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publication name MALLEABLE PENILE IMPLANT IS AN EFFECTIVE THERAPEUTIC OPTION IN MEN WITH PEYRONIE’S DISEASE AND ERECTILE DYSFUNCTION
Authors Tarek Soliman
year 2017
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journal
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Abstract

Background: Inflatable penile prosthesis (IPP) is typically the preferred implant in Peyronie’s disease (PD) and malleable penile implants (MPP) have been discouraged. Objectives: We aimed to evaluate the effectiveness and patient satisfaction of MPP compared to IPP in patients with PD. Design, Setting, and Participants: Men with PD and erectile dysfunction(ED) who elected for penile implant surgery constituted the study population. Preoperatively, demographic and comorbidity parameters were recorded. Curvature was measured with a goniometer at maximum rigidity after intracavernosal vasoactive agent injection(ICI). Postoperatively, overall satisfaction was measured at 3,6,12 and 24 months on 5-point Likert scale from 1(dissatisfied) to 5 (very satisfied). Outcome Measurements and Statistical Analysis : 166 men with a mean age of 59±10 years were analyzed. The mean preoperative curvature in the entire cohort was 65 (30-130) degrees. 94% of MPP patients had total resolution of their curvature at end of operation, while 8 patients (6%) had residual curvature (25-40 degrees).In IPP group(25/30; 83.3%) had straight penis at the end of surgery while (5/30; 16.7%) still have residual curvature, with the mean magnitude being 33 degrees in MPP and 30 degrees in IPP groups. Results:86% of all patients were diabetic. There were no differences between the 2 implant groups in age, HbA1c, BMI or smoking status.The mean patient satisfaction was 4.42±0.70 (range = 2-5) and there was no difference between the two groups. The mean follow up period was 23.4 months (6-29 months). Limitations: Relatively small number IPP and non-randomized study. Conclusion: We have shown that MPP is as effective as IPP in curvature correction in PD patients with similar patient satisfaction for both groups.

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