title: Immediate sexual rehabilitation by simultaneous placement of penile prosthesis in patients undergoing radical prostatectomy: initial results in 50 patients.
abstract: OBJECTIVE
  To evaluate the results of simultaneous placement of a penile prosthesis with radical prostatectomy.
  
  
  METHODS
  From June 1993 to June 1996, 50 men underwent a combination procedure of non-nerve sparing radical retropubic prostatectomy and placement of a penile prosthesis. We performed a retrospective chart review of these patients, examining patient age, preoperative prostate-specific antigen level, Gleason score, operative time, estimated blood loss, analgesic use, length of hospital stay, time until intercourse, and complications. This group was compared with a group of 72 men undergoing radical prostatectomy alone during the same time interval.
  
  
  RESULTS
  No significant differences were noted in preoperative patient variables. The mean operative time for prosthesis insertion was 82 minutes, and the mean time to sexual intercourse was 12.7 weeks. No prosthesis infections have occurred, with a mean follow-up of 1.7 years. Four men (8%) have required revision of their inflatable penile prosthesis. There were no significant differences between the combination procedure and radical prostatectomy alone with regard to estimated blood loss, length of hospital stay, or analgesic use.
  
  
  CONCLUSIONS
  Simultaneous placement of a penile prosthesis during radical prostatectomy provides early return to sexual function, with no apparent increase in morbidity. Further study will be required to determine the impact of combination surgery on psychosocial adjustment and quality of life.
authors.affiliation: Division of Urology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
authors.forename: K P
authors.initials: KP
authors.lastname: Khoudary
authors.forename: W C
authors.initials: WC
authors.lastname: DeWolf
authors.forename: C O
authors.initials: CO
authors.lastname: Bruning
authors.forename: A
authors.initials: A
authors.lastname: Morgentaler
mesh_terms: D006801:Humans; D008297:Male; D008875:Middle Aged; D015917:Penile Prosthesis / Q000534:rehabilitation*; D011183:Postoperative Complications / Q000453:epidemiology; D011468:Prostatectomy; D012189:Retrospective Studies; D013997:Time Factors