Surgical outcomes and complications of Tube® (Promedon) malleable penile prostheses in diabetic versus non-diabetic patients with erectile dysfunction
| Autor: | Wael Gamal, Ahmed Hammady, Ahmed Riad, Elnisr Rashed Mohamed, Hazem Mohamed Elmogazy, Ahmed Mamdouh Elsharkawi, Mohamed Mostafa Hussien, Mohamed Zaki Eldahshoury |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Urology medicine.medical_treatment 030232 urology & nephrology PGE1 - Prostaglandin E1 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Refractory Diabetes mellitus DM diabetes mellitus medicine Erectile dysfunction Prostaglandin E1 ED erectile dysfunction Diabetic patients DM - Diabetes mellitus PDE5I phosphodiesterase type 5 inhibitor Outcome NO nitric oxide business.industry US ultrasonography Penile prosthesis Malleable prostheses medicine.disease Surgery chemistry 030220 oncology & carcinogenesis cGMP cyclic guanosine monophosphate Original Article PGE1 prostaglandin E1 business Non diabetic |
| Zdroj: | Arab Journal of Urology |
| ISSN: | 2090-598X |
| DOI: | 10.1016/j.aju.2016.07.002 |
| Popis: | 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: | OpenAIRE |
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