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abstract

abstract

065

Complication rate and satisfaction data of complex penile surgery in comparison with simple prosthetic surgery in a 395 patient monocentric series. The more complex is more dangerous?

Ceruti, C1; Preto, M1; Sibona, M1; Bertinato, R1; Sedigh, O2; Timpano, M2; Falcone, M1; Gontero, P1; Rolle, L1

1: University of Turin, Italy; 2: Città della Salute e della Scienza di Torino

Objectives: to verify if complex prosthetic procedures (plaque incision or sliding technique) have worse results (complications and satisfaction rate) in comparison with simple prosthetic surgery .

Materials and Methods: We revised perioperative and follow up data prospectively collected of patients (pt) who underwent penile prosthetic surgery at our referral centre from 10/2004 to 1/2017. We had complete data of 395 pt, average age 61, 276 with a hydraulic prothesis, 119 with a non hydraulic. We divided patients in 2 groups:

- group A: 308 pt (age 61), affected from simple ED or ED + mild curvature (<30°), treated with simple prosthesis implantation with or without Wilson modeling

RESULTS

A: Simple surgery

B: Complex surgery

p

Infections

11/308 (3,6%)

4/87 (4,6%)

0,7500

Structural failures

11/308 (3,6%)

4/87 (4,6%)

0,7500

Haematomas

2/308 (0,65%)

7/87 (8,0%)

0,0005

EDITS (12 months)

41,5

41,2

0,5272

SEP3

161/175 (92%)

85/98 (87%)

0,2045

SEP2

167/175 (95,4%)

94/98 (95,9%)

1,0000

You would do the surgery again?

154/175 (88%)

83/98 (88,2%)

0,4594

Difference iief pre/post

30,2

28,4

0,1985

- group B: 87 pt (age 60), affected from important penile curvature or shortening due to Peyronie’s, treated with prosthesis + plaque surgery or sliding technique

All patients had a follow up visit 1 year after surgery and filled IIEF, EDITS, SEP3 and a “ad hoc” question about general satisfaction. Statistical analysis: Fisher, Mann-Whithney.

Conclusions: Complex procedures have a greater prevalence of haematomas, but there’s no significant difference in Clavien III complications.

No significant difference can be seen in functional and satisfaction items between the two groups; the overall satisfaction is very high (85%) even after complex procedures. Even complex surgery is in referral centers safe and effective as simple prosthetic procedures.

Disclosure:

Work supported by industry: no.

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