Factors Affecting Implant Length in Primary Inflatable Penile Prosthesis Placement

Jake A. Miller; Muhammed Hammad; Eliad Amini; Robert Andrianne; Arthur L. Burnett; Kelli Gross; Martin S. Gross; Georgios Hatzichristodoulou; James Hotaling; Tung Chin Hsieh; Lawrence C. Jenkins; James M. Jones; Aaron Lentz; Jason Levy; Vaibhav Modgil; Daniar Osmonov; Sung Hun Park; Ian Pearce; Paul Perito; Hossein Sadeghi-Nejad; Maxime Sempels; Jay Simhan; Alfredo Suarez-Sarmiento; Koenraad van Renterghem; J. Nicholas Warner; Faysal A. Yafi; Matthew Ziegelmann; David W. Barham

doi:10.1016/j.urology.2024.06.068

Factors Affecting Implant Length in Primary Inflatable Penile Prosthesis Placement

Jake A. Miller, Muhammed Hammad, Eliad Amini, Robert Andrianne, Arthur L. Burnett, Kelli Gross, Martin S. Gross, Georgios Hatzichristodoulou, James Hotaling, Tung Chin Hsieh, Lawrence C. Jenkins, James M. Jones, Aaron Lentz, Jason Levy, Vaibhav Modgil, Daniar Osmonov, Sung Hun Park, Ian Pearce, Paul Perito, Hossein Sadeghi-NejadMaxime Sempels, Jay Simhan, Alfredo Suarez-Sarmiento, Koenraad van Renterghem, J. Nicholas Warner, Faysal A. Yafi, Matthew Ziegelmann, David W. Barham

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

OBJECTIVE: To evaluate predictors of implant length for men undergoing primary IPP placement.

METHODS: A multicenter, retrospective cohort study was performed for men undergoing primary IPP placement at 16 high-volume surgical centers. Patient demographics, comorbidities, operative approach, and implanted cylinder and rear-tip extender length were recorded. Associations between potential preoperative and intraoperative predictors of total device length were tested using non-parametric correlation and Kruskal-Wallis tests, followed by multiple regression.

RESULTS: Of 3951 men undergoing primary IPP placement from July 2016 to July 2021, the median implant length was 20 cm (IQR: 19-22). Shorter implant length was associated with increasing age in years (β = -0.01, P = .009), Asian ethnicity (β = -2.34, P = .008), history of radical prostatectomy (β = -0.35, P = .001), and use of an infrapubic surgical approach (β = -1.02, P <.001). Black or African American ethnicity was associated with the implantation of longer devices (β = 0.35, P <.001). No significant associations were recorded with BMI, history of intracavernosal injections, diabetes mellitus, tobacco use, radiation therapy, Peyronie's disease, priapism, or cavernosal dilation technique.

CONCLUSION: The length of an implanted penile prosthesis was found to be associated with preoperative and intraoperative factors including history of radical prostatectomy and operative approach. The knowledge of these associations may assist in the preoperative counseling of patients receiving IPP and help create accurate postoperative expectations.

Original language	English
Pages (from-to)	240-244
Number of pages	5
Journal	Urology
Volume	193
Early online date	Jun 5 2024
DOIs	https://doi.org/10.1016/j.urology.2024.06.068
State	Published - Nov 2024

Keywords

Aged
Erectile Dysfunction/surgery
Humans
Male
Middle Aged
Penile Implantation/methods
Penile Prosthesis
Prostatectomy/methods
Prosthesis Design
Retrospective Studies

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.urology.2024.06.068

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Miller, J. A., Hammad, M., Amini, E., Andrianne, R., Burnett, A. L., Gross, K., Gross, M. S., Hatzichristodoulou, G., Hotaling, J., Hsieh, T. C., Jenkins, L. C., Jones, J. M., Lentz, A., Levy, J., Modgil, V., Osmonov, D., Park, S. H., Pearce, I., Perito, P., ... Barham, D. W. (2024). Factors Affecting Implant Length in Primary Inflatable Penile Prosthesis Placement. Urology, 193, 240-244. https://doi.org/10.1016/j.urology.2024.06.068

