Heretofore, the published data on penile implant patients consisted generally of small series of single-surgeon, retrospective experiences rather than prospective or large, multicenter evaluations. This study establishes a baseline of data collection from PROPPER (Prospective Registry of Outcomes with Penile Prosthesis for Erectile Restoration).
PROPPER is the first large, prospective, multicenter, multinational, monitored, and internal review board (IRB) -approved study of real-world outcomes for penile implant patients
Data from the PROPPER study was examined to determine patient baseline characteristics and primary and secondary etiologies prior to ED treatment, to include: type and size of implant received; surgical steps/techniques utilized during implantation; and duration of hospital stay
Through April 2, 2015, a total of 1019 patients were enrolled in the study at 11 sites, withradical prostatectomy (RP) being the predominant etiology in 285 (28%) subjects Of those 285 RP patients, 280 (98 2%) received an AMS 700 Of these patients, 65 0% (182/280) had placement of the reservoir in the traditional retropubic space, versus 31 8% (89/280) in a submuscular location For those non-RP patients receiving an AMS 700, less patients underwent reservoir placement in the submuscular location (17 7% (124/702), versus 80 9% (568/702), p-value:
This first-of- its-kind, large, prospective, multi-center study reveals most penile implant patients in North America receive an IPP and that RP is the most common primary etiology of penile implant surgery Moreover, RP patients were more likely to have the reservoir placed in a submuscular location, experience longer OR time, and be admitted overnight as compared with other patient groups
The Journal of urology 2015 Aug 17 [Epub ahead of print]
Gerard D Henry, Edward Karpman, William Brant, Brian Christine, Bryan T Kansas, Mohit Khera, Leroy Jones, Tobias Kohler, Nelson Bennett, Eugene Rhee, Elizabeth Eisenhart, Anthony J Bella
Regional Urology, Shreveport, LA Electronic address: GDHenry@hotmail com , El Camino Urology Medical Group, Inc , Mountain View, CA , University of Utah, Division of Urology, Salt Lake City, UT , Urology Centers of Alabama, Birmingham, AL , Urology Team, Austin, TX , Baylor College of Medicine, Houston, TX , San Antonio Urology, San Antonio, TX , SIU School of Medicine, Springfield, IL , Lahey Hospital and Medical Center, Burlington, MA , Kaiser Permanente, San Diego, CA , Regional Urology, Shreveport, LA , Division of Urology, Department of Surgery, University of Ottawa, Canada