Inflatable penile prosthesis as tissue expander: what is the evidence?

被引:0
作者
Chung, Paul H. [1 ]
Siegel, Jordan A. [1 ]
Tausch, Timothy J. [1 ]
Klein, Alexandra K. [1 ]
Scott, Jeremy M. [1 ]
Morey, Allen F. [1 ]
机构
[1] Univ Texas Southwestern Med Ctr Dallas, Dept Urol, 5323 Harry Hines Blvd, Dallas, TX 75390 USA
来源
INTERNATIONAL BRAZ J UROL | 2017年 / 43卷 / 05期
关键词
Penile Prosthesis; Erectile Dysfunction; Surgical Procedures; Operative; ERECTILE DYSFUNCTION; PEYRONIES-DISEASE; SURGERY; LENGTH; RECONSTRUCTION; IMPLANTATION; EXPERIENCE;
D O I
10.1590/S1677-5538.IBJU.2016.0528
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Objective: Many patients who undergo inflatable penile prosthesis (IPP) replacement are often upsized to larger cylinders, suggesting the IPP may serve as a tissue expander and increase internal penile length. The objective of this study is to evaluate whether cylinder length increases with subsequent IPP insertion. Materials and Methods: We queried American Medical Systems and Coloplast Patient Information Form databases to identify patients who underwent IPP placement and replacement between 2004-2013. Patients were grouped by device type and time to replacement (<2 or >= 2 years). We selected the 2-year mark for subgroup analysis to allow time for tissue expansion to occur and to exclude patients who underwent early explantation (e.g. erosion or infection). Results: Two thousand, seven hundred and forty nine patients (1,532 AMS 700 LGX, 717 AMS 700 CX, and 500 Coloplast Titan) met the inclusion criteria. Mean time between implants was earlier for LGX (29 months) than CX (39 months) and Titan (48 months) patients (p< 0.001). Patients who underwent device replacement at < 2 years did not experience an increase in mean cylinder length. On the contrary, patients who underwent device replacement at >= 2 years did experience significant increases in mean cylinder length (LGX 1.2 cm, CX 1.1 cm, and Titan 0.9 cm, p< 0.001). The mean increases in length at >= 2 years were similar between the 3 devices (p= 0.20). Sixty percent of patients demonstrated increases of > 0.5 cm and 40% demonstrated increases of >= 1 cm. Conclusions: As demonstrated, the IPP may provide tissue expansion over time. Further evaluation is needed to determine if increased cylinder length correlates to increased functional length and patient satisfaction.
引用
收藏
页码:911 / 916
页数:6
相关论文
共 50 条
[41]   Inflatable Penile Prosthesis Complication in the Emergency Department [J].
Sedaghat, Farzad ;
Kamona, Aws .
HEALTHCARE, 2024, 12 (10)
[42]   A multicenter evaluation of penile curvature correction in men with Peyronie's disease undergoing inflatable penile prosthesis placement [J].
Hammad, Muhammed A. M. ;
Barham, David W. ;
Simhan, Jay ;
Nguyen, Tuan ;
Swerdloff, Daniel ;
Miller, Jake ;
Hatzichristodoulou, Georgios ;
Sempels, Maxime ;
Andrianne, Robert ;
Hotaling, James M. ;
Hsieh, Tung-Chin ;
Jones, James M. ;
Modgil, Vaibhav ;
Osmonov, Daniar ;
Pearce, Ian ;
Perito, Paul ;
Sadeghi-Nejad, Hossein ;
Suarez-Sarmiento, Alfredo ;
Yafi, Faysal A. ;
Gross, Martin S. .
JOURNAL OF SEXUAL MEDICINE, 2024, 22 (02) :349-355
[43]   The impact of diabetes mellitus on penile length in men undergoing inflatable penile prosthesis implantation [J].
Aklnl, Yigit ;
Sahiner, Ilker Fatih ;
Usta, Mustafa Faruk .
TURKISH JOURNAL OF UROLOGY, 2013, 39 (03) :161-164
[44]   Peyronie's disease compromises the durability and component-malfunction rates in patients implanted with an inflatable penile prosthesis [J].
DiBlasio, Christopher J. ;
Kurta, Jordan M. ;
Botta, Sisir ;
Malcolm, John B. ;
Wan, Jim Y. ;
Derweesh, Ithaar H. ;
Aleman, Michael A. ;
Wake, Robert W. .
BJU INTERNATIONAL, 2010, 106 (05) :691-694
[45]   Diabetes Is a Risk Factor for Inflatable Penile Prosthesis Infection: Analysis of a Large Statewide Database [J].
Lipsky, Michael J. ;
Onyeji, Ifeanyi ;
Golan, Ron ;
Munarriz, Ricardo ;
Kashanian, James A. ;
Stember, Doron S. ;
Stahl, Peter J. .
SEXUAL MEDICINE, 2019, 7 (01) :35-40
[46]   Repair of penile prosthesis-induced impending erosion using xenograft during simultaneous inflatable penile prosthesis replacement [J].
Jue, Joshua S. ;
Eid, Jean-Francois .
JOURNAL OF SEXUAL MEDICINE, 2023, 20 (11) :1353-1358
[47]   Prospective and long-term evaluation of erect penile length obtained with inflatable penile prosthesis to that induced by intracavernosal injection [J].
Wang, Run ;
Howard, Galen E. ;
Hoang, Anthony ;
Yuan, Jiu-Hong ;
Lin, Hao-Cheng ;
Dai, Yu-Tian .
ASIAN JOURNAL OF ANDROLOGY, 2009, 11 (04) :411-415
[48]   Suprapubic Fat Pad Excision with Simultaneous Placement of Inflatable Penile Prosthesis [J].
Baumgarten, Adam S. ;
Beilan, Jonathan A. ;
Shah, Bhavik B. ;
Loeb, Aram ;
Bickell, Michael ;
Parker, Justin ;
Henry, Gerard D. ;
Carrion, Rafael E. .
JOURNAL OF SEXUAL MEDICINE, 2019, 16 (02) :333-337
[49]   Antibiotic-coated medical devices: with an emphasis on inflatable penile prosthesis [J].
R.Abouassaly ;
D.K.Montague ;
K.W.Angermeier .
AsianJournalofAndrology, 2004, (03) :249-257
[50]   Is modeling an inflatable penile prosthesis obsolete for patients with Peyronie's disease? [J].
Wilson, Steven K. ;
Simhan, Jay .
INTERNATIONAL JOURNAL OF IMPOTENCE RESEARCH, 2020, 32 (03) :267-273