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Outcomes of and satisfaction with the inflatable penile prosthesis in the elderly male.

Villarreal HG, Jones L - Adv Urol (2012)

Bottom Line: IPP usage varied from 0-7 times per month (mean 3.3). 32 of 35 patients (91%) said they would undergo the procedure again.Conclusion.Our review demonstrates that the IPP is well tolerated in the elderly male population, who report a high degree of satisfaction and ease of use with this device.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, P.O. Box 7845, San Antonio, TX 78229-3900, USA.

ABSTRACT
Objective. To determine the outcomes of and satisfaction with the multi-component inflatable penile prosthesis (IPP) in the elderly male (age >71). Methods. Using a chart review and telephone survey, we retrospectively assessed patients who underwent IPP or combined IPP/artificial urinary sphincter (AUS) from 2004-2006. Results. We identified 56 patients that underwent IPP (48) or IPP/AUS (8). The age range was 71-86 (mean 74.3) at the time of surgery, with a follow-up range of 0.5-2.4 years (mean 1.5). The overall complication rate was 3.8% (2 of 56) with one device removed for infection and a second patient requiring exploration for a postoperative hematoma. The telephone interview was conducted with 35 of 56 patients. Patients rated ease of use (a scale from 1-5, 5 meaning very easy) and overall satisfaction (a scale of 1-5, 5 meaning very satisfied) at an average of 4.1 and 4.3, respectively. IPP usage varied from 0-7 times per month (mean 3.3). 32 of 35 patients (91%) said they would undergo the procedure again. Conclusion. Our review demonstrates that the IPP is well tolerated in the elderly male population, who report a high degree of satisfaction and ease of use with this device.

No MeSH data available.


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Mentions: We identified 56 men that underwent either IPP (48) or IPP/AUS (8). Age ranged from 71 to 86 (mean 74.3) years of age at time of surgery. The postoperative follow-up range was 0.5–2.4 years (mean 1.5). In this group of patients, one device (IPP only patient) was removed for infection 8 months after implantation (infection rate 1.7%). Another patient had a postoperative hematoma requiring exploration, resulting in an overall complication rate of 3.4% (2 of 56). The telephone interview was performed on 35 of the 56 patients for a response rate of 62%. One patient had died and the remaining patients were unable to be contacted resulting in a nonresponse rate of 38% (21 of 56). No patient declined participation. Patients rated ease of use (on a scale from 1 to 5, with 5 meaning very easy to use) at an average of 4.1 (Figure 1) with difficulty inflating the device sited as a particular issue impairing use. Patients also rated overall satisfaction (on a scale from 1 to 5, with 5 meaning very satisfied) at an average of 4.3 (Figure 2). 28 of 35 patients (80%) rated their overall satisfaction 4 or 5. 32 of 35 patients (91%) rated their overall satisfaction 3 or higher. The most common complaint was dissatisfaction with penile length, reported by 3 of the responding patients, which is a complaint consistent with other previously published studies in the urologic literature [3]. Patients reported frequency of use of the IPP at 0–7 times per month (mean 3.3) (see Figure 3). 32 of 35 patients (91%) said that they would choose to undergo the procedure again. Those declining noted poor rigidity (2) or partner dissatisfaction (1). 29 of 35 patients (83%) stated that they would recommend this procedure to a friend.


Outcomes of and satisfaction with the inflatable penile prosthesis in the elderly male.

Villarreal HG, Jones L - Adv Urol (2012)

© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3368302&req=5

Mentions: We identified 56 men that underwent either IPP (48) or IPP/AUS (8). Age ranged from 71 to 86 (mean 74.3) years of age at time of surgery. The postoperative follow-up range was 0.5–2.4 years (mean 1.5). In this group of patients, one device (IPP only patient) was removed for infection 8 months after implantation (infection rate 1.7%). Another patient had a postoperative hematoma requiring exploration, resulting in an overall complication rate of 3.4% (2 of 56). The telephone interview was performed on 35 of the 56 patients for a response rate of 62%. One patient had died and the remaining patients were unable to be contacted resulting in a nonresponse rate of 38% (21 of 56). No patient declined participation. Patients rated ease of use (on a scale from 1 to 5, with 5 meaning very easy to use) at an average of 4.1 (Figure 1) with difficulty inflating the device sited as a particular issue impairing use. Patients also rated overall satisfaction (on a scale from 1 to 5, with 5 meaning very satisfied) at an average of 4.3 (Figure 2). 28 of 35 patients (80%) rated their overall satisfaction 4 or 5. 32 of 35 patients (91%) rated their overall satisfaction 3 or higher. The most common complaint was dissatisfaction with penile length, reported by 3 of the responding patients, which is a complaint consistent with other previously published studies in the urologic literature [3]. Patients reported frequency of use of the IPP at 0–7 times per month (mean 3.3) (see Figure 3). 32 of 35 patients (91%) said that they would choose to undergo the procedure again. Those declining noted poor rigidity (2) or partner dissatisfaction (1). 29 of 35 patients (83%) stated that they would recommend this procedure to a friend.

Bottom Line: IPP usage varied from 0-7 times per month (mean 3.3). 32 of 35 patients (91%) said they would undergo the procedure again.Conclusion.Our review demonstrates that the IPP is well tolerated in the elderly male population, who report a high degree of satisfaction and ease of use with this device.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, P.O. Box 7845, San Antonio, TX 78229-3900, USA.

ABSTRACT
Objective. To determine the outcomes of and satisfaction with the multi-component inflatable penile prosthesis (IPP) in the elderly male (age >71). Methods. Using a chart review and telephone survey, we retrospectively assessed patients who underwent IPP or combined IPP/artificial urinary sphincter (AUS) from 2004-2006. Results. We identified 56 patients that underwent IPP (48) or IPP/AUS (8). The age range was 71-86 (mean 74.3) at the time of surgery, with a follow-up range of 0.5-2.4 years (mean 1.5). The overall complication rate was 3.8% (2 of 56) with one device removed for infection and a second patient requiring exploration for a postoperative hematoma. The telephone interview was conducted with 35 of 56 patients. Patients rated ease of use (a scale from 1-5, 5 meaning very easy) and overall satisfaction (a scale of 1-5, 5 meaning very satisfied) at an average of 4.1 and 4.3, respectively. IPP usage varied from 0-7 times per month (mean 3.3). 32 of 35 patients (91%) said they would undergo the procedure again. Conclusion. Our review demonstrates that the IPP is well tolerated in the elderly male population, who report a high degree of satisfaction and ease of use with this device.

No MeSH data available.


Related in: MedlinePlus