@article{92f77fb17e5343a3a699418af9000e60,

title = "Factors Affecting Implant Length in Primary Inflatable Penile Prosthesis Placement",

abstract = "OBJECTIVE: To evaluate predictors of implant length for men undergoing primary IPP placement.METHODS: A multicenter, retrospective cohort study was performed for men undergoing primary IPP placement at 16 high-volume surgical centers. Patient demographics, comorbidities, operative approach, and implanted cylinder and rear-tip extender length were recorded. Associations between potential preoperative and intraoperative predictors of total device length were tested using non-parametric correlation and Kruskal-Wallis tests, followed by multiple regression.RESULTS: Of 3951 men undergoing primary IPP placement from July 2016 to July 2021, the median implant length was 20 cm (IQR: 19-22). Shorter implant length was associated with increasing age in years (β = -0.01, P = .009), Asian ethnicity (β = -2.34, P = .008), history of radical prostatectomy (β = -0.35, P = .001), and use of an infrapubic surgical approach (β = -1.02, P <.001). Black or African American ethnicity was associated with the implantation of longer devices (β = 0.35, P <.001). No significant associations were recorded with BMI, history of intracavernosal injections, diabetes mellitus, tobacco use, radiation therapy, Peyronie's disease, priapism, or cavernosal dilation technique.CONCLUSION: The length of an implanted penile prosthesis was found to be associated with preoperative and intraoperative factors including history of radical prostatectomy and operative approach. The knowledge of these associations may assist in the preoperative counseling of patients receiving IPP and help create accurate postoperative expectations.",

keywords = "Aged, Erectile Dysfunction/surgery, Humans, Male, Middle Aged, Penile Implantation/methods, Penile Prosthesis, Prostatectomy/methods, Prosthesis Design, Retrospective Studies",

author = "Miller, {Jake A.} and Muhammed Hammad and Eliad Amini and Robert Andrianne and Burnett, {Arthur L.} and Kelli Gross and Gross, {Martin S.} and Georgios Hatzichristodoulou and James Hotaling and Hsieh, {Tung Chin} and Jenkins, {Lawrence C.} and Jones, {James M.} and Aaron Lentz and Jason Levy and Vaibhav Modgil and Daniar Osmonov and Park, {Sung Hun} and Ian Pearce and Paul Perito and Hossein Sadeghi-Nejad and Maxime Sempels and Jay Simhan and Alfredo Suarez-Sarmiento and {van Renterghem}, Koenraad and Warner, {J. Nicholas} and Yafi, {Faysal A.} and Matthew Ziegelmann and Barham, {David W.}",

note = "Publisher Copyright: {\textcopyright} 2024 Elsevier Inc.",

year = "2024",

month = nov,

doi = "10.1016/j.urology.2024.06.068",

language = "English",

volume = "193",

pages = "240--244",

journal = "Urology",

issn = "0090-4295",

publisher = "Elsevier Inc.",

}

Miller, JA, Hammad, M, Amini, E, Andrianne, R, Burnett, AL, Gross, K, Gross, MS, Hatzichristodoulou, G, Hotaling, J, Hsieh, TC, Jenkins, LC, Jones, JM, Lentz, A, Levy, J, Modgil, V, Osmonov, D, Park, SH, Pearce, I, Perito, P, Sadeghi-Nejad, H, Sempels, M, Simhan, J, Suarez-Sarmiento, A, van Renterghem, K, Warner, JN, Yafi, FA, Ziegelmann, M & Barham, DW 2024, 'Factors Affecting Implant Length in Primary Inflatable Penile Prosthesis Placement', Urology, vol. 193, pp. 240-244. https://doi.org/10.1016/j.urology.2024.06.068

TY - JOUR

T1 - Factors Affecting Implant Length in Primary Inflatable Penile Prosthesis Placement

AU - Miller, Jake A.

AU - Hammad, Muhammed

AU - Amini, Eliad

AU - Andrianne, Robert

AU - Burnett, Arthur L.

AU - Gross, Kelli

AU - Gross, Martin S.

AU - Hatzichristodoulou, Georgios

AU - Hotaling, James

AU - Hsieh, Tung Chin

AU - Jenkins, Lawrence C.

AU - Jones, James M.

