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Outpatient inflatable penile prosthesis insertion
1Division of Urology, Graduate Hospital, Philadelphia, Pennsylvania, USA.
Objectives:
To assess the initial results of an ambulatory, outpatient, multiple-component inflatable penile prosthesis (IPP) insertion protocol.
Methods:
Ninety-five consecutive men with organic impotence were implanted with a multiple-component IPP on an outpatient basis. Short-term complications were assessed by direct patient examination, phone interview, and office visits.
Results:
Complications seen with this approach included 1 patient who required hospitalization for gross hematuria, 1 patient with a periprosthetic infection, and 4 patients who were unable to void and were sent home with a urethral catheter.
Conclusions:
Multiple-component IPP insertion is easily adaptable to the outpatient setting. The prosthetic infection rate (1%) was similar to that seen with inpatient implantation protocols. Urinary retention (4%) was the most frequent complication, and it was easily managed with temporary catheterization. Early results suggest that outpatient IPP insertion is a safe, effective treatment for men with organic impotence.
