Satisfaction with Penile Prosthesis Implantation among Patients with Peyronie's Disease Using a Contemporary Questionnaire

You have accessJournal of UrologyCME1 Apr 2023MP45-03 SATISFACTION WITH PENILE PROSTHESIS IMPLANTATION AMONG PATIENTS WITH PEYRONIE'S DISEASE USING A CONTEMPORARY QUESTIONNAIRE Navid Leelani, Vivian Hua, Raevti Bole, Scott D. Lundy, and Petar Bajic Navid LeelaniNavid Leelani More articles by this author , Vivian HuaVivian Hua More articles by this author , Raevti BoleRaevti Bole More articles by this author , Scott D. LundyScott D. Lundy More articles by this author , and Petar BajicPetar Bajic More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003291.03AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The Satisfaction Survey for Inflatable Penile Implants (SSIPI) is a recently validated 16 question survey used to quantitatively measure patient outcomes after penile prosthetic surgery. The survey consists of four subdomain scores representing the appearance, pain, satisfaction, and function of the penile implant. Since its validation, there have been no studies to date examining its use in patients with Peyronie’s disease (PD). The objective of this study was to explore the use of the SSIPI in men with PD and to determine if any factors predict postoperative outcomes in specific domains. METHODS: Preoperative, intraoperative, and postoperative data for patients with PD undergoing IPP placement by a single surgeon at a tertiary care institution was retrospectively collected into a secure database. A completed SSIPI from either the 3, 6, or 12 month follow up visit was used. Linear regression and Fischer's exact test was used to determine if there were any significant relationships between variables and the four subdomains for each patient. RESULTS: Within the study time period, 32 patients with PD who received an implant completed a postoperative SSIPI. Average curvature preoperatively was 44.8 degrees. Overall postoperative median SSIPI scores was 4.5 (IQR 4.2 – 4.8). There was no significant difference in the subdomains between the two different implants used which were the Coloplast Titan (n=23) and the AMS 700 CX (n=9). Of the preoperative variables assessed, only body mass index was significantly negatively correlated with the appearance domain of the SSIPI (slope=-0.06, R2=0.20, p=0.018). Of the categorical variables, those patients with a subjectively difficult dilation had a significantly higher score in the pain domain (p=0.046) indicating less pain postoperatively. CONCLUSIONS: This is the first study to use the SSIPI to gauge the satisfaction of penile implants in patients with PD. Analysis of this data supports patient counseling on weight loss prior to undergoing penile implant in order to improve patient satisfaction with appearance. Interestingly, difficult dilation intraoperatively was associated with less perceived pain by the patient postoperatively. Significance of this is unclear, but postoperative pain might be less among patients with corporal fibrosis due to prior injection therapy. This merits further investigation along with a larger patient population to determine if other factors such as racial differences may play a role in patient perceived satisfaction after penile implant placement in men with PD. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e621 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Navid Leelani More articles by this author Vivian Hua More articles by this author Raevti Bole More articles by this author Scott D. Lundy More articles by this author Petar Bajic More articles by this author Expand All Advertisement PDF downloadLoading ...