A Novel Video-Based Patient Education Program to Reduce Penile Prosthetic Surgery Cancellations

Area of Science:

• Urology
• Surgical Outcomes
• Health Informatics

Background:

• Penile prosthetic surgery effectively treats erectile dysfunction but faces significant cancellation rates.
• Surgery cancellations incur substantial costs for patients, surgeons, and healthcare systems.
• Reducing noncompletion is crucial for optimizing surgical resources and patient pathways.

Purpose of the Study:

• To analyze penile prosthetic surgery cancellation rates.
• To implement and evaluate a video-based patient education program to decrease surgery noncompletion.
• To assess the impact of the program on completion rates, reasons for noncompletion, and surgeon volume.

Main Methods:

• A national cohort study analyzed baseline surgery completion, rescheduling, and cancellation rates.
• A video-based patient education program (Vidscrip) was implemented, delivering prerecorded videos via text message pre- and postoperatively.
• Post-implementation analysis compared noncompletion rates, reasons, surgeon volume, and video utilization.

Main Results:

• The surgery noncompletion rate decreased significantly from 37.6% at baseline to 13.2% after program implementation (p < .05).
• The number needed to treat to prevent one noncompletion was 4.1.
• Video utilization varied, with a median viewing time of 58.6 minutes.

Conclusions:

• Implementing a video-based patient education program effectively reduces penile prosthetic surgery noncompletion.
• The program enhances healthcare efficiency and quality of care.
• Further validation and cost-effectiveness analyses are recommended for broader adoption.