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Postoperative vacuum therapy following AMS™ LGX 700® inflatable penile prosthesis placement: penile dimension outcomes and overall satisfaction

International Journal of Impotence Research volume 32, pages 133–139 (2020)Cite this article

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Abstract

Penile shortening after inflatable penile prosthesis for erectile dysfunction is a common postoperative patient complaint and can reduce overall satisfaction with the procedure. In this prospective study we report our results regarding penile dimensions and patient satisfaction outcomes after 1 year of follow-up from AMS™LGX700® penile prosthesis implant with 6 months of vacuum erectile device therapy. Seventy-four selected patients with medically refractory erectile dysfunction underwent AMS™ LGX 700® IPP placement. Postoperatively, patients were assigned vacuum device therapy for 5 min twice daily. Follow-up continued for 1 year after surgery. Dimensional and functional results were assessed. Baseline median preoperative stretched penile length and girth were 14 cm (range 10–17) and 9 cm (range 7–12), respectively. At the end of the study penile median dimensional outcomes were 17 cm (range 13–23) for length and 11 cm (range 10–13) for girth while a median number of 24 pumps (range 18–29) to fully inflate the device was seen. Baseline median International Index of Erectile Function (IIEF-5) score was 9 (range 5–11), at 6 months 20 (range 18–26) and at 1 year was 25 (range 20–27) (p < 0.0001). Median Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) score at the end of the follow-up was 74 (range 66–78). Our postoperative rehabilitation program is feasible and should be recommended after prothesis surgery in order to increase overall satisfaction with the procedure. Penile postoperative dimensional outcomes were statistically significant improved and complications were negligible.

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References

  1. NIH, C.D.P.o.I. NIH Consensus Conference. Impotence. JAMA. 1993;270:83.

    Article  Google Scholar 

  2. Bettocchi C, Palumbo F, Spilotros M, Lucarelli G, Palazzo S, Battaglia M, et al. Patient and partner satisfaction after AMS inflatable penile prosthesis implant. J Sex Med. 2010;7(1 Pt 1):304–9.

    Article  Google Scholar 

  3. Gonzalez-Cadavid NF. Mechanisms of penile fibrosis. Sex Med. 2009;6(Suppl 3):353–62.

    Article  Google Scholar 

  4. Furlow WL, Goldwasser B, Gundian JC. Implantation of model AMS 700 penile prosthesis: long-term results. J Urol. 1988 Apr;139:741–2.

    Article  CAS  Google Scholar 

  5. Deveci S, Martin D, Parker M, Mulhall JP. Penile length alterations following penile prosthesis surgery. Eur Urol. 2007 Apr;51:1128–31.

    Article  Google Scholar 

  6. Dillon BE, Chama NB, Honig SC. Penile size and penile enlargement surgery: a review. Int J Impot Res. 2008;20:519–29.

    Article  CAS  Google Scholar 

  7. Egydio PH, Kuehhas FE. Penile lengthening and widening without grafting according to a modified ‘sliding’ technique. BJU Int. 2015;116:965–72.

    Article  CAS  Google Scholar 

  8. Chung PH, Siegel JA, Tausch TJ, Klein AK, Scott JM, Morey AF. Inflatable penile prosthesis as tissue expander: what is the evidence? Int Braz J Urol. 2017;43:911–6.

    Article  Google Scholar 

  9. Gontero P, Di Marco M, Giubilei G, Bartoletti R, Pappagallo G, Tizzani A, et al. Use of penile extender device in the treatment of penile curvature as a result of Peyronie’s disease. Results of a phase II prospective study. J Sex Med. 2009;6:558–66.

    Article  Google Scholar 

  10. Gontero P, Di Marco M, Giubilei G, Bartoletti R, Pappagallo G, Tizzani A, et al. A pilot phase-II prospective study to test the “efficacy” and tolerability of a penile-extender device in the treatment of “short penis. BJU Int. 2009;103:793–7.

    Article  Google Scholar 

  11. Levine LA, Newell M, Taylor FL. Penile traction therapy for treatment of Peyronie’s disease: a single-center pilot study. J Sex Med. 2008;5:1468–73.

    Article  Google Scholar 

  12. Antonini G, De Berardinis E, Del Giudice F, Busetto GM, Lauretti S, Fragas R, et al. Inflatable penile prosthesis placement, scratch technique and postoperative vacuum therapy as a combined approach to definitive treatment of Peyronie’s disease. J Urol. 2018;200:642–7.

    Article  Google Scholar 

  13. Antonini G, Busetto GM, De Berardinis E, Giovannone R, Vicini P, Del Giudice F, et al. Minimally invasive infrapubic inflatable penile prosthesis implant for erectile dysfunction: evaluation of efficacy, satisfaction profile and complications. Int J Impot Res. 2016;28:4–8.

    Article  CAS  Google Scholar 

  14. Rosen RC, Riley A, Wagner G, Osterloh IH, Kirkpatrick J, Mishra A, et al. The international index of erectile function (IIEF): a multidimensional scale for assessment of erectile dysfunction. Urology. 1997;49:822–30.

    Article  CAS  Google Scholar 

  15. Pisano F, Falcone M, Abbona A, Oderda M, Soria F, Peraldo F, et al. The importance of psychosexual counselling in the re-establishment of organic and erotic functions after penile prosthesis implantation. Int J Impot Res. 2015;27:197–200.

    Article  CAS  Google Scholar 

  16. Althof SE, Corty EW, Levine SB, Levine F, Burnett AL, McVary K, et al. EDITS: development of questionnaires for evaluating satisfaction with treatments for erectile dysfunction. Urology. 1999;53:793–9.

