MP84-06 PROSPECTIVE TRIAL COMPARING PENOSCROTAL VERSUS MINIMALLY INVASIVE INFRAPUBIC APPROACH FOR INFLATABLE PENILE PROSTHESIS PLACEMENT: A SINGLE-CENTRE MATCHED PAIRED ANALYSIS.

Abstract

You have accessJournal of UrologySexual Function/Dysfunction: Penis/Testis/Urethra: Benign Disease & Malignant Disease II1 Apr 2018MP84-06 PROSPECTIVE TRIAL COMPARING PENOSCROTAL VERSUS MINIMALLY INVASIVE INFRAPUBIC APPROACH FOR INFLATABLE PENILE PROSTHESIS PLACEMENT: A SINGLE-CENTRE MATCHED PAIRED ANALYSIS. Pietro Grande, Gabriele Antonini, Cristiano Cristini, Ettore De Berardinis, Giuseppe Gentile, Giovanni Di Lascio, Andrea Lemma, and Giovanni Battista Di Pierro Pietro GrandePietro Grande More articles by this author , Gabriele AntoniniGabriele Antonini More articles by this author , Cristiano CristiniCristiano Cristini More articles by this author , Ettore De BerardinisEttore De Berardinis More articles by this author , Giuseppe GentileGiuseppe Gentile More articles by this author , Giovanni Di LascioGiovanni Di Lascio More articles by this author , Andrea LemmaAndrea Lemma More articles by this author , and Giovanni Battista Di PierroGiovanni Battista Di Pierro More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2018.02.2774AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Currently, approximately 80% of inflatable penile prosthesis (IPP) are placed by penoscrotal approach (PSA), although no superiority of this technique compared to infrapubic approach has ever been demonstrated.The aim of this study was to compare perioperative results, safety and efficacy profile in patients receiving inflatable penile prosthesis(IPP) via PSA or minimally invasive infrapubic approach(MIIA) for erectile dysfunction. METHODS Data were prospectively collected in our password-secured institutional database of implanted patients. A matched-pair analysis was performed including 42 patients undergoing IPP implantation via PSA(n=21) or MIIA(n=21) between 2011 and 2016. Excluded from the study were those patients with urinary incontinence, simultaneous surgery for congenital or acquired recurvatum, previous urethral or penile surgery and lack of follow-up data. All patients were invited to fill in validated self-administered questionnaires to evaluate various aspects of post-prosthesis sexual life. Specifically, questionnaires included: the International Index of Erectile Function(IIEF), Erectile Dysfunction Inventory of Treatment Satisfaction(EDITS) and Quality of Life and Sexuality with Penile Prosthesis (QoLSPP) questionnaires. RESULTS Mean(SD) operative time was 128(40.6) min in group PSA and 91(43.0) min in group MIIA(p=0.041). Complications occurred in 3 (14%) and 2 (10%) patients in groups PSA and MIIA(p=0.832). Overall, no differences were observed concerning the device utilization (p=0.275). However, in group MIIA 4 (19%) patients were able to resume sexual activity prior to 4 postoperative weeks, while in group PSA no patient was (p=0.012). Mean(SD) scores for questionnaires were similar between groups PSA and MIIA: IIEF [20.9(7.3) vs 20.7(4.8); p=0.132], patient EDITS [76.0(25.6) vs 74.7(20.8); p=0.256] and partner EDITS [72.5(29.1) vs 73.1(21.4); p=0.114]. Similarly, QoLSPP showed comparable results among the groups PSA and MIIA: functional domain [3.9(1.4) vs 4.0(1.2); p=0.390], personal [4.0(1.2) vs 4.1(1.0); p=0.512], relational [3.7(1.5) vs 3.9(1.2); p=0.462] and social [4.0 (1.2) vs 3.9 (1.2); p=0.766]. CONCLUSIONS Penoscrotal and minimally invasive infrapubic approaches demonstrated to be safe and efficient techniques for IPP implantation, leading to high level of both patients and partners satisfaction. Additionally, the minimally invasive infrapubic approach showed a shorter operative time and a tendency for a faster return to sexual activity. © 2018FiguresReferencesRelatedDetails Volume 199Issue 4SApril 2018Page: e1126-e1127 Advertisement Copyright & Permissions© 2018MetricsAuthor Information Pietro Grande More articles by this author Gabriele Antonini More articles by this author Cristiano Cristini More articles by this author Ettore De Berardinis More articles by this author Giuseppe Gentile More articles by this author Giovanni Di Lascio More articles by this author Andrea Lemma More articles by this author Giovanni Battista Di Pierro More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...