Optimizing Outcomes in the Virgin Penile Implant Patient
- 5 Downloads
Purpose of Review
Patient satisfaction with inflatable penile prosthesis (IPP) is an elective procedure that restores erectile function.
While the return of usable erections is almost always achieved with IPP, patients may still be unhappy with the procedure if the outcome has not met their expectations. Optimizing patient satisfaction and outcomes should incorporate considerations for pre-, intra-, and postoperative factors. Length optimization regimens and improved pain control options have dominated the recent literature.
KeywordsPenile implant Patient satisfaction
Compliance with Ethical Standards
Conflict of Interest
Charles Welliver is a paid consultant for Coloplast.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
- 4.Habous M, Giona S, Tealab A, Aziz M, Sherif H, Abdelwahab O, et al. Penile length is preserved after implant surgery. BJU Int. 2018. https://doi.org/10.1111/bju.14604.
- 7.Montague DK. Penile prosthesis implantation for end-stage erectile dysfunction after radical prostatectomy. Rev Urol, suppl. 2005;7:S51.Google Scholar
- 8.Bernal RM, Henry GD. Contemporary patient satisfaction rates for three-piece inflatable penile prostheses. Adv Urol. 2012:707321.Google Scholar
- 10.•• Trost LW, Baum N, Hellstrom WJ. Managing the difficult penile prosthesis patient. J Sex Med. 2013;10:893. A review of urology and non-urologic cosmetic surgery literature which identified factors associated with patient satisfaction. Identified “high risk” factors associated with patient dissatisfaction–907.CrossRefGoogle Scholar
- 11.• Habous M, Tal R, Tealab A, et al. Predictors of satisfaction in men after penile implant surgery. J Sex Med. 2018;15:1180 Multi-center study of 902 patients utilizing a single question assessment at 6 months after penile implant. Complication type and rates were correlated with satisfaction scores. Any complication and particularly major complication lowered satisfaction scores. CrossRefGoogle Scholar
- 24.Mulcahy JJ. Prevention and correction of penile implant problems. AUA Update Series. 1994; 13: lesson 27.Google Scholar
- 28.Clavell Hernandez J, Trost L, Kohler T, et al. Emerging complications following alternative reservoir placement during inflatable penile prosthesis placement: a 5-year multi-institutional experience. J Urol. 2018;199. https://doi.org/10.1016/j.juro.2018.10.013.
- 36.• Tong CMC, Lucas J, Shah A, et al. Novel multi-modal analgesia protocol significantly decreases opioid requirements in inflatable penile prosthesis patients. J Sex Med. 2018;15:1187 Study utilizing multi-modal anesthesia protocol (acetaminophen, meloxicam, gabapentin, and intraoperative nerve blocks) for peri- and postprocedural pain control. Differences in pain scores and narcotic use were found.CrossRefGoogle Scholar