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Worldwide trends in penile implantation surgery: data from over 63,000 implants
Wesley Baas1, Blake O'Connor1, Charles Welliver2
1Division of Urology, Southern Illinois University School of Medicine, Springfield, IL, USA.
Translational Andrology and Urology
|February 15, 2020
Summary
Penile prosthesis implantation is increasing globally, with the United States performing the majority of procedures. The penoscrotal approach is most common, and organic causes, post-prostatectomy, and diabetes are leading reasons for erectile dysfunction (ED).
Area of Science:
- Urology
- Andrology
- Medical Device Technology
Background:
- Penile prosthesis implantation is a primary treatment for severe erectile dysfunction (ED).
- Limited global data exists on penile prosthesis usage patterns.
- Key factors include geography, patient age, surgical approach, surgeon volume, and ED etiology.
Purpose of the Study:
- To analyze global trends in penile prosthesis implantation.
- To examine usage patterns from 2005-2012.
- To identify variations in procedures by region, surgeon, and patient factors.
Main Methods:
- Data compiled from device manufacturer information on over 63,000 implants worldwide.
- Analysis of implantation trends between 2005 and 2012.
- Grouping and analysis of data by geography, patient age, surgical approach, implanter volume, and ED etiology.
Main Results:
- Implantations steadily increased from 2005-2012.
- The United States accounted for 85.9% of all recorded procedures.
- The penoscrotal (PS) approach was dominant (60-78%), except in Belgium/Netherlands (infrapubic majority).
- US surgeons showed increasing volume, with more performing 16-30, 31-50, or >100 implants annually.
- Worldwide ED causes were primarily organic, post-prostatectomy, and diabetes.
Conclusions:
- Penile prosthesis implantation is a growing practice.
- Regional acceptance varies, with the US leading in annual implantations.
- The penoscrotal surgical approach is predominantly used worldwide.
