Outcome of Malleable Penile Implant and End Stage of Erectile Dysfunction Single Centre Experience
DOI:
https://doi.org/10.47672/ajhmn.1011Keywords:
Erectile dysfunction, developing world, malleable penile prosthesis.Abstract
Background: The inflatable penile prosthesis (IPP) is typically the preferred implant for Peronei’s disease (PD) and malleable penile prostheses (MPPs) have been discouraged.
Objective: To share experience of malleable penile implant in younger patients at institute of kidney disease Peshawar in a developing country.
Materials and Methods: Total of 24 Patients were included in this study who underwent malleable penile prosthesis surgery from July 2017 till June 2020 were included. They all counseled thoroughly regarding procedure, success statistics, possible complications and post-operative follow up. During follow up any problem if occurred and satisfaction documented. Data analysis done with SPSS version 22.
Results: mean age of 31.7 (27-65) years were included. The most common etiology of ED was vasculogenic (n=10, 41.7%). The comorbidities found were diabetes mellitus and hypertension in 12.5% each (n=3), these patients had no comorbidities (n=18, 75%). The mean size of penile prosthesis was 11.79mm (ranged from 9.5-13mm). We had four patients (16.7%) with unconsummated marriage due to ED. The post-operative problems noted were penile numbness (n=4, 16.7%), retarded ejaculation (n=4, 16.7%), penile pain (n=3, 12.55), hematoma (n=1, 4.2%) and lower urinary tract symptoms (n=1, 4.2%). Most of these patients were fully satisfied (n=15, 62.5%), some were partially satisfied (n=7, 29.2%), only two patients were not satisfied (8.3%) while all patients had their partner satisfaction with malleable penile prosthesis. Inappropriately, patients had presented initially to urologist, rest of all 24 patients were initially treated by quacks, general practitioners, homeopaths, spiritual healers, dermatologists, gynecologists and psychiatrists. All patients had no sense about erectile dysfunction. Patients have idea about discussion of specific field consultant. Their doctor only deal with urology, kidney and bladder pathologies.
Conclusion: Malleable penile prosthesis has great success rate in end point erectile dysfunction with acceptable complication rate. E.D is a global problem. There has been an incredible ignorance in the public about proper referral and management of Sexual dysfunction. Herbal medications are marginally effective and management of erectile dysfunction.
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Bayrak O, Erturhan S, Seckiner I, Ozturk M, Sen H, Erbagci A. Comparison of the patient’s satisfaction underwent penile prosthesis; Malleable versus Ambicor: Single center experience. Archivio Italiano di Urologia e Andrologia. 2020;92(1):25- 29.
Shamloul R, Ghanem H. Erectile dysfunction. The Lancet. 2013;381(9861): 153-165.
Montague DK, Jarow JP, Broderick GA, Dmochowski R, Heaton J, Lue T, Sharlip ID. The management of erectile dysfunction: an update. Chapter. 2007;1:1- 31.
Bettocchi C, Palumbo F, Spilotros M, Palazzo S, Saracino GA, Martino P, Ditonno, P. Penile prostheses. Therapeutic advances in urology. 2010; 2(1):35-40.
Bostwick DG, Cheng L. Urologic surgical pathology. Elsevier Health Sciences; 2008.
Melman A, Gingell JC. The epidemiology and pathophysiology of erectile dysfunction. The Journal of urology. 1999; 161(1):5-11.
Habous M, Tal R, Tealab A, Aziz M, Sherif H, Mahmoud S, Mulhall JP. Predictors of satisfaction in men after penile implant surgery. The journal of sexual medicine. 2018;15(8):1180-1186.
Jorissen C, De Bruyna H, Baten E, Van Renterghem, K. Clinical outcome: patient and partner satisfaction after penile implant surgery. Current urology. 2019;13(2):94-100.
Mulhall JP, Ahmed A, Branch J, Parker M. Serial assessment of efficacy and satisfaction profiles following penile prosthesis surgery. The Journal of urology. 2003;169(4):1429-1433.
