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Title: | Single Dilation in Primary Inflatable Penile Prosthesis Placement Is Associated With Fewer Corporal Complications Than Sequential Dilation | Authors: | Chang, Chrystal Barham, David W. Dalimov, Zafardjan Swerdloff, Daniel Sadeghi-Nejad, Hossein Andrianne, Robert Sempels, Maxime Hsieh, Tung-Chin Hatzichristodoulou, Georgios Hammad, Muhammed Miller, Jake Osmonov, Daniar Lentz, Aaron Perito, Paul Suarez-Sarmiento, Alfredo Hotaling, James Gross, Kelli Jones, James M. VAN RENTERGHEM, Koenraad Park, Sung Hun Warner, J. Nicholas Ziegelmann, Matthew Modgil, Vaibhav Jones, Adam Pearce, Ian Gross, Martin S. Yafi, Faysal A. Simhan, Jay |
Issue Date: | 2023 | Publisher: | ELSEVIER SCIENCE INC | Source: | UROLOGY, 181 , p. 150 -154 | Abstract: | OBJECTIVE To assess the difference in outcomes between single dilation (SingD) and sequential dilation (SeqD) in primary penile implantation, hypothesizing that patients who undergo SeqD had higher rates of noninfectious complications. METHODS We performed a multicenter, retrospective study of men undergoing primary inflatable penile prosthesis placement. Intraoperative complications and postoperative noninfectious outcomes were assessed between the two groups. Multivariable analysis was performed to identify predictors of complications.RESULTS A total of 3293 patients met inclusion criteria. After matching, there were 379 patients who underwent SingD and 379 patients who underwent SeqD. There was no significant difference in intraoperative complications between patients who underwent SingD vs SeqD, nor was there any difference in cylinder length (20 cm with interquartile range [IQR] 18-21 cm vs 20 cm with IQR 1820 cm respectively, P = .4). On multivariable analysis, SeqD (OR 5.23 with IQR 2.74-10, P < .001) and older age (OR 1.04 with IQR 1.01-1.06, P = .007) were predictive of postoperative noninfectious complications. There was no significant difference in intraoperative complications between patients who underwent SingD vs SeqD, nor was there any difference in cylinder length. SeqD and older age were predictive of postoperative noninfectious complications. CONCLUSION During inflatable penile prosthesis placement in the uncomplicated patient without fibrosis, SingD is a safe technique to utilize during implantation that will minimize postoperative adverse events, and promote device longevity without loss of cylinder length. UROLOGY 181: 150- 154, 2023. (c) 2023 Elsevier Inc. All rights reserved. | Notes: | Simhan, J (corresponding author), Fox Chase Canc Ctr, Dept Urol, 333 Cottman Ave, Philadelphia, PA 19422 USA. jsimhan@gmail.com |
Keywords: | Male;Humans;Retrospective Studies;Dilatation;Postoperative Complications;Intraoperative Complications;Penile Prosthesis;Penile Implantation;Erectile Dysfunction | Document URI: | http://hdl.handle.net/1942/42215 | ISSN: | 0090-4295 | e-ISSN: | 1527-9995 | DOI: | 10.1016/j.urology.2023.06.037 | ISI #: | 001124453400001 | Rights: | 2023 Elsevier Inc. All rights reserved. | Category: | A1 | Type: | Journal Contribution |
Appears in Collections: | Research publications |
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