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Analysis of the effects of different surgical approaches on corporotomy localization in inflatable penile implant surgery performed by expert implant surgeons

International Journal of Impotence Research volume 35, pages 539–543 (2023)Cite this article

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Abstract

Inflatable penile prostheses may be a solution for patients with erectile dysfunction. To our knowledge, no data exist regarding the effect of different surgical approaches used during implantation on the site of the corporotomy. The main purpose of this multicentre study was to investigate the influence of different surgical approaches on the corporotomy site.

Data were collected from six expert implant surgeons. Surgical notes were searched for the incision site, proximal, distal and total corporal length measurement, total cylinder length, length of rear tip extenders, surgery time, type of implant, and reservoir placement. The association between the proximal/distal corporal length and the recorded covariates was examined using a linear mixed model.

A total of 1757 patients who underwent virgin prosthesis implantation were included in the analysis. Analysis of proximal/distal measurements was performed on 1709 patients. The proximal/distal ratio had a mean of 0.8 ± 0.3 in penoscrotal incisions (n = 391), 0.7 ± 0.2 in infrapubic incisions (n = 832) and 0.7 ± 0.2 in subcoronal (n = 486) incisions. We observed no significant differences in proximal/distal measurements between the highest-volume surgeons.

We could not draw a firm conclusion about the difference in corporotomy site between different surgical approaches, but we found no significant difference between the highest-volume surgeons using different techniques.

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Fig. 1: Box plot of proximal/distal length by surgeon and incision technique.
Fig. 2: Box plot of total length by surgeon and incision technique.

Data availability

The datasets generated during and analysed during the current study are available from the corresponding author on reasonable request.

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Author information

Author notes

  1. These authors contributed equally: Lauwers N. L., Van Renterghem K.

Authors and Affiliations

  1. University of Leuven, Department of Urology, Leuven, Belgium

    N. L. Lauwers & K. Van Renterghem

  2. University of Hasselt, Hasselt, Belgium

    K. Van Renterghem

  3. Jessa Hospital, Department of Urology, Hasselt, Belgium

    K. Van Renterghem

  4. University Medical Center Schleswig-Holstein, Campus Kiel, Department of Urology, Kiel, Germany

    D. Osmonov

  5. Perito Urology, Department of Urology, Miami, United States of America

    A. Suarez-Sarmiento & P. Perito

  6. Sewum Prosthetic Urology Center of Excellence, Seoul, South Korea

    S. Park

  7. Le Centre Hospitalier Universitaire de Liège, Department of Urology, Liege, Belgium

    R. Andrianne

  8. University College Hospital, Department of Urology, London, United Kingdom

    D. Ralph

  9. Aristotle University of Thessaloniki, Department of Urology, Thessaloniki, Greece

    I. Mykoniatis

Authors
  1. N. L. Lauwers
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  2. K. Van Renterghem
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  3. D. Osmonov
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  4. A. Suarez-Sarmiento
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  5. P. Perito
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  6. S. Park
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  7. R. Andrianne
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  8. D. Ralph
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Contributions

NL: Corresponding author responsible for acquiring data, writing and submission of the manuscript and revisions. KVRG: Corresponding author who designed the work that led to the submission and played an important role in interpreting the results. Revised the manuscript. Approved the final version. DO: Acquired data. Revised the manuscript. AS: Acquired data. Revised the manuscript. PP: Acquired data. Revised the manuscript. PS: Acquired data. Revised the manuscript. RA: Acquired data. Revised the manuscript. RD: Acquired data. Revised the manuscript. IM: Revised the manuscript. Approved the final version.

Corresponding authors

Correspondence to N. L. Lauwers or K. Van Renterghem.

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Lauwers, N.L., Van Renterghem, K., Osmonov, D. et al. Analysis of the effects of different surgical approaches on corporotomy localization in inflatable penile implant surgery performed by expert implant surgeons. Int J Impot Res 35, 539–543 (2023). https://doi.org/10.1038/s41443-022-00593-1

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  • DOI: https://doi.org/10.1038/s41443-022-00593-1

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