AU - Lentz, Aaron

AU - Levy, Jason

AU - Modgil, Vaibhav

AU - Osmonov, Daniar

AU - Park, Sung Hun

AU - Pearce, Ian

AU - Perito, Paul

AU - Sadeghi-Nejad, Hossein

AU - Sempels, Maxime

AU - Simhan, Jay

AU - Suarez-Sarmiento, Alfredo

AU - van Renterghem, Koenraad

AU - Warner, J. Nicholas

AU - Yafi, Faysal A.

AU - Ziegelmann, Matthew

AU - Barham, David W.

PY - 2024/11

Y1 - 2024/11

N2 - OBJECTIVE: To evaluate predictors of implant length for men undergoing primary IPP placement.METHODS: A multicenter, retrospective cohort study was performed for men undergoing primary IPP placement at 16 high-volume surgical centers. Patient demographics, comorbidities, operative approach, and implanted cylinder and rear-tip extender length were recorded. Associations between potential preoperative and intraoperative predictors of total device length were tested using non-parametric correlation and Kruskal-Wallis tests, followed by multiple regression.RESULTS: Of 3951 men undergoing primary IPP placement from July 2016 to July 2021, the median implant length was 20 cm (IQR: 19-22). Shorter implant length was associated with increasing age in years (β = -0.01, P = .009), Asian ethnicity (β = -2.34, P = .008), history of radical prostatectomy (β = -0.35, P = .001), and use of an infrapubic surgical approach (β = -1.02, P <.001). Black or African American ethnicity was associated with the implantation of longer devices (β = 0.35, P <.001). No significant associations were recorded with BMI, history of intracavernosal injections, diabetes mellitus, tobacco use, radiation therapy, Peyronie's disease, priapism, or cavernosal dilation technique.CONCLUSION: The length of an implanted penile prosthesis was found to be associated with preoperative and intraoperative factors including history of radical prostatectomy and operative approach. The knowledge of these associations may assist in the preoperative counseling of patients receiving IPP and help create accurate postoperative expectations.

AB - OBJECTIVE: To evaluate predictors of implant length for men undergoing primary IPP placement.METHODS: A multicenter, retrospective cohort study was performed for men undergoing primary IPP placement at 16 high-volume surgical centers. Patient demographics, comorbidities, operative approach, and implanted cylinder and rear-tip extender length were recorded. Associations between potential preoperative and intraoperative predictors of total device length were tested using non-parametric correlation and Kruskal-Wallis tests, followed by multiple regression.RESULTS: Of 3951 men undergoing primary IPP placement from July 2016 to July 2021, the median implant length was 20 cm (IQR: 19-22). Shorter implant length was associated with increasing age in years (β = -0.01, P = .009), Asian ethnicity (β = -2.34, P = .008), history of radical prostatectomy (β = -0.35, P = .001), and use of an infrapubic surgical approach (β = -1.02, P <.001). Black or African American ethnicity was associated with the implantation of longer devices (β = 0.35, P <.001). No significant associations were recorded with BMI, history of intracavernosal injections, diabetes mellitus, tobacco use, radiation therapy, Peyronie's disease, priapism, or cavernosal dilation technique.CONCLUSION: The length of an implanted penile prosthesis was found to be associated with preoperative and intraoperative factors including history of radical prostatectomy and operative approach. The knowledge of these associations may assist in the preoperative counseling of patients receiving IPP and help create accurate postoperative expectations.

KW - Aged

KW - Erectile Dysfunction/surgery

KW - Humans

KW - Male

KW - Middle Aged

KW - Penile Implantation/methods

KW - Penile Prosthesis

KW - Prostatectomy/methods

KW - Prosthesis Design

KW - Retrospective Studies

UR - http://www.scopus.com/inward/record.url?scp=85199286696&partnerID=8YFLogxK

U2 - 10.1016/j.urology.2024.06.068

DO - 10.1016/j.urology.2024.06.068

M3 - Article

C2 - 38972393

AN - SCOPUS:85199286696

SN - 0090-4295

VL - 193

SP - 240

EP - 244

JO - Urology

JF - Urology

ER -

Factors Affecting Implant Length in Primary Inflatable Penile Prosthesis Placement

Abstract

Keywords

UN SDGs

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