Single Dilation in Primary Inflatable Penile Prosthesis Placement Is Associated With Fewer Corporal Complications Than Sequential Dilation

Chrystal Chang; David W. Barham; Zafardjan Dalimov; Daniel Swerdloff; Hossein Sadeghi-Nejad; Robert Andrianne; Maxime Sempels; Tung Chin Hsieh; Georgios Hatzichristodoulou; Muhammed Hammad; Jake Miller; Daniar Osmonov; Aaron Lentz; Paul Perito; Alfredo Suarez-Sarmiento; James Hotaling; Kelli Gross; James M. Jones; Koenraad van Renterghem; Sung Hun Park; J. Nicholas Warner; Matthew Ziegelmann; Vaibhav Modgil; Adam Jones; Ian Pearce; Martin S. Gross; Faysal A. Yafi; Jay Simhan

doi:10.1016/j.urology.2023.06.037

Single Dilation in Primary Inflatable Penile Prosthesis Placement Is Associated With Fewer Corporal Complications Than Sequential Dilation

Chrystal Chang
, David W. Barham
, Zafardjan Dalimov
, Daniel Swerdloff
, Hossein Sadeghi-Nejad
, Robert Andrianne
, Maxime Sempels
, Tung Chin Hsieh
, Georgios Hatzichristodoulou
, Muhammed Hammad
, Jake Miller
, Daniar Osmonov
, Aaron Lentz
, Paul Perito
, Alfredo Suarez-Sarmiento
, James Hotaling
, Kelli Gross
, James M. Jones
, Koenraad van Renterghem
, Sung Hun Park

J. Nicholas Warner, Matthew Ziegelmann, Vaibhav Modgil, Adam Jones, Ian Pearce, Martin S. Gross, Faysal A. Yafi, Jay Simhan

Fox Chase Cancer Center
University of California at Irvine
New York University
University of Liege
University of California at San Diego
Martha-Maria Hospital Nuremberg
Kiel University
Duke University
Perito Urology
University of Utah
Dartmouth-Hitchcock Medical Center
Jessa Hospital
Sewum Prosthetic Urology Center of Excellence
Mayo Clinic
Manchester University NHS Foundation Trust

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

10 Scopus citations

Abstract

Objective: To assess the difference in outcomes between single dilation (SingD) and sequential dilation (SeqD) in primary penile implantation, hypothesizing that patients who undergo SeqD had higher rates of noninfectious complications. Methods: We performed a multicenter, retrospective study of men undergoing primary inflatable penile prosthesis placement. Intraoperative complications and postoperative noninfectious outcomes were assessed between the two groups. Multivariable analysis was performed to identify predictors of complications. Results: A total of 3293 patients met inclusion criteria. After matching, there were 379 patients who underwent SingD and 379 patients who underwent SeqD. There was no significant difference in intraoperative complications between patients who underwent SingD vs SeqD, nor was there any difference in cylinder length (20 cm with interquartile range [IQR] 18-21 cm vs 20 cm with IQR 18-20 cm respectively, P = .4). On multivariable analysis, SeqD (OR 5.23 with IQR 2.74-10, P < .001) and older age (OR 1.04 with IQR 1.01-1.06, P = .007) were predictive of postoperative noninfectious complications. There was no significant difference in intraoperative complications between patients who underwent SingD vs SeqD, nor was there any difference in cylinder length. SeqD and older age were predictive of postoperative noninfectious complications. Conclusion: During inflatable penile prosthesis placement in the uncomplicated patient without fibrosis, SingD is a safe technique to utilize during implantation that will minimize postoperative adverse events, and promote device longevity without loss of cylinder length.

Original language	English
Pages (from-to)	150-154
Number of pages	5
Journal	Urology
Volume	181
DOIs	https://doi.org/10.1016/j.urology.2023.06.037
State	Published - Nov 2023

Keywords

Dilatation
Erectile Dysfunction/etiology
Humans
Intraoperative Complications/etiology
Male
Penile Implantation/adverse effects
Penile Prosthesis/adverse effects
Postoperative Complications/epidemiology
Retrospective Studies

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Chang, C., Barham, D. W., Dalimov, Z., Swerdloff, D., Sadeghi-Nejad, H., Andrianne, R., Sempels, M., Hsieh, T. C., Hatzichristodoulou, G., Hammad, M., Miller, J., Osmonov, D., Lentz, A., Perito, P., Suarez-Sarmiento, A., Hotaling, J., Gross, K., Jones, J. M., van Renterghem, K., ... Simhan, J. (2023). Single Dilation in Primary Inflatable Penile Prosthesis Placement Is Associated With Fewer Corporal Complications Than Sequential Dilation. Urology, 181, 150-154. https://doi.org/10.1016/j.urology.2023.06.037

