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Postoperative vacuum therapy following AMS™ LGX 700® inflatable penile prosthesis placement: penile dimension outcomes and overall satisfaction.

Published on Jan 1, 2020in International Journal of Impotence Research1.255
· DOI :10.1038/S41443-019-0125-Z
Gabriele Antonini13
Estimated H-index: 13
(Policlinico Umberto I),
Ettore De Berardinis14
Estimated H-index: 14
(Policlinico Umberto I)
+ 10 AuthorsPaul Perito13
Estimated H-index: 13
Abstract
Penile shortening after inflatable penile prosthesis for erectile dysfunction is a common postoperative patient complaint and can reduce overall satisfaction with the procedure. In this prospective study we report our results regarding penile dimensions and patient satisfaction outcomes after 1 year of follow-up from AMS™LGX700® penile prosthesis implant with 6 months of vacuum erectile device therapy. Seventy-four selected patients with medically refractory erectile dysfunction underwent AMS™ LGX 700® IPP placement. Postoperatively, patients were assigned vacuum device therapy for 5 min twice daily. Follow-up continued for 1 year after surgery. Dimensional and functional results were assessed. Baseline median preoperative stretched penile length and girth were 14 cm (range 10–17) and 9 cm (range 7–12), respectively. At the end of the study penile median dimensional outcomes were 17 cm (range 13–23) for length and 11 cm (range 10–13) for girth while a median number of 24 pumps (range 18–29) to fully inflate the device was seen. Baseline median International Index of Erectile Function (IIEF-5) score was 9 (range 5–11), at 6 months 20 (range 18–26) and at 1 year was 25 (range 20–27) (p < 0.0001). Median Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) score at the end of the follow-up was 74 (range 66–78). Our postoperative rehabilitation program is feasible and should be recommended after prothesis surgery in order to increase overall satisfaction with the procedure. Penile postoperative dimensional outcomes were statistically significant improved and complications were negligible.
  • References (27)
  • Citations (2)
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References27
Newest
#1J.J. WallenH-Index: 4
#2Enrique V. Barrera (Rice University)H-Index: 26
Last. Tariq S. HakkyH-Index: 11
view all 7 authors...
Abstract Background Throughout the last decade there has been a growing interest in the biomechanical differences between inflatable penile prostheses (IPPs) and their significance with regard to the patient experience. Aim To present our findings assessing the biomechanical properties of IPPs with and without rear tip extenders (RTEs). Methods This is a biomechanical study of the 3 most commonly used IPPs (AMS CX, AMS LGX, and Coloplast Titan) as assessed by column compression, modified cantile...
6 CitationsSource
#1Gabriele Antonini (Policlinico Umberto I)H-Index: 13
#2Ettore De Berardinis (Policlinico Umberto I)H-Index: 14
Last. Paul PeritoH-Index: 13
view all 12 authors...
Purpose: Peyronie’s disease is a devastating condition resulting in penile malformation, erectile dysfunction, pain and emotional distress. In this prospective, 2 institution study we evaluated a multimodal surgical and mechanical combined approach to the definitive treatment of Peyronie’s disease and concomitant erectile dysfunction.Materials and Methods: A total of 145 select patients underwent endocavernous disruption of Peyronie’s disease plaques via the scratch technique, followed by inflat...
5 CitationsSource
#1Paul H. Chung (UTSW: University of Texas Southwestern Medical Center)H-Index: 9
#2Jordan Siegel (UTSW: University of Texas Southwestern Medical Center)H-Index: 9
Last. Allen F. MoreyH-Index: 44
view all 6 authors...
OBJECTIVE: Many patients who undergo inflatable penile prosthesis (IPP) replacement are often upsized to larger cylinders, suggesting the IPP may serve as a tissue expander and increase internal penile length. The objective of this study is to evaluate whether cylinder length increases with subsequent IPP insertion. MATERIALS AND METHODS: We queried American Medical Systems and Coloplast Patient Information Form databases to identify patients who underwent IPP placement and replacement between 2...
