1671 Vacuum Preparation, Optimization of Cylinder Length and Postoperative Daily Inflation Reduces Complaints of Shortened Penile Length Following Implantation of Inflatable Penile Prosthesis

You have accessJournal of UrologySexual Function/Dysfunction/Andrology: Peyronie Disease + Surgical Therapy1 Apr 20131671 VACUUM PREPARATION, OPTIMIZATION OF CYLINDER LENGTH AND POSTOPERATIVE DAILY INFLATION REDUCES COMPLAINTS OF SHORTENED PENILE LENGTH FOLLOWING IMPLANTATION OF INFLATABLE PENILE PROSTHESIS Tom Sellers, Martin Dineen, Emad Salem, and Steven Wilson Tom SellersTom Sellers Tampa, FL More articles by this author , Martin DineenMartin Dineen Tampa, FL More articles by this author , Emad SalemEmad Salem Zagazig, Egypt More articles by this author , and Steven WilsonSteven Wilson Indio, CA More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.3085AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The inflatable penile prosthesis (IPP) has been used to treat erectile dysfunction for 40 years. Loss of penile length following IPP remains the single biggest patient complaint. We describe a preoperative and postoperative patient preparation protocol to assist in setting realistic patient expectations and decreasing the complaint of reduced penile length. METHODS 750 Patients are instructed to use a vacuum erection device for 10 minutes each day for up to 2 months prior to IPP implant. After two months, maximization of cylinder length is accomplished regardless of IPP manufacturer. Cylinders are left partially inflated in the post-operative period and daily inflation for 3 months immediately upon patient tolerance. The average implanted cylinder length has increased dramatically with the preoperative vacuum usage when compared to the authors' previous implantations and when compared to the national average of implanted cylinders obtained from one manufacturer. RESULTS Preoperative use of the vacuum device has allowed maximization of cylinder length. After the vacuum program, patients tend to experience less pain following implantation allowing earlier device instruction cycling and use. The average implanted cylinder length continued to increase annually for the first 5 years as the protocol evolved and seems to have remained stable for the last five years. CONCLUSIONS Preoperative vacuum usage and postoperative capsule management has nearly eliminated patient complaints of reduced penile length. We believe this to be the result of larger size cylinders being implanted when compared to our previous implantations absent of the patient participation protocol. © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 4SApril 2013Page: e687-e688 Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.MetricsAuthor Information Tom Sellers Tampa, FL More articles by this author Martin Dineen Tampa, FL More articles by this author Emad Salem Zagazig, Egypt More articles by this author Steven Wilson Indio, CA More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...