Updates in Inflatable Penile Prostheses

Henry, Gerard D.; Wilson, Steven K.

doi:10.1016/j.ucl.2007.08.015

Cited by 46 publications

(23 citation statements)

References 50 publications

(58 reference statements)

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“…The infection rate following primary device insertion is only 1% to 3%, while some single-surgeon studies have reported rates as low as 0.46% when using coated implants and the ‘no touch’ technique [5]. Rates following revision surgery are reportedly higher at 7% to 18% [6]. However, a recent survey of primary care physicians (PCPs) highlighted deficient awareness relative to this data.…”

Section: Introductionmentioning

confidence: 99%

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: Introductionmentioning

confidence: 99%

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

2018

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“…Moreover, the three-piece inflatable penile prosthesis has the highest patient satisfaction rates and lowest mechanical revision rates of almost any medically implanted device [20]. However, alternative surgical treatments for erectile dysfunction including Brindley sacral anterior root stimulator after sacral dorsal rhizotomy have also been reported recently with varying degrees of success [21].…”

Section: Erectile Dysfunctionmentioning

confidence: 99%

Fertility in men with spinal cord injury

Čehić

Kasum

Šimunić³

et al. 2016

Gynecological Endocrinology

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“…En quarante ans, les prothèses péniennes ont considérable-ment évolué, la pratique des implantations s'est banalisée et les évaluations des résultats se sont multipliées, fournissant des chiffres convergents (entre 85 et 95 % de résultats satisfaisants) en faveur de ce traitement [8][9][10]. La place des facteurs psychologiques dans l'indication et dans les effets de l'implantation est signalée de longue date [11][12][13].…”

Section: La Consultation Psychologique Dans L'indication De Prothèse unclassified

La consultation psychologique dans l’indication d’une prothèse pénienne : une expérience originale de complémentarité médicopsychologique

Mormont

Andrianne

2012

Basic Clin. Androl.

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Résumé Au Centre d’Étude et de Traitement des Insuffisances Sexuelles Masculines (CETISM) de notre département universitaire d’urologie, une consultation psychologique est systématiquement programmée lorsque la prothèse pénienne est considérée par le patient — et l’urologue — comme une solution possible de sa défaillance érectile. Cette consultation comporte trois objectifs essentiels: repérer les cas — rares — de contre-indication psychopathologique, compléter l’information déjà donnée au patient lors des consultations médicochirurgicales et explorer les aspects relationnels, affectifs, cognitifs et érotiques susceptibles d’intervenir dans la prise de décision et dans l’intégration de la solution prothétique. Elle vise aussi et surtout à rendre à l’homme sa position centrale, active, non seulement dans la prise de décision, mais encore dans l’élaboration d’un projet de vie qui tient compte de cette décision (positive ou négative), position qu’il a souvent perdue au moment où il est devenu « impuissant ».

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Updates in Inflatable Penile Prostheses

Cited by 46 publications

References 50 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

Fertility in men with spinal cord injury

La consultation psychologique dans l’indication d’une prothèse pénienne : une expérience originale de complémentarité médicopsychologique

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