4 CitationsSource
#1Gabriele Antonini (Sapienza University of Rome)H-Index: 13
#2Gian Maria Busetto (Sapienza University of Rome)H-Index: 13
Last. Paul PeritoH-Index: 13
view all 10 authors...
Abstract Background Unidentified distal crossovers, delayed distal crossovers, and impending lateral extrusion are complications of penile prosthesis implant insertion but are not as common as prosthesis infection or mechanical failure. Aim To evaluate results of a surgical technique, the distal corporal anchoring stitch, that addresses fixation of the penile prosthesis in patients with these complications. Methods A lateral sub-coronal incision is used on the side where the crossover or lateral...
4 CitationsSource
#1Laurence A. Levine (Rush University Medical Center)H-Index: 51
#2Edgardo Becher (UBA: University of Buenos Aires)H-Index: 18
Last. Allen F. Morey (UTSW: University of Texas Southwestern Medical Center)H-Index: 44
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Abstract Introduction Penile prosthesis implantation has emerged as a definitive treatment to restore sexual function to the motivated man with erectile dysfunction. Substantial improvements in the design of inflatable devices have been made since they first became available more than four decades ago. Aim To review the history of the penile prosthesis, the indications, preoperative evaluation, and patient and partner satisfaction. The current approaches to addressing intra- and postoperative co...
68 CitationsSource
#1Gabriele Antonini (Sapienza University of Rome)H-Index: 13
#2Gian Maria Busetto (Sapienza University of Rome)H-Index: 13
Last. Paul PeritoH-Index: 13
view all 9 authors...
Erectile dysfunction (ED), the second most common male sexual disorder, has an important impact on man sexuality and quality of life affecting also female partner’s sexual life. ED is usually related to cardiovascular disease or is an iatrogenic cause of pelvic surgery. Many non-surgical treatments have been developed with results that are controversial, while surgical treatment has reached high levels of satisfaction. The aim is to evaluate outcomes and complications related to prosthesis impla...
19 CitationsSource
Objective To present the feasibility and safety of penile length and girth restoration based on a modified ‘sliding’ technique for patients with severe erectile dysfunction (ED) and significant penile shortening, with or without Peyronie's disease (PD). Patients and Methods Between January 2013 and January 2014, 143 patients underwent our modified ‘sliding’ technique for penile length and girth restoration and concomitant penile prosthesis implantation. It is based on three key elements: (i) the...
27 CitationsSource
#1Francesca Pisano (UNITO: University of Turin)H-Index: 8
#2Marco Falcone (UNITO: University of Turin)H-Index: 12
Last. Paolo Gontero (UNITO: University of Turin)H-Index: 6
view all 12 authors...
The importance of psychosexual counselling in the re-establishment of organic and erotic functions after penile prosthesis implantation
6 CitationsSource
#1Gerard D. HenryH-Index: 23
#2Rafael CarrionH-Index: 17
Last. Run WangH-Index: 29
view all 4 authors...
14 CitationsSource
#1C. NegroH-Index: 5
#2M. ParadisoH-Index: 4
Last. Franco BardariH-Index: 1
view all 4 authors...
Implantation of an inflatable penile prosthesis (IPP) is a well-established definitive solution for erectile dysfunction when conservative treatments fail. Penile implants may shorten the penis. The AMS 700 LGX IPP is in common use but reports on its mechanical reliability, medium-term postsurgical patient satisfaction, and mean penile length preservation are lacking. We investigate the mean penile length, mechanical reliability, and patient satisfaction at 6 and 12 months after implantation of ...
9 CitationsSource
Cited By2
Newest
#1Daniar OsmonovH-Index: 8
#2Andrew Nim Christopher (UCL: University College London)H-Index: 4
Last. Giovanni CoronaH-Index: 68
view all 15 authors...
Abstract Introduction To date, several aspects of inflatable penile prosthesis (IPP) surgical procedure have been poorly studied. Aim The aim of this study was to review the evidence associated with IPP implantation and provide clinical recommendations on behalf of the European Society for Sexual Medicine (ESSM). Overall, 130 peer-reviewed studies and systematic reviews, which were published from 2007−2018 in the English language, were included. Methods MEDLINE and EMBASE were searched for rando...
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