225 Inflatable Penile Prosthesis in the Ambulatory Surgical Setting: Outcomes from a Large Urological Group Practice

Abstract

Erectile dysfunction (ED) is a common problem that may be definitively treated with the implantation of an inflatable penile prosthesis (IPP). The majority of available data on the practice patterns of IPP surgery derives from institutional studies, most notably from academic centers or large single surgeon series, where the majority of procedures are performed in a hospital setting. As insurance companies and health systems look to reduce health care costs, the prospect of IPP surgery in an outpatient freestanding ambulatory surgery center (AS) has gained traction and is becoming more prevalent. Our primary objective was to evaluate the factors which affect utilization of IPP for the treatment of ED in an outpatient freestanding ambulatory surgery center (AS). Secondarily, we examined surgical outcomes in AS compared to contemporaneously-performed hospital IPP surgeries. A database of all patients undergoing inflatable penile prosthesis implantation by practitioners in one of the largest private community urology group practice in the United States, from January 1, 2008-June 1, 2018 was prospectively compiled and retrospectively reviewed. Cohorts of patients having virgin IPP implantation done in the hospital vs. AS setting were compared. We excluded combination (IPP and artificial urinary sphincter or IPP and male sling) and revision cases.