A Review of Factors Affecting Patient Satisfaction With Inflatable Penile Prosthesis

Shah, Tejash; Wang, Run

doi:10.1016/j.sxmr.2020.04.001

Cited by 23 publications

(7 citation statements)

References 41 publications

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“…Patient satisfaction following insertion of a penile prosthesis has been reported to be as high as 90%. 3 Penile prostheses have been documented in use from as early as the 16th century. A variety of materials have been used in these prostheses over the years, progressing from rib cartilage and bone in the mid-1930s to acrylic implants in the 1960s.…”

Section: Discussionmentioning

confidence: 99%

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Intra-abdominal migration of a penile prosthesis reservoir

Naughton

Muheilan

Casey

2021

Journal of Clinical Urology

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Section: Discussionmentioning

confidence: 99%

“…Patient satisfaction following insertion of a penile prosthesis has been reported to be as high as 90%. 3…”

Section: Discussionmentioning

confidence: 99%

Intra-abdominal migration of a penile prosthesis reservoir

Naughton

Muheilan

Casey

2021

Journal of Clinical Urology

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“…Çayan et al examined the differences between dissatisfaction rates three-piece IPPs, two-piece IPPs, and malleable prostheses, and found there were no differences between the two- and three-piece IPPs (3.8% and 3.3%, respectively) but malleable prostheses had a significantly higher dissatisfaction rate (11.2%) ( 111 ). Though a perceived loss of penile length is associated with dissatisfaction, it should be noted that in many cases there may actually not be a decrease in penile length following IPP implantation ( 112 ).…”

Section: Predictive Factors and Comparison Of Ipp And Malleable Prost...mentioning

confidence: 99%

Recent technological development of penile prosthesis: a literature review

Patel,

Zakkar,

Polchert

et al. 2024

Transl Androl Urol

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Background and Objective In contemporary Urology, the gold standard for treatment of erectile dysfunction refractory to medical therapy has been implantation with a penile prosthesis. The past 40 years has witnessed evolutions in technology and surgical techniques, which have led to increased patient satisfaction rates and decreased complication and infection rates. This review is an update to a prior review article that evaluates these advancements in the context of patient satisfaction and different rates of complications following surgeries. In addition, the review compares malleable and inflatable prostheses with regard to infection rate, mechanical failure rate, and erosion rate. Methods A literature search was conducted using Medline and Google Scholar to examine papers from 1973 to the present day. Keywords, such as, “penile prosthesis surgery”, “malleable penile prosthesis”, “inflatable penile prosthesis”, “two-piece Inflatable Penile Prosthesis (IPP)”, and “three-piece IPP” were utilized during the search. A total of 76 papers were included, and all were in English. Key Content and Findings Studies on the latest models of each of the three prostheses (malleable, two-piece IPP, three-piece IPP) revealed patient satisfaction ratings at or above 75%. Both types of IPPs were associated with greater satisfaction and lower erosion rates while malleable prostheses were associated with lower mechanical failure rates. Although no significant differences in infection rates were noted between the prosthesis types, a history of diabetes, obesity, and smoking were predictive of infection events. Conclusions The three-piece IPP, if indicated for a suitable patient, is generally accepted as the best type of prosthesis given its biological mimicry to an erect human penis.

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“…The most common cause of patient regret after penile prosthesis surgery is perceived penile shortening. [1][2][3] Penile shortening in the absence of IPP insertion can be caused by conditions such as Peyronie's disease (PD), priapism with corporal brosis, and prostate cancer treated with radical prostatectomy, radiation, and or/androgen deprivation therapy. 4 Studies have shown that actual penile length after IPP is not different than stretched accid penile length, but rather perceived impression of penile shortening is more signi cant after IPP insertion in men with a prior history of radical prostatectomy.…”

Section: Introductionmentioning

confidence: 99%

Maximizing Three Piece Penile Prosthesis Length: Our Technique and Outcomes

Celtik

Siegal

Valenzuela³

et al. 2023

Preprint

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Three-piece inflatable penile prosthesis (IPP) is considered the gold standard surgical treatment for erectile dysfunction (ED). The most common cause of patient regret after penile prosthesis surgery is penile shortening. We sought to query a national database on average prosthesis length and describe our techniques to maximize cylinder sizes. We performed a retrospective review of the Coloplast database of 3-piece penile prosthesis cases performed over the span of 1 year nationally and by a single high volume surgeon and compared average cylinder lengths. Our review did not investigate whether adjunct tunical lengthening or girth enhancing procedures were performed. Between July 1, 2021 and June 27, 2022, 145 three piece penile prosthesis surgeries were performed at our institution. All were performed via a scrotal incision. Nationally, 32.8% were performed infrapubic while 58.1% were performed scrotal. The most prevalent cylinder length in our series was 22cm, compared to the most prevalent nationally of 20cm. Our technique to maximize cylinder length involves circumferential mobilization of the corporal bodies and corporal tissue sparing. Corporal tissue sparing is carried out by employing 9” Metzenbaum scissors rather than sequential dilators for corporal tunneling. The benefit of this approach is the ability to create a dorsal compartment to the level of the triangular ligament of the glans, thereby extending the space to the level of the midglans. This maneuver minimizes placement of the prosthesis anteriorly at the level of the fossa navicularis and prevents floppy glans that would otherwise compromise maximum cylinder length. Three piece penile prosthesis cylinder size can be maximized by circumferential mobilization of the corporal bodies, corporal sparing maneuvers, and the utilization of long Metzenbaum scissors for precise corporal tunneling.

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A Review of Factors Affecting Patient Satisfaction With Inflatable Penile Prosthesis

Cited by 23 publications

References 41 publications

Intra-abdominal migration of a penile prosthesis reservoir

Intra-abdominal migration of a penile prosthesis reservoir

Recent technological development of penile prosthesis: a literature review

Maximizing Three Piece Penile Prosthesis Length: Our Technique and Outcomes

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