PD26-09 FACTORS INVOLVED IN THE REMOVAL OR REPLACEMENT OF PENILE PROSTHESES

Abstract

You have accessJournal of UrologySexual Function/Dysfunction/Andrology: Surgical Therapy I1 Apr 2015PD26-09 FACTORS INVOLVED IN THE REMOVAL OR REPLACEMENT OF PENILE PROSTHESES Bobby Najari, Daniel Lee, Wesley Davison, Bashir Al Hussein Al Awamlh, Fujun Zhao, John Mulhall, Darius Paduch, Bilal Chughtai, and Richard Lee Bobby NajariBobby Najari More articles by this author , Daniel LeeDaniel Lee More articles by this author , Wesley DavisonWesley Davison More articles by this author , Bashir Al Hussein Al AwamlhBashir Al Hussein Al Awamlh More articles by this author , Fujun ZhaoFujun Zhao More articles by this author , John MulhallJohn Mulhall More articles by this author , Darius PaduchDarius Paduch More articles by this author , Bilal ChughtaiBilal Chughtai More articles by this author , and Richard LeeRichard Lee More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2015.02.1085AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Penile prosthesis (PP) insertion is the primary surgical treatment for medically refractory erectile dysfunction (ED). PP infection and mechanical failure however are critical complications that can occur. The factors associated with the removal or replacement of PP have not been well-characterized in large population-based studies. This study assesses the factors associated with and the national trends in PP removal and replacement. METHODS An analysis of the 5% Medicare Public Use Files from 2001 to 2010 was performed to assess the factors associated with PP replacement or removal over time in the treatment of ED. Regression analysis was performed to identify factors associated with PP replacement or removal. RESULTS A total 88,163 men were diagnosed with ED, 2.9% (2,600) of whom underwent PP insertion. Two-hundred forty (0.3%) underwent a PP removal, and 527 (0.6%) underwent a replacement. Of those who underwent either a removal or replacement, 627 (82.1%) were due to mechanical failure and 105 (13.7%) were due to PP-associated infection. Although the utilization of PP for ED decreased over time (from 4.6% in 2002 to 2.3% in 2010, p<0.01), the frequency of PP removal or replacement stayed consistent over time relative to the rate of new PP inserted per year, at approximately 1 replacement or removal per 4 new PP insertions. On multivariable regression analysis, age older than 70 and significant cardiovascular disease were independently associated with the PP replacement or removal (p<0.01). There were no differences in rates of PP removal or replacement according to diabetes status, region or race. CONCLUSIONS The surgical management of ED changed significantly between 2001 and 2010. Although the rate of PP removal or replacement have not changed significantly over time, older age and cardiovascular disease may have a significant impact on the risk of requiring a PP replacement or removal. These findings can be utilized to help counsel patients on the risks of obtaining a PP. © 2015 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 193Issue 4SApril 2015Page: e569 Advertisement Copyright & Permissions© 2015 by American Urological Association Education and Research, Inc.MetricsAuthor Information Bobby Najari More articles by this author Daniel Lee More articles by this author Wesley Davison More articles by this author Bashir Al Hussein Al Awamlh More articles by this author Fujun Zhao More articles by this author John Mulhall More articles by this author Darius Paduch More articles by this author Bilal Chughtai More articles by this author Richard Lee More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...