осложнениям: инфарктам миокарда и инсультам [3,4]. При этом среди пациентов с наиболее тяжелыми нарушениями эрекции, подвергшихся протезированию полового члена, более трети имеют сосудистую причину ЭД [5]. Тем не менее самым значимым фактором ЭД, реализуемым различными путями, явля-АНДРОЛОГИЯ 1 И ГЕНИТАЛЬНАЯ ХИРУРГИЯ ТОМ 24 / VOL.…”

Section: Introductionunclassified

Age dynamics of the morphological structure of the cavernous arteries in healthy men according to complex morphometric analysis

Strelkov¹,

Астраханцев²,

Snegur³

2023

Androl. genit. hir.

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Background. Erectile dysfunction is associated with systemic vascular diseases and, to a greater extent, with age, while there is insufficient data in the literature on the morphological state of the cavernous arteries (CA) in men of different ages in normal.Aim. A detailed morphometric assessment of the CA of men of various ages in the absence of signs of atherosclerosis and hypertension.Materials and methods. The material was transverse fragments of cavernous bodies with paired CA obtained during autopsy (58 observations, a total of 116 CA were examined). Hematoxylin and eosin, fuchsylin and picrofuxin, and Mallory staining were used. Detailed morphometric analysis was carried out according to the original method by measuring the perimeter and then calculating the area of the corresponding component of the vascular wall.Results. In the studied age range from 17 to 74 years, there was an increase in the total area of the CA from 0.76 mm2 in the age period of 17–21 years to 0.99 mm2 in the period of 36–60 years and a decrease to 0.43 mm2 at the age of 61–74 years. А similar increase in absolute indicators of the area of the lumen with a decrease in old age was revealed. The absolute area of intimacy and media, increasing by the age of 36–60 years, also significantly decreases in the age range of 61–74 years. At the same time, the relative area of intima to the vessel lumen has insignificant fluctuations, remaining a stable value in all age groups. The specific area of intima relative to the entire area of the vessel as a whole has a stable indicator, increasing in old age. The Kernogan Index tends to decrease throughout the studied age range from 33 to 26 %, which indicates the preservation of the spacecraft throughput in all the studied groups, including the elderly. This is also evidenced by the dynamics of the ratio of the diameter of the CA lumen to the thickness of the vessel wall, including intima and media, reaching maximum values of 4.15 by the period of 36–60 years, remaining at a high level of 3.53 and in the oldest age group. At the same time, the specific share of media significantly decreases in all groups of the studied age range of 17–74 years from 62.1 to 50.5 %. The ratio of the maximum lumen area of the vessel to the minimum as an indicator of the potential possibility of increasing the lumen of the spacecraft turned out to be maximum atthe ages of 17–21 years and 22–35 years,significantly decreasing in older age groupsfrom 176 to 130 %.Conclusion. Age-related remodeling of the spacecraft consistsin fairly stable morphometric parameters of the spacecraft in the age range from 17–21 years to a period of 36–60 years with a decrease at an older age, when a decrease in the absolute area of the lumen and the entire spacecraft isrevealed. A significant progressive decrease in the specific proportion of media and an increase in the proportion of intima in the structure of the vessel wall are shown. At the same time, up to the age of 36–60 years, spacecraft maintain their throughput indicators at a high level. Further studies of CA in vascular pathology may be useful in understanding the causes and mechanisms of the association of erectile dysfunction with the age of men.

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Epidemiology regarding penile prosthetic surgery

Cited by 12 publications

References 75 publications

YouTube as a source of information on penile prosthesis

YouTube as a source of information on penile prosthesis

Comparison of Satisfaction With Penile Prosthesis Implantation in Patients With Radical Prostatectomy or Radical Cystoprostatectomy to the General Population

Age dynamics of the morphological structure of the cavernous arteries in healthy men according to complex morphometric analysis

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