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Long-term outcomes after penile prosthesis placement for the Management of Erectile Dysfunction: a single-Centre experience

Authors
  • Frydman, Valentine1
  • Pinar, Ugo1
  • Abdessater, Maher1
  • Akakpo, William2
  • Grande, Pietro2
  • Audouin, Marie3
  • Mozer, Pierre2
  • Chartier-Kastler, Emmanuel2
  • Seisen, Thomas1
  • Roupret, Morgan1
  • 1 Sorbonne Université, GRC n 5, Predictive Onco-Urology, APHP, Hôpital Pitié-Salpêtrière, Paris, F-75013, France , Paris (France)
  • 2 Sorbonne Université, APHP, Hôpitaux universitaires Pitié-Salpêtrière-Charles Foix, Paris, F-75013, France , Paris (France)
  • 3 Sorbonne Université, APHP, Hôpital Tenon, Paris, F-75013, France , Paris (France)
Type
Published Article
Journal
Basic and Clinical Andrology
Publisher
Springer (Biomed Central Ltd.)
Publication Date
Mar 04, 2021
Volume
31
Issue
1
Identifiers
DOI: 10.1186/s12610-021-00123-x
Source
Springer Nature
Keywords
License
Green

Abstract

BackgroundPenile prothesis (PP) is the gold-standard treatment of drug-refractory erectile dysfunction (ED). While postoperative outcomes have been widely described in the literature, there are few data about patient satisfaction and intraoperative events. We aimed to assess long-term patient satisfaction and perioperative outcomes after PP implantation in a single-centre cohort of unselected patients using validated scales.ResultsA total of 130 patients received a PP (median age: 62.5 years [IQR: 58–69]; median International Index of Erectile Function (IEEF-5) score: 6 [IQR: 5–7]). Median follow-up was 6.3 years [IQR: 4–9.4]. Thirty-two (24.6%) patients underwent surgical revision, of which 20 were PP removals (15.4%). Global PP survival rate was 84.6% and previous PP placement was a risk factor for PP removal (p = 0.02). There were six (4.6%) non-life-threatening intraoperative events including two which resulted in non-placement of a PP (1.5%). EAUiaic grade was 0 for 124 procedures (95.4%), 1 for four procedures (3.1%) and 2 for two procedures (1.5%). Of patients who still had their PP at the end of the study, 91 (80.5%) expressed satisfaction.ConclusionsPP implantation is a last-resort treatment for ED with a satisfactory outcome. PPs are well accepted by patients.

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