title: [Inflatable penile prosthesis: satisfaction rate, result, prognostic factors. Prospective study on 50 primooperated patients in CHU of Nice between 2000 and 2009].
abstract: OBJECTIVE
  To evaluate satisfaction rates and results in patients with penile prosthesis (5 PP).
  
  
  METHODS
  From January 2000 till 2009, 50 patients with organic erectile dysfunction (ED) were implanted with hydraulics penile prosthesis by the same surgeon. Medical records were collected retrospectively. We analysed demographic characteristics, type of prosthesis used, per- and postoperative complications, prosthesis explantations and satisfaction rate measured by EDITS modified.
  
  
  RESULTS
  Mean age of patients was 60.2 ± 8.46 years (35-75). Thirty implanted patients (60%) were diabetics. We used a peno-scrotal incision in all patients. Three types of prosthesis were used; AMS Ambicor, AMS 700, Titan OTR. A bi-compartment and three-compartment prosthesis were implanted respectively in 24 and 26 patients. The prosthesis was retrieved in two patients secondary to a mechanical failure, in three patients for prosthesis erosion, in two patients for prosthesis infection. In four out of the seven explanted patients, a second prosthesis was implanted. The EDITS questionnary was realized by telephonic interview in 47 patients after a mean follow-up of 45 months (5-114). The response rate was of 83%. The satisfaction rate was of 81%.
  
  
  CONCLUSIONS
  In our series, the satisfaction rate was better for the three-compartment prosthesis. After 45 months of follow-up, 73% (31/42) of patients had a functional prosthesis. The non-satisfaction most frequently found were patients who have complications as sepsis; mechanical failure, and prosthesis erosion, and subjective feeling of penile length reduction.
authors.affiliation: Service d'urologie, CHU Nord de Saint-Étienne, avenue Albert-Raimond, 42270 Saint-Priest-en-Jarez, France. Electronic address: fredobadia@hotmail.fr.
authors.forename: F
authors.initials: F
authors.lastname: Obadia
authors.forename: P
authors.initials: P
authors.lastname: Mouracade
authors.forename: J-E
authors.initials: JE
authors.lastname: Terrier
authors.forename: J
authors.initials: J
authors.lastname: Amiel
authors.forename: M
authors.initials: M
authors.lastname: Gigante
authors.forename: G
authors.initials: G
authors.lastname: Li
authors.forename: D
authors.initials: D
authors.lastname: Chevallier
mesh_terms: D000328:Adult; D000368:Aged; D048909:Diabetes Complications; D007172:Erectile Dysfunction / Q000453:epidemiology / Q000209:etiology / Q000601:surgery*; D005500:Follow-Up Studies; D005602:France / Q000453:epidemiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D019935:Penile Implantation / Q000009:adverse effects; D015917:Penile Prosthesis / Q000009:adverse effects / Q000706:statistics & numerical data; D011379:Prognosis; D011446:Prospective Studies; D011474:Prosthesis Design; D011475:Prosthesis Failure; D012307:Risk Factors; D011795:Surveys and Questionnaires; D013997:Time Factors
keywords: Enquête dysfonction érectile; Erectile dysfonction; Impotence; Infection; Penile prosthesis; Penis; Prothèse pénienne; Satisfaction