B B Garber1. 1. Division of Urology, Graduate Hospital, Philadelphia, Pennsylvania, USA.
Abstract
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.
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.
Authors: Amjad Alwaal; Catherine R Harris; Ahmed A Hussein; Thomas H Sanford; Charles E McCulloch; Alan W Shindel; Benjamin N Breyer Journal: Sex Med Date: 2015-09-17 Impact factor: 2.491