Abstract
BackgroundThe role of glycemic control in predicting implant infection and other surgical complications is debatable. This study aimed to assess the potential correlation between fasting blood sugar (FBS) levels prior to penile prosthesis surgery (PPS) and the surgical outcomes.MethodsA retrospective study from data collected prospectively in 2015 in a single center. Patients who underwent penile implant procedures were included. Exclusion criteria were if surgery done by low-volume implanter, patients who required revision surgery or not diagnosed with diabetes mellitus. Management was standardized to all patients.ResultsAll complications whether minor or major were documented up to three years. One year after the surgery a Likert scale questionnaire was completed by the patients. In total, 218 patients completed the study at last follow-up. Complications rate was 6.25%. The rate of infection requiring explantation was 3.8%. 0.9% of patients had a superficial infection managed successfully with conservative management. 0.9% had erosion and 0.9% had mechanical failure. There was no statistically significant difference in FBS or glycated hemoglobin (HbA1c) levels in patients with postoperative complications compared to patients with satisfactory postoperative course. FBS level on the day of surgery was within 20 mg/dL (1.11 mmol/L) of the expected range based on HbA1c measurement in 62 patients (28.44%), while in 146 patients (66.98%) the FBS was not within 20 mg/dl (1.11 mmol/L) of the expected range based on preoperative HbA1c level.ConclusionFBS levels on the day of surgery are not correlated with HbA1c levels and PPS outcomes.
Highlights
The role of glycemic control in predicting implant infection and other surgical complications is debatable
The likelihood of undergoing penile implant is doubled in diabetic men having erectile dysfunction (ED) compared to non-diabetics [5]
Our aim in this study is to investigate the relation between fasting blood sugar (FBS) at the time of penile implant and the surgical outcome
Summary
The role of glycemic control in predicting implant infection and other surgical complications is debatable. This study aimed to assess the potential correlation between fasting blood sugar (FBS) levels prior to penile prosthesis surgery (PPS) and the surgical outcomes. The association between DM and the development of erectile dysfunction (ED) has been described more than 200 years ago [3], and the prevalence of ED in diabetic men is ≥ 50%. Diabetics men often present with severe ED that is more difficult to treat medically compared with. Haobus et al Afr J Urol (2021) 27:90 non-diabetic men [1]. The likelihood of undergoing penile implant is doubled in diabetic men having ED compared to non-diabetics [5]. In the Prospective Registry of Outcomes with Penile Prosthesis for Erectile Restoration (PROPPER) study, the authors found that > 20% of men undergoing penile prosthesis surgery were diabetics [6]
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