Evaluation of the outcome of penile implants surgery In seniors
Habous, M1; Teloken, P2; Abdelrahman, Z3; Binsaleh, S4; Ralph, D5; Elserafy, A3; Tealab, A3; Mulhall, J6
1: ELAJ MEDICAL CENTERS, Saudi Arabia; 2: Gold Coast University Hospital, Queensland, Australia; 3: ELAJ MEDICAL CENTERS,SAUDI ARABIA; 4: King Saud University,Riyadh,Saudi Arabia; 5: St Peters institute of Andrology,UCLH,London,UK; 6: Sexual and and reproductive medicine program, Memorial Sloan Kettering cancer center, NY USA
Introduction: It was reported that erectile dysfunction(ED)is estimated to be overall 52% in non-institutionalized men aged 40-70 years. Other reports showed a steep age-related increase. Penile prosthesis implantation PPI is the most effective therapy for ED with high satisfaction rate.
Objectives: to investigate if age has an impact on outcome and complications of PPI, and to evaluate the outcome of PPI in seniors compared to younger age.
Methods: we analyzed the data of patients who underwent PPI in our centers between 2009-15. The data included patient’s demographics, comorbidities, preoperative data, type of implants, postoperative adverse events (early and late) and overall satisfaction. Patients were stratified according to age into two groups: first group < 70, and 2nd group ³ 70. Satisfaction was measured using a Likert scale, given to patients 3 months postoperatively, graded from 0 to 5 where 0 is unsatisfied and 5 most satisfied. Statistical analysis was done.
Results: 913 patients were included in this analysis,814 in 1st group and 99 in 2nd group. Comorbidity profile and smoking habit were similar between groups, but hypertension was more frequent in 2nd group (seniors, p < 0.001). Preoperative glycated hemoglobin (HBA1c) was similar in both groups ( 8% in 1st group,7.75% in 2nd group, p = 0.18). 612(75.2%) had malleable implants in 1st group and 73 (83%) had MPP in 2nd group and the remaining had inflatable implants (p = 0.21). There was no difference in early, late or combined complications between <70 and >70(p = 0.11). There was no difference in the satisfaction of patients <70 and >70y (p=0.13)
Conclusion: penile implant surgery is effective with high satisfaction rate independent of age. It seems to be that complications are not increased with age
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