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Inflatable penile prosthesis implantation in the outpatient setting is safe and feasible: a prospective, singe center study

International Journal of Impotence Research (2024)Cite this article

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Abstract

Inflatable penile prosthesis (IPP) implantations are commonly performed in hospital settings which accommodate an overnight stay and are increasingly being performed as day procedures in outpatient settings with same-day discharge. This study sought to investigate the safety and feasibility of day surgery insertion of an IPP. Surgical parameters and incidence of postoperative complications including infection, hospital admission, emergency room visitation, and additional analgesia were investigated. This prospective study included all adult patients undergoing day surgery insertion of an IPP at an ambulatory surgical center classified as ASA 1-3, between February 2023 and April 2024. All procedures were performed via infrapubic approach under spinal anesthesia or deep sedation with local anesthesia. 52 patients were enrolled with a mean age of 62.5 ± 3.1 [43-79] years. All procedures were performed successfully with no intra-operative complications. The mean surgery duration was 65.2 ± 17.9 [35-130] minutes. The mean recovery time was 115.9 ± 58.2 [50-323] minutes. No patients required hospital admission or had acquired a post-operative infection. One patient required emergency room visitation, which was unrelated to the surgery. 5.9% (n = 3) of patients required additional postoperative analgesia. Our results demonstrate the safety and feasibility of performing an IPP implantation in an outpatient setting.

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Fig. 1: Number of individuals at each stage of study as per STROBE guidelines.

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The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.

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Author notes

  1. These authors contributed equally: Maximilian G. Fidel, Jainik Shah.

Authors and Affiliations

  1. Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada

    Maximilian G. Fidel, Jainik Shah, Dhiraj S. Bal, Connor Roque & Yool Ko

  2. Men’s Health Clinic Manitoba, Winnipeg, MB, Canada

    Harliv Dhillon, Robert Bard, Jasmir G. Nayak & Premal Patel

  3. Department of Anesthesia, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada

    Alagarsamy Pandian

  4. Section of Urology, Department of Surgery, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada

    Jasmir G. Nayak & Premal Patel

Authors
  1. Maximilian G. Fidel
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  2. Jainik Shah
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  3. Dhiraj S. Bal
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  4. Connor Roque
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  5. Yool Ko
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  6. Harliv Dhillon
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  7. Robert Bard
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  8. Alagarsamy Pandian
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  9. Jasmir G. Nayak
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  10. Premal Patel
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Contributions

Fidel: Study development, data collection, data analysis, manuscript preparation, manuscript editing Shah: Data collection, data analysis, manuscript preparation, manuscript editing Bal: Manuscript preparation, manuscript editing Roque: Manuscript preparation, manuscript editing Ko: Manuscript editing Dhillon: Data collection, data analysis Bard: Operating surgeon Pandian: Anesthesiologist, manuscript preparation, manuscript editing Nayak: Operating surgeon Patel: Study development, operating surgeon, manuscript preparation, manuscript editing.

Corresponding author

Correspondence to Premal Patel.

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Competing interests

The authors declare no competing interests.

Ethics

All methods were performed in accordance with the pertinent guidelines and regulations according to the Tri-council Policy Statement: Ethical Conduct for Research Involving Humans and the University of Manitoba Health Research Ethics Board. This study was approved by the University of Manitoba’s Health and Research Ethics Board (HS26331). A wavier of consent was sought and approved by the University of Manitoba’s Health and Research Ethics Board in accordance to the Tri-council Policy Statement.

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Fidel, M.G., Shah, J., Bal, D.S. et al. Inflatable penile prosthesis implantation in the outpatient setting is safe and feasible: a prospective, singe center study. Int J Impot Res (2024). https://doi.org/10.1038/s41443-024-01004-3

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  • DOI: https://doi.org/10.1038/s41443-024-01004-3

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