Pd32-10 Body Mass Index and Complication Profiles in Patients Undergoing Inflatable Penile Prosthesis Placement: A Large Multi-Institutional Study

You have accessJournal of UrologySexual Function/Dysfunction: Evaluation II (PD32)1 May 2024PD32-10 BODY MASS INDEX AND COMPLICATION PROFILES IN PATIENTS UNDERGOING INFLATABLE PENILE PROSTHESIS PLACEMENT: A LARGE MULTI-INSTITUTIONAL STUDY Muhammed A. Moukhtar Hammad, Martin S. Gross, Jake Miller, Robert Andrianne, Arthur L. Burnett, Eliad W. Amini, Kelli Gross, Georgios Hatzicrhistodoulou, Aaron Lentz, Daniar Osmonov, Vaibhav Modgil, Paul Perito, Jim Hotaling, Sung Hun Park, Ian Pearce, Hossein Sadeghi-Nejad, Maxime Sempels, Alfredo Suarez-Sarmiento, Koenraad van Renterghem, J. Nicholas Warner, Matthew Ziegelmann, Tung-Chin Hsieh, Babak Azad, Hridhay Karthikeyan, Lawrence C. Jenkins, James M. Jones, Jay Simhan, Faysal A. Yafi, and David W. Barham Muhammed A. Moukhtar HammadMuhammed A. Moukhtar Hammad , Martin S. GrossMartin S. Gross , Jake MillerJake Miller , Robert AndrianneRobert Andrianne , Arthur L. BurnettArthur L. Burnett , Eliad W. AminiEliad W. Amini , Kelli GrossKelli Gross , Georgios HatzicrhistodoulouGeorgios Hatzicrhistodoulou , Aaron LentzAaron Lentz , Daniar OsmonovDaniar Osmonov , Vaibhav ModgilVaibhav Modgil , Paul PeritoPaul Perito , Jim HotalingJim Hotaling , Sung Hun ParkSung Hun Park , Ian PearceIan Pearce , Hossein Sadeghi-NejadHossein Sadeghi-Nejad , Maxime SempelsMaxime Sempels , Alfredo Suarez-SarmientoAlfredo Suarez-Sarmiento , Koenraad van RenterghemKoenraad van Renterghem , J. Nicholas WarnerJ. Nicholas Warner , Matthew ZiegelmannMatthew Ziegelmann , Tung-Chin HsiehTung-Chin Hsieh , Babak AzadBabak Azad , Hridhay KarthikeyanHridhay Karthikeyan , Lawrence C. JenkinsLawrence C. Jenkins , James M. JonesJames M. Jones , Jay SimhanJay Simhan , Faysal A. YafiFaysal A. Yafi , and David W. BarhamDavid W. Barham View All Author Informationhttps://doi.org/10.1097/01.JU.0001009364.27111.54.10AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Obesity, defined as an elevated Body Mass Index (BMI) >30, is a prevalent public health concern with far-reaching implications for various medical procedures and outcomes. In the context of inflatable penile prosthesis placement (IPP), where patient well-being and surgical success are of paramount importance, the impact of obesity on postoperative and intraoperative complications warrants thorough investigation. This study aimed to investigate the impact of BMI on both postoperative and intraoperative complications in an international, multi-institutional cohort of patients who underwent IPP placement. METHODS: We performed a retrospective chart review of 4,398 cases. These cases were divided into two distinct groups based on BMI: less than 30 (n=2,260) and greater than or equal to 30 (n=2,138). The study assessed various surgical factors as well as complications, including overall complications, corporal scarring, incontinence, intraoperative complications, proximal perforation, distal perforation, proximal crossover, distal crossover, and urethral injury. RESULTS: Our analysis revealed that there were no statistically significant differences in intraoperative or postoperative complications between the two BMI categories. Notably, proximal corporal measurement was significantly higher for>30 BMI group (9.55+/-2.18) compared to<30 BMI group (9.14+/-2.19), (p=<0.001). The incidence rates for overall complications (30.2% vs. 28.7%; p=0.164), corporal scarring (18.2% vs. 16.7%; p=0.36), incontinence (3.53% vs. 3.13%; p=0.076), intraoperative complications (1.94% vs. 1.68%; p=0.253), and specific complications all exhibited no significant differences. Similarly, post-operative complications, including both non-infectious (6.99% vs. 6.22%; p=0.215) and infectious (2.61% vs. 1.87%; p=0.165) complications, did not significantly vary between BMI categories. CONCLUSIONS: Our findings indicate that BMI does not exert a statistically significant influence on postoperative and intraoperative complications in the context of high-volume prosthetic urology. In the absence of any other differences between patients of differing BMIs, surgeons may need to be mindful of pump tubing length concerns in obese patients. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e707 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Muhammed A. Moukhtar Hammad More articles by this author Martin S. Gross More articles by this author Jake Miller More articles by this author Robert Andrianne More articles by this author Arthur L. Burnett More articles by this author Eliad W. Amini More articles by this author Kelli Gross More articles by this author Georgios Hatzicrhistodoulou More articles by this author Aaron Lentz More articles by this author Daniar Osmonov More articles by this author Vaibhav Modgil More articles by this author Paul Perito More articles by this author Jim Hotaling More articles by this author Sung Hun Park More articles by this author Ian Pearce More articles by this author Hossein Sadeghi-Nejad More articles by this author Maxime Sempels More articles by this author Alfredo Suarez-Sarmiento More articles by this author Koenraad van Renterghem More articles by this author J. Nicholas Warner More articles by this author Matthew Ziegelmann More articles by this author Tung-Chin Hsieh More articles by this author Babak Azad More articles by this author Hridhay Karthikeyan More articles by this author Lawrence C. Jenkins More articles by this author James M. Jones More articles by this author Jay Simhan More articles by this author Faysal A. Yafi More articles by this author David W. Barham More articles by this author Expand All Advertisement PDF downloadLoading ...