Premium
Inflatable penile prosthesis implantation into scarred corporal bodies: timing may decrease postoperative problems
Author(s) -
Hebert Kristi L.,
Yafi Faysal A.,
Wilson Steve
Publication year - 2020
Publication title -
bju international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 1464-4096
DOI - 10.1111/bju.14859
Subject(s) - medicine , surgery , penile prosthesis , prosthesis , inflatable , erectile dysfunction , mechanical engineering , engineering
Objectives To compare the rates of intra‐ and postoperative complications between early (<4 months) or delayed (>4 months) inflatable penile prosthesis (IPP) re‐implantation performed after a fibrosis‐inducing event. Patients and Methods Cases of IPP re‐implantation were performed by a single, high‐volume prosthetic surgeon in hospitals domestically and abroad over a 15‐year period (2001–2016). The time interval from the precipitating event to operation, intra‐operative complications and postoperative complications for up to 1 year after implantation, were recorded. Results A total of 72 cases of IPP re‐implantation were recorded. There were 16 (53%) intraoperative complications in patients who had surgery at <4 months (Group 1) and 23 (55%) in patients operated at >4 months (Group 2). There were four (13%) postoperative complications in Group 1 and 14 (33%) in Group 2. Conclusion Re‐implantation of an IPP into fibrotic corporal bodies is associated with less serious postoperative complications when performed within 4 months of the fibrosis‐inducing event.