Mp76-08 Trends in Complications From Inflatable Penile Prosthesis: A Population Level Analysis

You have accessJournal of UrologySexual Function/Dysfunction: Surgical Therapy II (MP76)1 May 2024MP76-08 TRENDS IN COMPLICATIONS FROM INFLATABLE PENILE PROSTHESIS: A POPULATION LEVEL ANALYSIS Sarah Neal S. Horne, Charles L. Secrest, John Garza, and Blake Harp Sarah Neal S. HorneSarah Neal S. Horne , Charles L. SecrestCharles L. Secrest , John GarzaJohn Garza , and Blake HarpBlake Harp View All Author Informationhttps://doi.org/10.1097/01.JU.0001009484.98400.42.08AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: As inflatable penile prosthesis (IPP) placement complications have historically proven to engender substantial financial and physical burdens for patients and healthcare organizations, it is important to maintain a current understanding of the landscape of IPP complications and whether the current means of addressing these complications has been an effective way to ameliorate complication rates. Our objective is to determine the characteristics of and trends in IPP complications in a large population to facilitate comprehensive surgical planning in the context of evidence-based medicine. METHODS: A retrospective population-based cohort study was conducted utilizing the Texas Inpatient Public Use Data File for years 2016-2022. ICD-10 codes T8361X, T83410, T83420, and T83490 were used to identify hospitalizations with a diagnosis of an IPP complication. Patient characteristics were summarized using the Deyo modification of the Charlson comorbidities and available demographic information. Negative binomial regression was applied to estimate the annual percentage change (APC) and 95% confidence interval (95% CI) for the number of hospitalizations with IPP complications overall, and for the subcategories of infection, breakdown, displacement, and other mechanical problems. RESULTS: A total of 750 hospitalizations were identified with at least one IPP complication. Hospitalizations with IPP complications were mostly older (69.1% aged ≥65 years) and white (53.1%). The most prevalent comorbidities were diabetes (54.0%), renal disease (27.6%), and congestive heart failure (17.9%). The most common IPP complication was infection (70.5%), followed by other mechanical problems (20.0%). The least common complications were breakdown (9.6%) and displacement (9.6%). The total number of hospitalizations with any IPP complications had an increasing trend (APC 10.9 95% CI 2.6 - 19.9). However, individual categories of IPP complications had statistically insignificant APC. CONCLUSIONS: To our knowledge, this is the first study showing that there has been an increasing trend in IPP complications over an extended period of time utilizing a large state-wide database. As the insertion of an IPP remains the gold-standard for surgical correction of erectile dysfunction after failed conservative measures, these results should urge clinicians to strongly evaluate their current approach to IPP placement. Patients with risk factors for IPP complications need to be optimized prior to surgery with the aim to improve patient outcomes in the context of evidence-based medicine. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e1245 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Sarah Neal S. Horne More articles by this author Charles L. Secrest More articles by this author John Garza More articles by this author Blake Harp More articles by this author Expand All Advertisement PDF downloadLoading ...