065 Complication rate and satisfaction data of complex penile surgery in comparison with simple prosthetic surgery in a 395 patient monocentric series. The more complex is more dangerous?

Abstract

to verify if complex prosthetic procedures (plaque incision or sliding technique) have worse results (complications and satisfaction rate) in comparison with simple prosthetic surgery . We revised perioperative and follow up data prospectively collected of patients (pt) who underwent penile prosthetic surgery at our referral centre from 10/2004 to 1/2017. We had complete data of 395 pt, average age 61, 276 with a hydraulic prothesis, 119 with a non hydraulic. We divided patients in 2 groups: - group A: 308 pt (age 61), affected from simple ED or ED + mild curvature (<30°), treated with simple prosthesis implantation with or without Wilson modeling - group B: 87 pt (age 60), affected from important penile curvature or shortening due to Peyronie’s, treated with prosthesis + plaque surgery or sliding technique All patients had a follow up visit 1 year after surgery and filled IIEF, EDITS, SEP3 and a “ad hoc” question about general satisfaction. Statistical analysis: Fisher, Mann-Whithney.