Alonso-Isa Manuel, García-Rojo Esther, Peña-Vallejo Elena, García-Gómez Borja, Medina-Polo José, Romero-Otero Javier

(204) ABDOMINOPLASTY AND PENILE PROSTHESIS IMPLANT: A NEW STANDARD APPROACH FOR OBESE PATIENTS?

  • Urology
  • Reproductive Medicine
  • Endocrinology
  • Endocrinology, Diabetes and Metabolism
  • Psychiatry and Mental health
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Abstract Objectives One-third of adult men are obese and profound sexual dysfunction is quite common in this population. A penile prosthesis implant (PPI) has been proven to be an effective option for patients that do not respond to non-surgical treatments. Together with an abdominoplasty, it could be an alternative treatment in obese patients to improve satisfaction and facilitate sexual intercourse. For us, this is the new gold standard. Methods We retrospectively reviewed 15 patients from 2016 to 2022 who underwent an abdominoplasty and PPI. Demographic, comorbidities, type of PPI, the perform of other additional techniques, surgery time, complications, and other relevant variables were recorded for analysis. Results All patients were obese with erectile dysfunction and 8 suffered from diabetes. 10 inflatable penile prostheses and 5 malleable ones were implanted. Only one device had to be removed due to a prosthesis infection. The mean surgery time was 97 minutes. The mean hospital stay was 3.6 days after surgery. A significant increase in postoperative penile length of 2.8 cm (1.3-4.2cm) and reasonable satisfaction rates (85% in Erectile Dysfunction Inventory of Treatment Satisfaction, EDITS) were achieved. Conclusions Abdominoplasty is a safe and reproducible technique that can be performed simultaneously with the placement of a penile prosthesis in selected patients. It is possible to combine it with other surgical techniques. Patients must always be counseled on the expectations and the risk of postoperative complications. However, due to the excellent postoperative results and patient satisfaction, it is the new gold standard for this kind of patient for us. Conflicts of Interest The authors have no potential conflict of interest to report.

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