You have accessJournal of UrologySexual Function/Dysfunction/Andrology: Surgical Therapy I1 Apr 2015PD26-08 SCROTOPLASTY AT TIME OF PENILE IMPLANT IS AT HIGH RISK FOR DEHISCENCE IN DIABETICS Randy Sulaver, Robert Welliver, Michael Kottwitz, Luke Frederick, Brittney Hanerhoff, Danuta Dynda, and Tobias Kohler Randy SulaverRandy Sulaver More articles by this author , Robert WelliverRobert Welliver More articles by this author , Michael KottwitzMichael Kottwitz More articles by this author , Luke FrederickLuke Frederick More articles by this author , Brittney HanerhoffBrittney Hanerhoff More articles by this author , Danuta DyndaDanuta Dynda More articles by this author , and Tobias KohlerTobias Kohler More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2015.02.1084AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Scrotoplasty has become a common practice among experience implanters. While this practice does not actually change the penile length, data has shown that the practice improves patient perception of penile length. Previous reports on scrotoplasty outcomes have only focused on the perceived benefits. In our practice we have noted increased tension on these closures with concurrent inflatable penile implant and we reviewed our institutional data on outcomes and complications of this procedure. METHODS This IRB approved retrospective review of single surgeon series (TSK) included patients who underwent inflatable penile prosthesis (IPP) with scrotoplasty between the dates of 2/1/2009 and 2/1/2014. We reviewed charts for complications along with patient information including basic demographics and medical co-morbidities to examine for potentially causative factors. The primary outcome was frequency of complications and required treatment. RESULTS Of the 102 scrotoplasties performed during the study period, a total of 15 had varying degrees of wound dehiscence. Of these 15 cases, 9 healed secondarily without incident (60%) and 5 cases healed after a single stitch was placed in clinic to reinforced the closure. Only 1 patient required a return to the operating room and he required a washout with exchange of inflatable prosthesis to malleable. Upon examination of medical co-morbidities that may have influenced wound dehiscence, the odds ratio for dehiscence was 9.8 fold higher in diabetics (p=0.0003). Other examined co-morbidities (patient age, hypertension, intra-operative penile modeling, surgeon experience) did not reach statistical significance. CONCLUSIONS Although scrotoplasty can improve patient satisfaction with IPP, it can lead to increased patient morbidity, especially in diabetics. Patient or Surgical Factors OR for Dehiscence p-value Diabetes Mellitus 9.8 0.0003 Hypertension 1.7 0.39 Patient age over 65 years 1.2 0.79 Concurrnet penile modeling 1.1 0.88 Operation in First half of study period 0.62 0.4 © 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 Randy Sulaver More articles by this author Robert Welliver More articles by this author Michael Kottwitz More articles by this author Luke Frederick More articles by this author Brittney Hanerhoff More articles by this author Danuta Dynda More articles by this author Tobias Kohler More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...