Our Summary
This research paper is about a study on performing surgeries to implant a penile prosthesis (PP), a device used to treat erectile dysfunction, in an outpatient setting instead of hospitalization. The researchers reviewed numerous scientific articles and studies to compare the results of outpatient and inpatient PP surgeries.
They found no significant difference in the type of device used, the surgical approach, the location of the device reservoir, or the rate of complications between the two methods. Outpatient surgeries were less expensive and had high patient satisfaction rates. They also provided good pain management.
In simpler terms, the study found that men can have this surgery in an outpatient setting (where they go home the same day) with similar results to staying in the hospital. This could save money and make the process more efficient. This research could encourage more doctors to consider outpatient surgery for PP implants.
FAQs
- Is there any significant difference in complication rates between outpatient and inpatient penile implant surgeries?
- Can penile implant surgeries be performed as outpatient procedures without compromising on patient satisfaction and pain management?
- Does the study suggest that outpatient surgeries for penile implants could be a more cost-effective option?
Doctor’s Tip
One helpful tip a doctor might tell a patient about penile implant surgery is to follow all post-operative instructions carefully to ensure a successful recovery. This may include taking prescribed medications, avoiding strenuous activities, and attending follow-up appointments to monitor progress. It is important to communicate any concerns or questions with your healthcare provider to address any issues promptly.
Suitable For
Patients who are typically recommended penile implant surgery are those who have tried other treatments for erectile dysfunction, such as medications or vacuum erection devices, with little to no success. Candidates for penile implant surgery may include men with severe erectile dysfunction that does not respond to other treatments, as well as those with certain medical conditions that make other treatments ineffective or unsafe.
Additionally, patients who have had prostate cancer treatment, such as surgery or radiation, and are experiencing erectile dysfunction as a result, may also be recommended for penile implant surgery. Men with Peyronie’s disease, a condition characterized by the development of scar tissue in the penis that causes curvature, pain, and erectile dysfunction, may also benefit from penile implant surgery.
Ultimately, the decision to undergo penile implant surgery is made on a case-by-case basis, taking into consideration the individual patient’s medical history, overall health, and preferences. It is important for patients to discuss their treatment options with a urologist or other healthcare provider to determine if penile implant surgery is the right choice for them.
Timeline
Before penile implant surgery, a patient typically undergoes a consultation with a urologist to discuss the procedure and determine if they are a candidate for the surgery. They may also undergo pre-operative tests and evaluations to ensure they are healthy enough for the surgery.
On the day of the surgery, the patient will arrive at the outpatient surgical center and go through the pre-operative preparation process. The surgery itself typically takes about 1-2 hours and is performed under general anesthesia. After the surgery, the patient will be monitored in the recovery room before being discharged to go home.
Post-surgery, the patient will need to follow specific care instructions provided by their healthcare provider, which may include wearing a compression garment, taking prescribed medications, and avoiding strenuous activities for a certain period of time. Follow-up appointments will be scheduled to monitor the healing process and address any concerns or complications that may arise.
Overall, the patient can expect to experience some discomfort and swelling in the days following the surgery, but these symptoms should improve over time. With proper care and adherence to post-operative instructions, the patient can expect to see improvements in their erectile function and quality of life following penile implant surgery.
What to Ask Your Doctor
- What are the potential risks and complications associated with penile implant surgery?
- How long is the recovery process and what should I expect during this time?
- Will I still be able to achieve natural erections after getting a penile implant?
- How long will the penile implant last and will I need any additional surgeries in the future?
- What type of anesthesia will be used during the surgery and how will it affect me?
- What is the success rate of penile implant surgery and what are the factors that could affect the outcome?
- Will I need to make any lifestyle changes or adjustments after getting a penile implant?
- How soon after the surgery can I resume sexual activity?
- Are there any alternative treatments to penile implant surgery that I should consider?
- How experienced are you in performing penile implant surgeries and what is your success rate with this procedure?
Reference
Authors: Torremadé J, Presa M, Gorría Ó, de Burgos R, Oyagüez I, Lledó E. Journal: Actas Urol Esp (Engl Ed). 2023 Jul-Aug;47(6):341-350. doi: 10.1016/j.acuroe.2022.08.019. Epub 2022 Aug 10. PMID: 36319559