Tienza Dr. Antonio, Vega C, Guldris M, Escribano R J, Podadera M A, Pieras A, Brugarolas Dr. Xavier

(161) COMPLICATIONS IN A SMALL VOLUME PENILE PROSTHESIS IMPLANT CENTRE.

  • Urology
  • Reproductive Medicine
  • Endocrinology
  • Endocrinology, Diabetes and Metabolism
  • Psychiatry and Mental health
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Abstract Objectives To assess the complications that have occurred in a small volume centre. Methods The andrology unit started to perform penile prosthesis implant after a programmed organization five years ago, two urologist/andrologist were working together. Prospective data of consecutive patients were included from 2017 to 2021. The following characteristics were collected: date of birth, chronic diseases, year of beginning of (erectile dysfuction) ED and the cause, treatments received, toxic habits, American Society of Anesthesiologist score, height and weight, date of the surgery, type of implant. Complications were collected as local: haematoma, infection; difficulties to learn to use it, limited use of the device. Descriptive analysis: mean and range and percentage. Results 20 male patients were collected. Mean age was 62 years (49-79). By cause of ED: 5 radical pelvic surgery, 3 multifactorial, 2 vascular, 1 diabetes, 1 peyronie disease, 6 unknown, 1 medullary lesion. Seven patients have concomitant peyronie disease. By chronic disease: 14 have hypertension, 8 diabetes, 7 obese, 10 overweight. 12 were activo or ex smokers. 2 were replacements and 18 first-implant surgeries. By type of implant we performed: 3 semirrigid, 7 2-piece and 10 3-piece. Complications: 1 patients died due to previous oncological disease, 1 required to extract the device, 4 peno-escrotal haematoma without requiring drain, 3 reported difficulties to learn how to use it and 9 lack of use. The pandemic period, limited operating room available and reduced budget are the main enemies to increase the volume of implants. Conclusions Few complications were reported in our small volume center. A step period of surgeries and small group of surgeons are the key of the results. Conflicts of Interest None.

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