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Patient Outcomes After Penile Prosthesis Placement with Concomitant Non-Reconstructive Urologic Procedures
Ridwan Alam1, William S Du Comb1, Jason A Levy1
1The James Buchanan Brady Urological Institute, Department of Urology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Summary
Concomitant non-reconstructive urologic procedures with penile prosthesis (PP) placement do not increase complication or infection risks. This study found similar adverse event rates for patients undergoing PP placement with or without additional non-reconstructive procedures.
Area of Science:
- Urology
- Surgical Outcomes
- Prosthetics
Background:
- Existing literature shows minimal risk for penile prosthesis (PP) complications with concomitant reconstructive procedures.
- Research on PP placement alongside non-reconstructive urologic procedures for erectile dysfunction (ED) is limited.
Purpose of the Study:
- To investigate complication and device infection rates in patients undergoing PP placement with concomitant non-reconstructive urologic procedures.
- To compare outcomes between patients receiving PP with a second non-reconstructive procedure versus those receiving PP alone.
Main Methods:
- Retrospective review of patients undergoing PP placement and a non-reconstructive urologic procedure (January 2007-July 2021).
- Comparison with a control group of 127 patients who underwent PP placement only.
- Analysis of complication and device infection rates using comparative statistics and Kaplan-Meier method.
Main Results:
- 44 patients had concomitant surgery; 127 had single surgery.
- Hypertension was more prevalent in the concomitant group (65.9% vs. 43.8%).
- Similar complication (4.6% vs. 3.6%) and device infection (2.3% vs. 0.7%) rates were observed in both groups.
Conclusions:
- Concomitant non-reconstructive urologic procedures at the time of penile prosthesis placement do not elevate the risk of adverse events.
- This study, the largest of its kind, supports the safety of combined procedures for erectile dysfunction treatment.
