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Background: While implantation of an inflatable penile prosthesis (IPP) is commonly performed via infrapubic or penoscrotal approaches, the subcoronal (SC) approach for IPP implantation may safely and reliably allow for additional reconstructive procedures through a single incision.
Aim: The aim of this study is to report outcomes, including complications, of the SC approach and to determine common characteristics of patients undergoing the SC approach.
Methods: A retrospective chart review from May 11, 2012, to January 31, 2022, was performed at a single, tertiary care institution to identify patients with IPP implantation via the SC approach.
Outcomes: Postoperative information was reviewed and extracted from all clinic notes available following the date of IPP implantation in the electronic medical record, detailing any complications including wound complications, need for revision or removal, device malfunction, and infections.
Results: Sixty-six patients had IPP implantation via the SC approach. Median follow-up duration was 29.4 (interquartile range 14.9-50.1) months. One (1.8%) patient had a simple wound complication. Two (3.6%) experienced postoperative infection of the prosthesis, which resulted in explantation of the device. One of these infected prostheses later experienced partial glans necrosis. Revision for mechanical failure or unsatisfactory cosmetic result was performed in 3 (7.3%) IPPs placed via a SC incision.
Clinical Implications: The SC approach for implantation of IPP is safe and feasible with low complication and revision rates. It offers urologists an alternative to the classic infrapubic and penoscrotal approaches, both of which would require a second incision for additional reconstructive procedures required to adequately address deformities associated with severe Peyronie's disease. Therefore, urologists who treat these specialized populations of men may benefit from having the SC approach in their array of techniques for IPP implantation.
Strengths And Limitations: The limitations of this study include its retrospective nature, risk of selection bias, lack of comparison groups, and sample size. This study reports on early experience with the SC approach performed by a single high-volume reconstructive surgeon, who treats a specialized population of patients requiring complex repair during implantation of an IPP, particularly those with Peyronie's disease.
Conclusion: The SC incision for IPP implantation has low rates of complications and remains our approach of choice for IPP implantation in patients with severe Peyronie's disease, including curvatures >60°, severe indentation with hinge, and grade 3 calcification, which are unlikely to respond adequately to manual modeling alone.
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http://dx.doi.org/10.1093/jsxmed/qdad049 | DOI Listing |
Contraception
December 2024
Department of Gynecology and Obstetrics, Tufts Medical Center, Boston, MA, USA. Electronic address:
Objectives: Our study aims to evaluate trends in Massachusetts in provision of highly effective contraception, including contraceptive implant, intrauterine device (IUD) and permanent contraception, in the immediate postpartum (iPP) period.
Study Design: Deliveries from 2017-2021 were extracted from a Massachusetts Acute Hospital database, and the primary outcomes included permanent contraception, iPP implant, or iPP IUD provision during delivery admission. Covariates included race, ethnicity, insurance, and hospital type.
Arch Ital Urol Androl
October 2024
Urology Department, Faculty of Medicine, Fayoum University.
Objectives: To compare the efficacy of intrathecal fentanyl and dorsal penile nerve block for postoperative pain management in patients undergoing inflatable penile prosthesis (IPP).
Patients And Methods: A prospective single-center study included 80 patients amenable to IPP. Patients were divided equally into two groups.
J Sex Med
December 2024
Department of Urology, Kocaeli University, Kocaeli Üniversitesi Umuttepe Yerleşkesi Tıp Fakültesi, İzmit, İzmit, Türkiye, Turkey.
Background: Rigicon is a newer inflatable penile prostheses (IPP) manufacturer that has produced the Infla10 IPP for countries outside the United States (US) since 2019, with Food and Drug Administration studies for approval of Infla10 in the US presently underway.
Aim: This study aims to report the first patient satisfaction, efficacy, and safety from revision data for the newly available Rigicon Infla10 IPP.
Methods: A single surgeon's first 58 patients who underwent Rigicon Infla10 IPP implantation between 2019 and 2023 were included.
BJU Int
December 2024
Department of Urology, Fox Chase Cancer Center, Philadelphia, PA, USA.
J Robot Surg
November 2024
Larkin Palm Springs Hospital, Miami, FL, 33012, USA.
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