    Article  CAS  Google Scholar 

  17. Antonini G, Busetto GM, Del Giudice F, Ferro M, Chung BI, Conti SL, et al. Distal corporal anchoring stitch: a technique to address distal corporal crossovers and impending lateral extrusions of a penile prosthesis. J Sex Med. 2017;14:767–73.

    Article  Google Scholar 

  18. Hellstrom WJ, Montague DK, Moncada I, Carson C, Minhas S, Faria G, et al. Implants, mechanical devices, and vascular surgery for erectile dysfunction. J Sex Med. 2010;7(1 Pt 2):501–23.

    Article  Google Scholar 

  19. Montague DK. Penile prosthesis implantation in the era of medical treatment for erectile dysfunction. Urol Clin North Am. 2011;38:217–25.

    Article  Google Scholar 

  20. Falcone M, Rolle L, Ceruti C, Timpano M, Sedigh O, Preto M, et al. Prospective analysis of the surgical outcomes and patients’ satisfaction rate after the AMS Spectra penile prosthesis implantation. Urology. 2013;82:373–6.

    Article  Google Scholar 

  21. Akin-Olugbade O, Parker M, Guhring P, Mulhall J. Determinants of patients satisfaction following penile prosthesis surgery. 16 J Sex Med. 2006;3:743–8.

    Article  Google Scholar 

  22. Levine LA, Becher EF, Bella AJ, Brant WO, Kohler TS, Martinez-Salamanca JI, et al. Penile prosthesis surgery: current recommendations from the international consultation on sexual medicine. J Sex Med. 2016;13:489–518.

    Article  Google Scholar 

  23. Wang R, Howard GE, Hoang A, Yuan JH, Lin HC, Dai YT. Prospective and long-term evaluation of erect penile length obtained with inflatable penile prosthesis to that induced by intracavernosal injection. Asian J Androl. 2009;11:411–5.

    Article  Google Scholar 

  24. Osterberg EC, Maganty A, Ramasamy R, Eid JF. Pharmacologically induced erect penile length and stretched penile length are both good predictors of post-inflatable prosthesis penile length. Int J Impot Res. 2014;26:128–31.

    Article  CAS  Google Scholar 

  25. Wallen JJ, Barrera EV, Ge L, Pastuszak AW, Carrion RE, Perito PE, et al. Biomechanical comparison of inflatable penile implants: a cadaveric pilot study. J Sex Med. 2018;15:1034–40.

    Article  Google Scholar 

  26. Negro CL, Paradiso M, Rocca A, Bardari F. Implantation of AMS 700 LGX penile prosthesis preserves penile length without the need for penile lengthening procedures. Asian J Androl. 2016;18:114–7.

    Article  CAS  Google Scholar 

  27. Henry GD, Carrion R, Jennermann C, Wang R. Prospective evaluation of postoperative penile rehabilitation: penile length/girth maintenance 1 year following Coloplast Titan inflatable penile prosthesis. J Sex Med. 2015;12:1298–304.

    Article  Google Scholar 

  28. Sellers T, Dineen M, Salem EA, Wilson SK. Vacuum preparation, optimization of cylinder length and postoperative daily inflation reduces complaints of shortened penile length following implantation of inflatable penile prosthesis. Adv Sex Med. 2013;3:14–18.

    Article  Google Scholar 

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Author notes

  1. These authors contributed equally: Gabriele Antonini, Ettore De Berardinis

  2. These authors contributed equally: Martin S. Gross, Paul E. Perito

Authors and Affiliations

  1. Department of Urology, Sapienza Rome University, Policlinico Umberto I, Viale del Policlinico 155, Rome, 00161, Italy

    Gabriele Antonini, Ettore De Berardinis, Gian Maria Busetto & Francesco Del Giudice

  2. Biostatistical Unit, IRCSS, Regina Elena National Cancer Institute, Via Elio Chianesi, 53, 00144, Roma, Italy

    Benjamin I. Chung & Isabella Sperduti

  3. Department of Urology, Stanford University Medical Center, 300 Pasteur Dr, Palo Alto, CA, 94304, USA

    Simon L. Conti

  4. Division of Urology, European Institute of Oncology, Via Giuseppe Ripamonti, 435, 20141, Milan, Italy

    Matteo Ferro, Gennaro Musi & Ottavio De Cobelli

  5. Clinica Central Cira Garcia, Ave. Lazaro e/ 18y 20, Pya, La, Cárdenas, La Habana, Cuba

    Ramiro Fragas

  6. Section of Urology, Dartmouth-Hitchcock Medical Center, 1 Medical Center Dr, Lebanon, NH, 03766, USA

    Martin S. Gross

  7. Department of Urology, Coral Gables Hospital, 3100 Douglas Rd, Coral Gables, FL, 33134, USA

    Paul E. Perito

Authors
  1. Gabriele Antonini
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  2. Ettore De Berardinis
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  3. Gian Maria Busetto
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  4. Francesco Del Giudice
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  5. Benjamin I. Chung
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  6. Simon L. Conti
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  7. Matteo Ferro
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  8. Gennaro Musi
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  9. Ramiro Fragas
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  10. Ottavio De Cobelli
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  11. Isabella Sperduti
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  12. Martin S. Gross
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  13. Paul E. Perito
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Correspondence to Gabriele Antonini.

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Antonini, G., De Berardinis, E., Busetto, G. et al. Postoperative vacuum therapy following AMS™ LGX 700® inflatable penile prosthesis placement: penile dimension outcomes and overall satisfaction. Int J Impot Res 32, 133–139 (2020). https://doi.org/10.1038/s41443-019-0125-z

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