Rogel R, Marzullo L, Dagà O, Lujan S, Broseta E, Boronat F. Do candidates for penile implant prefer their doctors or another implanted patient as their information source? Results of a pilot study. Revista Internacional de Andrología. 2021;19(3):145-149.
Parikh KA, Pathak RA, Wilson RR, Patel RJ, Broderick GA. Revision Surgery for Inflatable Penile Prosthesis (IPP): A Single-Center Experience and Pictorial Representation. Urology. 2021;152:42-51.
Caskurlu T, Tasci AI, Resim S, Sahinkanat T, Ergenekon, E. The etiology of erectile dysfunction and contributing factors in different age groups in Turkey. International Journal of Urology. 2004;11 (7):525-529.
Donatucci CF, Lue TF. Erectile dysfunction in men under 40: etiology and treatment choice. International journal of impotence research. 1993;5(2):97-103.
Karadeniz T, Topsakal M, Aydogmus A, Basak D. Erectile dysfunction under age 40: Etiology and role of contributing factors. The Scientific World Journal. 2004;4:171-174.
Gandaglia G, Briganti A, Jackson G, Kloner RA, Montorsi F, Montorsi P, Vlachopoulos C. A systematic review of the association between erectile dysfunction and cardiovascular disease. European urology. 2014;65(5):968-978.
Ponholzer A, Temml C, Mock K, Marszalek M, Obermayr R, Madersbacher
S. Prevalence and risk factors for erectile dysfunction in 2869 men using a validated questionnaire. European urology. 2005; 47(1):80-86.
Ahn TY, Park JK, Lee SW, Hong JH, Park, NC, Kim JJ, et al. Prevalence and risk factors for erectile dysfunction in Korean men: results of an epidemiological study. The journal of sexual medicine. 2007;4(5):1269-1276.
Ghazi S, Shaltout A. Unconsummated marriage: Relationship between honeymoon impotence and vaginismus. Med J Cairo Univ. 2009;77:103-107.
Zargooshi J. Male sexual dysfunction in unconsummated marriage: long‐term outcome in 417 patients. The Journal of Sexual Medicine. 2008;5(12): 2895-2903.
Addar MH. The unconsummated marriage: causes and management. Clinical and experimental obstetrics & gynecology. 2004;31(4):279-281.
Özdemir Ö, Şimşek F, Özkardeş S, Incesu C, Karakoç B. The unconsummated marriage: its frequency and clinical characteristics in a sexual dysfunction clinic. Journal of sex & marital therapy. 2008;34(3):268-279.
Moncada I, Martinez-Salamanca JI, Allona A, Hernandez C. Current role of penile implants for erectile dysfunction. Current opinion in urology. 2004;14(6):375-380.
Lindeborg L, Fode M, Fahrenkrug L, Sønksen J. Satisfaction and complications with the Titan® one-touch release penile implant. Scandinavian journal of urology. 2014;48(1):105-109.
Minervini A, Ralph DJ, Pryor JP. Outcome of penile prosthesis implantation for treating erectile dysfunction: experience with 504 procedures. BJU international. 2006;97(1):129-133.
Carvalheira A, Santana R, Pereira NM. Why are men satisfied or dissatisfied with penile implants? A mixed method study on satisfaction with penile prosthesis implantation. The Journal of Sexual Medicine. 2015;12(12):2474-2480. Song WD, Yuan YM, Cui WS, Wu AK, Zhu YC, Liu J, et al. Penile prosthesis implantation in Chinese patients with severe erectile dysfunction: 10-year experience. Asian journal of andrology. 2013;15(5):658.
Krzastek SC, Smith R. An update on the best approaches to prevent complications in penile prosthesis recipients. Therapeutic advances in urology. 2019;11:17562872 18818076.
Publications OM. Oxford Handbook of. 3rd editio. Oxford university press; 2017.
Shaeer KZM, Osegbe DN, Siddiqui SH, Razzaque A, Glasser DB, Jaguste V. Prevalence of erectile dysfunction and its correlates among men attending primary care clinics in three countries: Pakistan, Egypt, and Nigeria. Int J Impot Res. 2003;15(SUPPL. 1):S8–14.
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