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Across all specialties, economic pressure is driving increased utilization of outpatient surgery when feasible.    Aims  Our aims were to analyze national trends of penile prosthesis ( PP ) surgery and to examine patient and hospital characteristics, and perioperative complications in the inpatient setting.    Methods  We analyzed data from  N ational  I npatient  S ample. Patients in  NIS  who underwent  PP  insertion between 2000 and 2010 were included.    Main Outcome Measures  Our main outcomes were the number of inpatient  PP  procedures, type of prosthesis, patient demographics, comorbidities, hospital characteristics, and immediate perioperative complications.    Results  There was a progressive and dramatic decline by nearly half in the number of both inflatable ( IPP ) and noninflatable ( NIPP ) inpatient insertions performed from 2000 to 2010 ( P  = 0.0001). The overall rate of inpatient complications for  PP  insertion was 13.5%. Patients with three or more comorbidities were found to have a higher risk of complications than patients with no comorbidities ( OR  = 1.45, 95%  CI  = 1.18–1.78) ( P  = 0.0001). Surgeries performed in high‐volume hospitals (10 or more  PP  cases per year) were associated with reduced risk of complications ( OR  = 0.6) ( P  &lt; 0.0001). There was a dramatic decrease in inpatient setting for  PP  placement in high‐volume hospitals (32% in 2000 compared with 6% in 2010;  P  &lt; 0.0001), and when compared with lower volume hospitals.  NIPP  was more likely performed in younger patients and in community hospitals, and less likely in white patients. Medicaid health insurance was associated with much higher rate of  NIPP  insertion than other types of insurance.    Conclusions  The number of  PP  procedures performed in the inpatient setting declined between 2000 and 2010, likely reflecting a shift toward increasing outpatient procedures. Our data also suggest a better outcome for patients having the procedure done at a high‐volume center in terms of inpatient complications.  Alwaal A, Harris CR, Hussein AA, Sanford TH, McCulloch CE, Shindel AW, and Breyer BN. The decline of inpatient penile prosthesis over the 10‐year period, 2000–2010. Sex Med 2015;3:280–286.

The Decline of Inpatient Penile Prosthesis over the 10‐Year Period, 2000–2010