title: An audit of implanted penile prostheses in the UK.
abstract: OBJECTIVE
  To assess whether the outcome of implanting penile prostheses is related to the number of prostheses implanted by surgeons, as several reports showed that the outcome of a urological procedure is directly related to the experience of the surgeon.
  
  
  METHODS
  We conducted a retrospective audit of 413 penile prostheses implanted over a 2-year period in the UK by 76 surgeons.
  
  
  RESULTS
  About 80% of the surgeons implanted only one or two prostheses per year, usually of the malleable type, and usually on patients in the private sector. Only four surgeons implanted >20 prostheses per year. The overall revision rate for implantation in the UK, at 24%, is far higher than the worldwide average.
  
  
  CONCLUSIONS
  Guidelines are needed on the number of prostheses a surgeon should implant per year so that revision rates will decline to more acceptable levels and patients will be offered a genuine choice of product.
authors.affiliation: St. Peter's Department of Andrology, Institute of Urology, London, UK. agrawalvineet@hotmail.com
authors.forename: Vineet
authors.initials: V
authors.lastname: Agrawal
authors.forename: David
authors.initials: D
authors.lastname: Ralph
mesh_terms: D007172:Erectile Dysfunction / Q000601:surgery*; D006801:Humans; D008297:Male; D008485:Medical Audit; D015917:Penile Prosthesis / Q000706:statistics & numerical data*; D012086:Reoperation / Q000706:statistics & numerical data; D012189:Retrospective Studies; D016896:Treatment Outcome; D006113:United Kingdom