MP62-03 DECISIONAL REGRET AND PATIENT-REPORTED OUTCOMES AFTER PENILE PROSTHESIS SURGERY

Abstract

You have accessJournal of UrologyCME1 Apr 2023MP62-03 DECISIONAL REGRET AND PATIENT-REPORTED OUTCOMES AFTER PENILE PROSTHESIS SURGERY Michael Schumeister, Kevin Labagnara, Mustufa Babar, Justin Loloi, Emely Tejeda, Mukhlisa Zakirova, Lindsay Kramer, Nick Winokur, Bryan Nolasco, Matthew Wysocki, Nitya Abraham, Pedro Maria, and Susan Macdonald Michael SchumeisterMichael Schumeister More articles by this author , Kevin LabagnaraKevin Labagnara More articles by this author , Mustufa BabarMustufa Babar More articles by this author , Justin LoloiJustin Loloi More articles by this author , Emely TejedaEmely Tejeda More articles by this author , Mukhlisa ZakirovaMukhlisa Zakirova More articles by this author , Lindsay KramerLindsay Kramer More articles by this author , Nick WinokurNick Winokur More articles by this author , Bryan NolascoBryan Nolasco More articles by this author , Matthew WysockiMatthew Wysocki More articles by this author , Nitya AbrahamNitya Abraham More articles by this author , Pedro MariaPedro Maria More articles by this author , and Susan MacdonaldSusan Macdonald More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003320.03AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Few studies have explored patient-reported outcomes and decisional regret after penile prosthesis implantation. In this study we explore decisional regret after penile prosthesis surgery in a high volume, racially diverse urban center. METHODS: Patients who underwent penile prosthesis surgery from 2016 to 2022 at a single center were identified using CPT codes 54400, 54405, 54410, 54411, and 54415. After IRB approval, patients were called to administer the Quality of Life and Sexuality with Penile Prosthesis (QoLSPP) questionnaire along with questions evaluating decisional regret. We defined regret as being unsatisfied/ambivalent about one’s decision to get the prosthesis or unsure about undergoing the procedure again. Demographic, medical, and implant characteristics were collected through chart review. Statistics were performed using SPSS. RESULTS: Out of 676 patients, 381 were successfully contacted and 182 completed the survey (response rate 50%). 41 (23%) patients experienced regret while 177 (78%) did not. The regret group was less likely to have rear tip extenders (RTE) (29% vs 51%, p=0.015) and more likely to have had a post-operative infection (12% vs 4%, p=0.032), 30-day ED visit/readmission (27% vs 11%, p=0.014), and be a revision (42% vs 16%, p<0.001). (Table 1) The regret group had significantly lower mean scores in all of the QoL domains compared to the no regret group (p<0.001). (Table 2) On multivariate analysis, obesity (OR: 0.16, CI 0.05-0.57), RTE (OR: 0.33, CI 0.13-0.83), and infrapubic approach (OR: 0.09, CI 0.03-0.26) were associated with less regret after adjusting for age, preferred language, BMI, approach, and revision. CONCLUSIONS: One out of 4 men in this study reported decisional regret after penile prosthesis surgery. These men more frequently experienced post-operative infection or required surgical revision. Obesity, RTE use, and infrapubic approach were associated with less regret. Pre-operative counseling to ensure understanding of potential complications and manage patient expectations may reduce decisional regret. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e861 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Michael Schumeister More articles by this author Kevin Labagnara More articles by this author Mustufa Babar More articles by this author Justin Loloi More articles by this author Emely Tejeda More articles by this author Mukhlisa Zakirova More articles by this author Lindsay Kramer More articles by this author Nick Winokur More articles by this author Bryan Nolasco More articles by this author Matthew Wysocki More articles by this author Nitya Abraham More articles by this author Pedro Maria More articles by this author Susan Macdonald More articles by this author Expand All Advertisement PDF downloadLoading ...