Inflatable penile prosthesis: Satisfaction rate, result, prognostic factors. Prospective study on 50primooperated patients in CHU of Nice between 2000and 2009 [Implants péniens hydrauliques: Enquête de satisfaction, résultats et complications. étude rétrospective portant sur 50patients consécutifs primo implantés au CHU de Nice entre 2000et 2009]

摘要

Objective: To evaluate satisfaction rates and results in patients with penile prosthesis (5PP). Materials and methods: From January 2000till 2009, 50patients with organic erectile dysfunction (ED) were implanted with hydraulics penile prosthesis by the same surgeon. Medical records were collected retrospectively. We analysed demographic characteristics, type of prosthesis used, per- and postoperative complications, prothesis explantations and satisfaction rate measured by EDITS modified. Results: Mean age of patients was 60.2 ± 8.46years (35-75). Thirty implanted patients (60%) were diabetics. We used a peno-scrotal incision in all patients. Three types of prosthesis were used; AMS Ambicor, AMS 700, Titan OTR. A bi-compartment and three-compartment prosthesis were implanted respectively in 24and 26patients. The prosthesis was retrieved in two patients secondary to a mechanical failure, in three patients for prosthesis erosion, in two patients for prosthesis infection. In four out of the seven explanted patients, a second prosthesis was implanted. The EDITS questionnary was realized by telephonic interview in 47patients after a mean follow-up of 45months (5-114). The response rate was of 83%. The satisfaction rate was of 81%. Conclusion: In our series, the satisfaction rate was better for the three-compartment prosthesis. After 45months of follow-up, 73% (31/42) of patients had a functional prosthesis. The non-satisfaction most frequently found were patients who have complications as sepsis; mechanical failure, and prosthesis erosion, and subjective feeling of penile length reduction.