Under-recognized factors affecting penile implant satisfaction in patients

Wong, Julie; Witherspoon, Luke; Flannigan, Ryan

doi:10.5489/cuaj.7720

Cited by 3 publications

(1 citation statement)

References 20 publications

(19 reference statements)

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“…Of note, one review found that patient satisfaction with delayed penile implantation attempts were around 58% ( 40 ). This is distinctly lower than the 75–98% commonly reported for virgin implants ( 41 ). The decision to explant the infected device without salvage replacement of a new prosthetic is always appropriate if the patient does not want another implant.…”

Section: Preoperative Counseling and Considerations Prior To Salvagecontrasting

confidence: 58%

Narrative review of immediate salvage for penile prosthesis infection

Adams,

Tua-Caraccia,

Lentz

2024

Transl Androl Urol

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Background and Objective Implantation of a penile prosthesis is a reliable option for men with erectile dysfunction (ED) refractory to less invasive therapies. While the frequency of penile prosthesis infections have decreased, they remain a devastating complication. Herein we discuss why immediate salvage surgery is an essential technique for the management of implant infections. We will also describe the relevant advancements to this technique. Methods We conducted a narrative review via computer based search of PubMed for all relevant articles on penile prosthesis infection management, including guidelines, case series, reviews, and expert opinions. Search terms used included: “inflatable penile prosthesis”, “IPP”, “penile prosthesis”, “salvage”, “treatment”, “delayed”, “immediate”. Only English peer-reviewed publications were included. Key Content and Findings Historically, patients who presented with penile prosthesis infections were exclusively managed with complete removal of the prosthesis without replacement. Although this strategy is safe, it hastens immediate ED and corporal fibrosis, resulting in loss of penile length and increased difficulty with subsequent prosthesis replacement. Previous case series have reported successful treatment of localized penile prosthesis infections with nonsurgical treatment, but the role of conservative treatment remains limited. The current standard of immediate salvage entails removal of the infected prosthesis and washout followed by immediate replacement with a new penile prosthesis. This technique has been demonstrated to be safe and effective, thus allowing patients to resume intercourse and maintain penile length. Conclusions Immediate salvage surgery is safe and effective, and has emerged as the preferred strategy for the management of most patients with a penile prosthesis infection.

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Section: Preoperative Counseling and Considerations Prior To Salvagecontrasting

confidence: 58%

Narrative review of immediate salvage for penile prosthesis infection

Adams,

Tua-Caraccia,

Lentz

2024

Transl Androl Urol

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Evaluation of patient satisfaction using the validated French version of the SSIPI questionnaire after inflatable penile implantation

Beirnaert,

Pinar,

Benarroche

et al. 2023

The Journal of Sexual Medicine

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Background Penile prothesis (PP) is a recommended treatment for erectile dysfunction that is refractory to less invasive treatments, but there are few validated tools to assess patient satisfaction. Aim The aim of this study was to assess patient satisfaction after PP implantation using the French Satisfaction Survey for Inflatable Penile Implant (SSIPI) questionnaire. Methods Demographic, clinical, and perioperative data were collected from all consecutive patients who underwent PP implantation in our center between 2016 and 2021. The French SSIPI questionnaire was completed during a telephone call with each patient by an independent investigator. Outcomes A good functional result was considered when the total SSIPI score was >48, corresponding to a score of >3 for each item. Results The median global SSIPI score for the cohort was 66 (interquartile range [IQR], 60-73), and 53 (89.8%) patients were satisfied. The appearance of the penis with the PP was the item that had the lowest score for satisfaction (median score 23 [IQR, 19–26]), while the patients reported almost no pain (median score 10 [IQR, 9-10]). When patients with a total score of ≤64 were compared with those with a score of >64, PP size was significantly greater in the group with better functional results (P = .03). Clinical Implications Assessment of patient satisfaction with a PP is important because this is the main criterion used to judge the success of surgery. Strengths and Limitations To our knowledge, this is the first study to evaluate the satisfaction of patients with a PP using the French-validated version of SSIPI questionnaire. However, patients came from a single center and the population size was small. Conclusion Almost 90% of patients with a PP were satisfied with the device when satisfaction was assessed using the SSIPI questionnaire.

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Management of urologic prosthetic reservoirs at the time of inguinal or pelvic surgery

Tua-Caraccia

Adams

Watters

et al. 2023

Sexual Medicine Reviews

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Introduction The artificial urinary sphincter and 3-piece inflatable penile prosthesis each require a fluid storage component and thus have components in the inguinal and pelvic regions. Because of this, patients with urologic prosthetics sometimes present challenges during future nonprosthetic operations. Presently, there is no established guideline for device management with ensuing inguinal or pelvic surgery. Aims This article outlines concerns during pelvic and inguinal surgery for patients with an artificial urinary sphincter and/or inflatable penile prosthesis and proposes an algorithm for preoperative surgical planning and decision making. Methods We conducted a narrative review of the literature on operative management of these prosthetic devices. Publications were identified by searching electronic databases. Only peer-reviewed publications available in English were considered for this review. Results We review the important considerations as well as available options for operative management of these prosthetic devices during subsequent nonprosthetic surgery and highlight the advantages and disadvantages of each. Finally, we suggest a framework for helping surgeons determine which management strategy is most appropriate for their individual patients. Conclusion The best management strategy will differ depending on patient values, the planned surgery, and patient-specific factors. Surgeons should understand and counsel patients on all available options and encourage informed, shared decision making to determine the best individualized approach.

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Under-recognized factors affecting penile implant satisfaction in patients

Cited by 3 publications

References 20 publications

Narrative review of immediate salvage for penile prosthesis infection

Narrative review of immediate salvage for penile prosthesis infection

Evaluation of patient satisfaction using the validated French version of the SSIPI questionnaire after inflatable penile implantation

Management of urologic prosthetic reservoirs at the time of inguinal or pelvic surgery

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