@article{cc6c5ee739c14c58988fbac3fd6a295d,

title = "Single Dilation in Primary Inflatable Penile Prosthesis Placement Is Associated With Fewer Corporal Complications Than Sequential Dilation",

abstract = "Objective: To assess the difference in outcomes between single dilation (SingD) and sequential dilation (SeqD) in primary penile implantation, hypothesizing that patients who undergo SeqD had higher rates of noninfectious complications. Methods: We performed a multicenter, retrospective study of men undergoing primary inflatable penile prosthesis placement. Intraoperative complications and postoperative noninfectious outcomes were assessed between the two groups. Multivariable analysis was performed to identify predictors of complications. Results: A total of 3293 patients met inclusion criteria. After matching, there were 379 patients who underwent SingD and 379 patients who underwent SeqD. There was no significant difference in intraoperative complications between patients who underwent SingD vs SeqD, nor was there any difference in cylinder length (20 cm with interquartile range [IQR] 18-21 cm vs 20 cm with IQR 18-20 cm respectively, P = .4). On multivariable analysis, SeqD (OR 5.23 with IQR 2.74-10, P < .001) and older age (OR 1.04 with IQR 1.01-1.06, P = .007) were predictive of postoperative noninfectious complications. There was no significant difference in intraoperative complications between patients who underwent SingD vs SeqD, nor was there any difference in cylinder length. SeqD and older age were predictive of postoperative noninfectious complications. Conclusion: During inflatable penile prosthesis placement in the uncomplicated patient without fibrosis, SingD is a safe technique to utilize during implantation that will minimize postoperative adverse events, and promote device longevity without loss of cylinder length.",

keywords = "Dilatation, Erectile Dysfunction/etiology, Humans, Intraoperative Complications/etiology, Male, Penile Implantation/adverse effects, Penile Prosthesis/adverse effects, Postoperative Complications/epidemiology, Retrospective Studies",

author = "Chrystal Chang and Barham, \{David W.\} and Zafardjan Dalimov and Daniel Swerdloff and Hossein Sadeghi-Nejad and Robert Andrianne and Maxime Sempels and Hsieh, \{Tung Chin\} and Georgios Hatzichristodoulou and Muhammed Hammad and Jake Miller and Daniar Osmonov and Aaron Lentz and Paul Perito and Alfredo Suarez-Sarmiento and James Hotaling and Kelli Gross and Jones, \{James M.\} and \{van Renterghem\}, Koenraad and Park, \{Sung Hun\} and \{Nicholas Warner\}, J. and Matthew Ziegelmann and Vaibhav Modgil and Adam Jones and Ian Pearce and Gross, \{Martin S.\} and Yafi, \{Faysal A.\} and Jay Simhan",

note = "Publisher Copyright: {\textcopyright} 2023 Elsevier Inc.",

year = "2023",

month = nov,

doi = "10.1016/j.urology.2023.06.037",

language = "English",

volume = "181",

pages = "150--154",

journal = "Urology",

issn = "0090-4295",

publisher = "Elsevier Inc.",

}

Chang, C, Barham, DW, Dalimov, Z, Swerdloff, D, Sadeghi-Nejad, H, Andrianne, R, Sempels, M, Hsieh, TC, Hatzichristodoulou, G, Hammad, M, Miller, J, Osmonov, D, Lentz, A, Perito, P, Suarez-Sarmiento, A, Hotaling, J, Gross, K, Jones, JM, van Renterghem, K, Park, SH, Nicholas Warner, J, Ziegelmann, M, Modgil, V, Jones, A, Pearce, I, Gross, MS, Yafi, FA & Simhan, J 2023, 'Single Dilation in Primary Inflatable Penile Prosthesis Placement Is Associated With Fewer Corporal Complications Than Sequential Dilation', Urology, vol. 181, pp. 150-154. https://doi.org/10.1016/j.urology.2023.06.037

TY - JOUR

T1 - Single Dilation in Primary Inflatable Penile Prosthesis Placement Is Associated With Fewer Corporal Complications Than Sequential Dilation

AU - Chang, Chrystal

AU - Barham, David W.

