Surgical outcomes and complications of Tube® (Promedon) malleable penile prostheses in diabetic versus non-diabetic patients with erectile dysfunction.

Autor:	Mohamed ER; Urology Department, Sohag Faculty of Medicine, Sohag University, Sohag, Egypt., Hammady AR; Urology Department, Sohag Faculty of Medicine, Sohag University, Sohag, Egypt., Eldahshoury MZ; Urology Department, Sohag Faculty of Medicine, Sohag University, Sohag, Egypt., Elsharkawi AM; Urology Department, Sohag Faculty of Medicine, Sohag University, Sohag, Egypt., Riad AM; Urology Department, Sohag Faculty of Medicine, Sohag University, Sohag, Egypt., Elmogazy HM; Urology Department, Sohag Faculty of Medicine, Sohag University, Sohag, Egypt., Hussien MM; Urology Department, Sohag Faculty of Medicine, Sohag University, Sohag, Egypt., Gamal WM; Urology Department, Sohag Faculty of Medicine, Sohag University, Sohag, Egypt.
Jazyk:	angličtina
Zdroj:	Arab journal of urology [Arab J Urol] 2016 Aug 25; Vol. 14 (4), pp. 305-311. Date of Electronic Publication: 2016 Aug 25 (Print Publication: 2016).
DOI:	10.1016/j.aju.2016.07.002
Abstrakt:	Objective: To evaluate surgical outcome, complications, and patients satisfaction with the Tube® (Promedon, Cordoba, Argentina) malleable penile prosthesis in diabetic and non-diabetic patients with refractory erectile dysfunction (ED). Patients and Methods: The records of 128 eligible patients who received Tube malleable penile prostheses at our institute between September 2008 and October 2015 were reviewed. Results: Of the 128 patients, who received Tube penile prostheses at our institute, 53 were diabetics and 75 were non-diabetics. Both groups of patients were comparable for mean age, education level, marital status, hospital stay, time to commencing sexual intercourse, and median follow-up. Complications included: inter-corporeal septal perforation (2.3%), glanular urethral injury (1.5%), acute urinary retention (3.9%), superficial wound infection (7%), penile discomfort (9.4%), and penile prostheses infection (5.5%). Moreover, 3.9% developed atrophy of the cavernosal tissue, 5.5% experienced bad cosmesis, 6.3% experienced ejaculatory disorders, and 2.3% developed bladder calculi. In all, 13 prostheses (9.4%) were removed, seven of them due to infection, three on the patients' demand and three due to mechanical failure. The satisfaction rates with the prostheses were 77.3% and 79.4% in the diabetic and non-diabetic patients, respectively; with an overall satisfaction rate of 78.5%. There was no significant difference in the complication rate or prostheses infection between diabetic and non-diabetic patients. Conclusion: Tube malleable penile prostheses are associated with low complication and high satisfaction rates. There was no significant difference in the complication rate or prostheses infection between diabetic and non-diabetic patients. A prospective comparative study with a large number of patients is recommended.
Databáze:	MEDLINE
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