Outcomes of and Satisfaction with the Inflatable Penile Prosthesis in the Elderly Male

الملخص EN

Objective.

To determine the outcomes of and satisfaction with the multi-component inflatable penile prosthesis (IPP) in the elderly male (age >71).

Methods.

Using a chart review and telephone survey, we retrospectively assessed patients who underwent IPP or combined IPP/artificial urinary sphincter (AUS) from 2004–2006.

Results.

We identified 56 patients that underwent IPP (48) or IPP/AUS (8).

The age range was 71–86 (mean 74.3) at the time of surgery, with a follow-up range of 0.5–2.4 years (mean 1.5).

The overall complication rate was 3.8% (2 of 56) with one device removed for infection and a second patient requiring exploration for a postoperative hematoma.

The telephone interview was conducted with 35 of 56 patients.

Patients rated ease of use (a scale from 1–5, 5 meaning very easy) and overall satisfaction (a scale of 1–5, 5 meaning very satisfied) at an average of 4.1 and 4.3, respectively.

IPP usage varied from 0–7 times per month (mean 3.3).

32 of 35 patients (91%) said they would undergo the procedure again.

Conclusion.

Our review demonstrates that the IPP is well tolerated in the elderly male population, who report a high degree of satisfaction and ease of use with this device.