Open AccessRisk profiling in patients undergoing penile prosthesis implantation
Author(s) -
Linda Huynh,
Mohamad M. Osman,
Faysal A. Yafi
Publication year - 2020
Publication title -
asian journal of andrology/asian journal of andrology
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.701
H-Index - 74
eISSN - 1745-7262
pISSN - 1008-682X
DOI - 10.4103/aja.aja_92_19
Subject(s) - penile prosthesis , medicine , erectile dysfunction , comorbidity , prosthesis , surgery , diabetes mellitus , complication , patient satisfaction , risk assessment , intensive care medicine , computer security , computer science , endocrinology
Penile prosthesis implantation is the gold standard of surgical therapy for patients with medication-refractory erectile dysfunction. However, this umbrella definition includes significant heterogeneity and associated risk profiles that should be candidly discussed and addressed perioperatively. Factors associated with operative success and patient satisfaction are often surgery specific; however, risk profiling via patient selection, preoperative optimization, proper device selection, and intraoperative consideration are highly correlated. Some examples of common risk profiles include comorbidity(ies) such as cardiovascular disease, diabetes mellitus, prior abdominal surgery, Peyronie's disease, and psychological risk factors. Similarly, integration of surgeon- and patient-amenable characteristics is key to decreasing risk of infection, complication, and need for revision. Finally, patient risk profiling provides a unique context for proper device selection and evidence-based intraoperative considerations.