Pazir Yasar, Yanaral Fatih, Caglar Ufuk, Ortac Mazhar, Sarilar Omer, Ozgor Faruk
Department of Urology, Haseki Training and Research Hospital, Istanbul, TUR.
Department of Urology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, TUR.
Cureus. 2022 Jun 19;14(6):e26097. doi: 10.7759/cureus.26097. eCollection 2022 Jun.
Introduction The aim of this study was to evaluate patient and partner satisfaction, device reliability, and complications in patients who underwent two-piece inflatable penile prosthesis (IPP) implantation. Patients and methods The data of 22 patients who underwent two-piece inflatable penile prosthesis implantation in our department between 2015 and 2018 were retrospectively analyzed, and a detailed review of all clinical reports was performed. Phone or face-to-face interviews were undertaken to assess the satisfaction rates of the patients and their partners using the modified Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) questionnaire. Results The mean patient age and partner age were 57.95 ± 6.16 and 58.12 ± 6.66 years, respectively. The mean erectile dysfunction (ED) period was 5.33 ± 2.16 years, and the etiologies of erectile dysfunction were radical pelvic surgery (41%), diabetes mellitus (37%), and vascular disorders (22%). The mean operative time and postoperative hospital stay were 102 ± 29 minutes and 1.8 ± 0.66 days, respectively. Over a mean follow-up period of 29.04 ± 14.48 months, two (9%) cases underwent revision surgery due to mechanical device failure in one and infection in the other. The overall patient and partner satisfaction rates were 73% and 59%, respectively. Conclusions The two-piece inflatable penile prosthesis is an effective, reliable, and user-friendly prosthesis with acceptable complication and revision rates and provides a high level of patient and partner satisfaction in selected and fully informed patients.
引言 本研究旨在评估接受两件式可膨胀阴茎假体(IPP)植入术患者及其伴侣的满意度、装置可靠性和并发症情况。
患者与方法 回顾性分析了2015年至2018年间在我科接受两件式可膨胀阴茎假体植入术的22例患者的数据,并对所有临床报告进行了详细审查。通过电话或面对面访谈,使用改良的治疗满意度勃起功能障碍量表(EDITS)问卷来评估患者及其伴侣的满意度。
结果 患者的平均年龄和伴侣的平均年龄分别为57.95±6.16岁和58.12±6.66岁。勃起功能障碍(ED)的平均病程为5.33±2.16年,勃起功能障碍的病因包括根治性盆腔手术(41%)、糖尿病(37%)和血管疾病(22%)。平均手术时间和术后住院时间分别为102±29分钟和1.8±0.66天。在平均29.04±14.48个月的随访期内,2例(9%)患者因机械装置故障(1例)和感染(1例)接受了翻修手术。患者和伴侣的总体满意度分别为73%和59%。
结论 两件式可膨胀阴茎假体是一种有效、可靠且使用方便的假体,并发症和翻修率可接受,在经过筛选且充分知情的患者中能为患者及其伴侣提供较高水平的满意度。