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http://hdl.handle.net/1942/42705
Title: | PRIOR INTRACAVERNOSAL INJECTION THERAPY AND PROSTATE CANCER TREATMENT ARE BOTH INDEPENDENTLY ASSOCIATED WITH INCREASED RISKS OF COMPLICATIONS | Authors: | Jones, J. M. Barham, D. W. Gross, M. S. Chang, C. Hammad, M. A. M. Swerdloff, D. Miller, J. Andrianne, R. Burnett, A. L. Gross, K. Hatzichristodoulou, G. Hotaling, J. M. Hsieh, T. C. Jones, A. Lentz, A. Modgil, V Osmonov, D. Park, S. H. Pearce, I Perito, P. Sadeghi-Nejad, H. Sempels, M. Suarez-Sarmiento Jr., A. Simhan, J. VAN RENTERGHEM, Koenraad Warner, J. N. Ziegelmann, M. Yafi, F. A. |
Issue Date: | 2024 | Publisher: | OXFORD UNIV PRESS | Source: | Journal of Sexual Medicine, 21 (S1) (Art N° 176) | Abstract: | Introduction: Intracavernosal injection (ICI) therapy for erec-tile dysfunction (ED) carries a risk of corporal fibrosis, potentially making placement of an inflatable penile prosthesis more difficult. Prostate cancer treatment may also induce corporal fibrosis. Objective: To assess whether a history of ICI or prostate cancer treatment is associated with complications following IPP placement. Methods: A retrospective cohort study of primary IPP cases from 2016-2021 across 16 institutions. Patients were stratified by history of ICI and between-group differences in risk factors were assessed. Multivariable logistic regression was used to assess for predictors of intraoperative complications, postoperative non-infectious complications and postoperative infection. Results: A total of 2540 patients met inclusion criteria of which 781 (30.8%) had a history of ICI. Patients with a history of ICI tended to be older (mean 63 vs 64 years, p=0.002) and were more likely to have history of radical prostatectomy (21.0% vs. 32.1%, p<0.001) and/or radiation (5.51% vs 10.9%, p<0.001). On multivariable regression, a history of ICI, prostatectomy, and radiation were all significant predictors of intraoperative complications (OR 2.11, p=0.03; OR 2.27, p=0.03; OR 2.40, p=0.04, respectively). A history of ICI and patient age were predictors of non-infectious postoperative complications (OR 1.44, p=0.02, OR 1.02, p=0.004 respectively)). None of the variables were significant predictors of infection. Conclusions: In men undergoing IPP placement, a history of ICI is associated with an increased risk of both intraopera-tive and postoperative, non-infectious complications. Prostate cancer treatment with radiation or surgery is independently associated with increased risk of intraoperative complications. | Document URI: | http://hdl.handle.net/1942/42705 | ISSN: | 1743-6095 | e-ISSN: | 1743-6109 | DOI: | 10.1093/jsxmed/qdae001.166 | ISI #: | 001158229800052 | Category: | M | Type: | Journal Contribution |
Appears in Collections: | Research publications |
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