AU - Dalimov, Zafardjan

AU - Swerdloff, Daniel

AU - Sadeghi-Nejad, Hossein

AU - Andrianne, Robert

AU - Sempels, Maxime

AU - Hsieh, Tung Chin

AU - Hatzichristodoulou, Georgios

AU - Hammad, Muhammed

AU - Miller, Jake

AU - Osmonov, Daniar

AU - Lentz, Aaron

AU - Perito, Paul

AU - Suarez-Sarmiento, Alfredo

AU - Hotaling, James

AU - Gross, Kelli

AU - Jones, James M.

AU - van Renterghem, Koenraad

AU - Park, Sung Hun

AU - Nicholas Warner, J.

AU - Ziegelmann, Matthew

AU - Modgil, Vaibhav

AU - Jones, Adam

AU - Pearce, Ian

AU - Gross, Martin S.

AU - Yafi, Faysal A.

AU - Simhan, Jay

PY - 2023/11

Y1 - 2023/11

N2 - Objective: To assess the difference in outcomes between single dilation (SingD) and sequential dilation (SeqD) in primary penile implantation, hypothesizing that patients who undergo SeqD had higher rates of noninfectious complications. Methods: We performed a multicenter, retrospective study of men undergoing primary inflatable penile prosthesis placement. Intraoperative complications and postoperative noninfectious outcomes were assessed between the two groups. Multivariable analysis was performed to identify predictors of complications. Results: A total of 3293 patients met inclusion criteria. After matching, there were 379 patients who underwent SingD and 379 patients who underwent SeqD. There was no significant difference in intraoperative complications between patients who underwent SingD vs SeqD, nor was there any difference in cylinder length (20 cm with interquartile range [IQR] 18-21 cm vs 20 cm with IQR 18-20 cm respectively, P = .4). On multivariable analysis, SeqD (OR 5.23 with IQR 2.74-10, P < .001) and older age (OR 1.04 with IQR 1.01-1.06, P = .007) were predictive of postoperative noninfectious complications. There was no significant difference in intraoperative complications between patients who underwent SingD vs SeqD, nor was there any difference in cylinder length. SeqD and older age were predictive of postoperative noninfectious complications. Conclusion: During inflatable penile prosthesis placement in the uncomplicated patient without fibrosis, SingD is a safe technique to utilize during implantation that will minimize postoperative adverse events, and promote device longevity without loss of cylinder length.

AB - Objective: To assess the difference in outcomes between single dilation (SingD) and sequential dilation (SeqD) in primary penile implantation, hypothesizing that patients who undergo SeqD had higher rates of noninfectious complications. Methods: We performed a multicenter, retrospective study of men undergoing primary inflatable penile prosthesis placement. Intraoperative complications and postoperative noninfectious outcomes were assessed between the two groups. Multivariable analysis was performed to identify predictors of complications. Results: A total of 3293 patients met inclusion criteria. After matching, there were 379 patients who underwent SingD and 379 patients who underwent SeqD. There was no significant difference in intraoperative complications between patients who underwent SingD vs SeqD, nor was there any difference in cylinder length (20 cm with interquartile range [IQR] 18-21 cm vs 20 cm with IQR 18-20 cm respectively, P = .4). On multivariable analysis, SeqD (OR 5.23 with IQR 2.74-10, P < .001) and older age (OR 1.04 with IQR 1.01-1.06, P = .007) were predictive of postoperative noninfectious complications. There was no significant difference in intraoperative complications between patients who underwent SingD vs SeqD, nor was there any difference in cylinder length. SeqD and older age were predictive of postoperative noninfectious complications. Conclusion: During inflatable penile prosthesis placement in the uncomplicated patient without fibrosis, SingD is a safe technique to utilize during implantation that will minimize postoperative adverse events, and promote device longevity without loss of cylinder length.

KW - Dilatation

KW - Erectile Dysfunction/etiology

KW - Humans

KW - Intraoperative Complications/etiology

KW - Male

KW - Penile Implantation/adverse effects

KW - Penile Prosthesis/adverse effects

KW - Postoperative Complications/epidemiology

KW - Retrospective Studies

UR - https://www.scopus.com/pages/publications/85171686036

U2 - 10.1016/j.urology.2023.06.037

DO - 10.1016/j.urology.2023.06.037

M3 - Article

C2 - 37574145

AN - SCOPUS:85171686036

SN - 0090-4295

VL - 181

SP - 150

EP - 154

JO - Urology

JF - Urology

ER -

Single Dilation in Primary Inflatable Penile Prosthesis Placement Is Associated With Fewer Corporal Complications Than Sequential Dilation

Abstract

Keywords

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