TY - JOUR
T1 - Current practices regarding corporotomy localization during penoscrotal inflatable penile implant surgery
T2 - a multicenter cohort study
AU - van Renterghem, Koenraad
AU - Jacobs, Brecht
AU - Yafi, Faysal
AU - Osmonov, Daniar
AU - Ralph, David
AU - Venturino, Luca
AU - Barnard, John Taylor
AU - Ziegelmann, Matthew
AU - Wang, Run
AU - Kannady, Chris
AU - Lentz, Aaron
AU - Lledo Garcia, Enrique
AU - Andrianne, Robert
AU - Bettochi, Carlo
AU - Hatzichristodoulou, George
AU - Gross, Martin
AU - Faix, Antoine
AU - Romero Otero, Javier
AU - Martinez Salamanca, Juan Ignacio
AU - Sedigh, Omidreza
AU - Albersen, Maarten
AU - Dinkelman-Smit, Marij
AU - Mykoniatis, Ioannis
N1 - © The Author(s), under exclusive licence to Springer Nature Limited 2021
PY - 2021/4/12
Y1 - 2021/4/12
N2 - Literature concerning corporotomy location in multicomponent inflatable penile prosthetic surgery via a penoscrotal approach is scarce if not nonexistent. Aim of our study was to report practices in low-, moderate-, and high-volume penile implant centers regarding corporotomy location and evaluate its potential impact on intraoperative and short-term postoperative complications. Data from 18 (13 European and 5 American) implant centers were collected retrospectively between September 1st, 2018 and August 31st, 2019. Variables included: intraoperative proximal and distal corpus cavernosum length measurement, total corporal length measurement, total penile implant cylinder length, and length of rear tip extenders. Eight hundred and nine virgin penile implant cases were included in the analysis. Mean age of participants was 61.5 +/- 9.6 years old. In total, 299 AMS 700 (TM) (Boston Scientific, USA) and 510 Coloplast Titan (R) (Minneapolis, MN USA) devices were implanted. The mean proximal/distal corporal measurement ratio during corporotomy was 0.93 +/- 0.29 while no statistical difference was found among low-, moderate-, and high-volume penile implant centers. A statistically significant correlation between lower proximal/distal measurement ratio and higher age (p = 0.0013), lower BMI (p < 0.0001), lower use of rear tip extenders (RTE) (p = 0.04), lower RTE length (p < 0.0001), and absence of diabetes (p = 0.0004) was reported. In a 3-month follow up period, 49 complications and 37 revision procedures were reported. This is the first study reporting the current practices regarding corporotomy location during IPP placement in a multicenter cohort, particularly when including such a high number of patients. Nevertheless, the retrospective design and the short follow up period limits the study outcomes. Corporotomy location during penoscrotal IPP implantation does not correlate with intraoperative or short-term postoperative complication rates. Future studies with longer follow up are needed in order to evaluate the association of corporotomy location with long-term complications.
AB - Literature concerning corporotomy location in multicomponent inflatable penile prosthetic surgery via a penoscrotal approach is scarce if not nonexistent. Aim of our study was to report practices in low-, moderate-, and high-volume penile implant centers regarding corporotomy location and evaluate its potential impact on intraoperative and short-term postoperative complications. Data from 18 (13 European and 5 American) implant centers were collected retrospectively between September 1st, 2018 and August 31st, 2019. Variables included: intraoperative proximal and distal corpus cavernosum length measurement, total corporal length measurement, total penile implant cylinder length, and length of rear tip extenders. Eight hundred and nine virgin penile implant cases were included in the analysis. Mean age of participants was 61.5 +/- 9.6 years old. In total, 299 AMS 700 (TM) (Boston Scientific, USA) and 510 Coloplast Titan (R) (Minneapolis, MN USA) devices were implanted. The mean proximal/distal corporal measurement ratio during corporotomy was 0.93 +/- 0.29 while no statistical difference was found among low-, moderate-, and high-volume penile implant centers. A statistically significant correlation between lower proximal/distal measurement ratio and higher age (p = 0.0013), lower BMI (p < 0.0001), lower use of rear tip extenders (RTE) (p = 0.04), lower RTE length (p < 0.0001), and absence of diabetes (p = 0.0004) was reported. In a 3-month follow up period, 49 complications and 37 revision procedures were reported. This is the first study reporting the current practices regarding corporotomy location during IPP placement in a multicenter cohort, particularly when including such a high number of patients. Nevertheless, the retrospective design and the short follow up period limits the study outcomes. Corporotomy location during penoscrotal IPP implantation does not correlate with intraoperative or short-term postoperative complication rates. Future studies with longer follow up are needed in order to evaluate the association of corporotomy location with long-term complications.
UR - https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=eur_pure&SrcAuth=WosAPI&KeyUT=WOS:000639618100003&DestLinkType=FullRecord&DestApp=WOS
U2 - 10.1038/s41443-021-00431-w
DO - 10.1038/s41443-021-00431-w
M3 - Article
C2 - 33846587
SN - 0955-9930
VL - 34
SP - 302
EP - 307
JO - International Journal of Impotence Research
JF - International Journal of Impotence Research
IS - 3
ER -
