scholarly journals Complications of Inflatable Penile Prostheses Implantation Classified according to the Modified Clavien System

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Ioannis Vakalopoulos ◽  
Spyridon Kampantais ◽  
Konstantinos Gkagkalidis ◽  
Stavros Ioannidis ◽  
Georgios Dimitriadis ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Adverse Events ◽  
Classification System ◽  
Treatment Options ◽  
Penile Prosthesis ◽  
Late Complications ◽  
Inflatable Penile Prosthesis ◽  
System A ◽  
Penile Prostheses

Introduction. In patients with erectile dysfunction (ED), inflatable penile prosthesis (IPP) surgery is regarded as the gold standard treatment in medically refractory cases or where its conservative treatment options are contraindicated. Despite improvements in surgical technique and implanted materials, IPP surgery retains a substantial complication rate. The aim of the study was to record and grade the postoperative complications of IPP implantation according to a modified Clavien system. Methods. A total of 60 three-piece IPP implantations were performed between 2007 and 2013 by a single surgeon. The primary outcome was to stratify the early (first 30 days) complications into five categories using the modified Clavien-Dindo classification system. A secondary aim was to record the long-term adverse events and to identify possible factors related to complication occurrence. Results. Overall, there were 21 (35%) postoperative complications in 17 of 60 men (28.3%), with 15 adverse events occurring early after surgery. In terms of late complications, there were six (10%) major complications managed by either revision surgery or removal of the prosthesis. Conclusion. This study utilizes a validated morbidity scale thus overcoming problems of previous studies reporting IPP surgery complications. The modified Clavien classification system easily aids in assessing and comparing accurately patients’ postoperative complications, thus improving management and prevention.

scholarly journals An update on the best approaches to prevent complications in penile prosthesis recipients

2019 ◽  
Vol 11 ◽  
pp. 175628721881807 ◽  
Author(s):  
Sarah C. Krzastek ◽  
Ryan Smith
Keyword(s):  
Erectile Dysfunction ◽  
Patient Selection ◽  
Penile Prosthesis ◽  
Inflatable Penile Prosthesis ◽  
Device Implantation ◽  
Penile Prostheses ◽  
Operative Complications ◽  
Partner Satisfaction

Placement of inflatable penile prosthesis is a procedure frequently performed for medication-refractory erectile dysfunction. Device implantation is not without risks, and as the frequency of device implantation increases, so do associated complications. The aim of this work is to review the most frequent operative complications associated with implantation of inflatable penile prostheses, and to review the best approaches to prevent these most common complications. Complications can broadly be categorized as infectious, noninfectious tissue-related, device-related, or related to patient and partner satisfaction. With understanding of these complications and ways to avoid them, as well as with appropriate patient selection and counseling, the inflatable penile prosthesis is an excellent option for the treatment of erectile dysfunction.

AMS 700CX/CXM Inflatable Penile Prosthesis Has High Mechanical Reliability at Long-Term Follow-Up

2010 ◽  
Vol 7 (7) ◽  
pp. 2602-2607 ◽  
Author(s):  
Dong Suk Kim ◽  
Kwang Mo Yang ◽  
Hyun Jin Chung ◽  
Hyun Min Choi ◽  
Young Deuk Choi ◽  
...  
Keyword(s):  
Penile Prosthesis ◽  
Mechanical Reliability ◽  
Inflatable Penile Prosthesis ◽  
Long Term Follow Up

scholarly journals Preservation of Cavernosal Erectile Function after Soft Penile Prosthesis Implant in Peyronie's Disease: Long-Term Followup

2008 ◽  
Vol 2008 ◽  
pp. 1-5 ◽  
Author(s):  
Marco Grasso ◽  
Caterina Lania ◽  
Flavio Fortuna ◽  
Salvatore Blanco ◽  
Igor Piacentini
Keyword(s):  
Retrospective Study ◽  
Postoperative Complications ◽  
Sexual Satisfaction ◽  
Erectile Function ◽  
Color Doppler ◽  
Penile Prosthesis ◽  
Peyronie’S Disease ◽  
Penile Shaft ◽  
Peyronie's Disease

The aim of this retrospective study is to evaluate the long-term followup of soft penile SSDA prosthesis, without plaque surgery in the treatment of Peyronie's disease. This study included 12 men with Peyronie's disease who underwent placement of a penile prosthesis. All patients were followed for at least 6 years. Prosthesis straightened the penile shaft in all cases, restoring patient sexual satisfaction. No operative or postoperative complications occurred, and no reoperations were needed. All patients have undergone further examination with basal and dynamic eco color Doppler. The findings are encouraging as the penis preserves the ability to enhance the tumescence and penile girth. We can conclude that SSDA penile prosthesis is safe and effective in Peyronie's disease.

scholarly journals Chronic pain associated with penile prostheses may persist despite revision or explantation

2021 ◽  
Vol 16 (2) ◽  
Author(s):  
Jeffrey D. Campbell ◽  
Ernest Pang Chan ◽  
Andrew Di Pierdominico ◽  
Serkan Karakus ◽  
Bruce Trock ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Surgical Intervention ◽  
Penile Prosthesis ◽  
Pain Syndrome ◽  
High Volume ◽  
Persistent Pain ◽  
Self Report ◽  
Inflatable Penile Prosthesis ◽  
Penile Prostheses ◽  
Primary Indication

Introduction: Inflatable penile prosthesis (IPP) implantation is the gold-standard treatment for medically refractory erectile dysfunction. New chronic pain after IPP implantation is rarely discussed and the optimal treatment is unclear. We evaluated whether IPP reoperation for a primary indication of chronic pain improves patients’ symptoms. Our secondary aim was to explore factors associated with resolution or persistence of pain after IPP reoperation. Methods: We conducted a retrospective analysis of 315 patients who had an IPP revision or explantation at two high-volume prosthetic centers between May 2007 and May 2017. We excluded patients who had device malfunction, pain for <2 months, pain associated with infection or erosion, and patients without long-term followup data. Persistent pain was diagnosed based on patient self-report. Results: A total of 31 patients met our criteria for having undergone a surgical revision (n=18) or explantation (n=13) for pain relief. Eighteen (58%) patients had persistent pain despite surgical intervention. Only patients who had pain secondary to a device malposition improved after reoperation (n=13). A prior diagnosis of a chronic pain syndrome was associated with persistent pain despite intervention. Pain improvement was not associated with age, comorbid conditions, duration of implant, or the number of surgical revisions performed. Conclusions: Surgical intervention for chronic penile prosthesis pain is unlikely to relieve symptoms, particularly for patients with chronic pain disorders. Patients should be counselled that IPP reoperative procedures as a treatment for pain should be avoided unless the device is identified to be malpositioned, and consideration of alternative therapeutic options may be more beneficial.

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