title: INSIST-ED: Italian Society of Andrology registry on penile prosthesis surgery. First data analysis.
abstract: OBJECTIVE
  The Italian Society of Andrology, i.e. "Società Italiana di Andrologia" (S.I.A.), launched on December 2014 a prospective, multicenter, monitored and internal review board approved Registry for penile implants, the "INSIST-ED" (Italian Nationwide Systematic Inventarisation of Surgical Treatment for ED) Registry. Purpose of this first report is to present a baseline data analysis of the characteristics of penile implant surgery in Italy.
  
  
  METHODS
  The INSIST-ED Registry is open to all surgeons implanting penile prostheses (all brands, all models) in Italy, providing anonymous patient, device, surgical procedure, outcome, follow-up data, for both first and revision surgeries. A Registry project Board overviews all the steps of the project, and a Registry Monitor interacts with the Registry implanting surgeons.
  
  
  RESULTS
  As by April 8, 2016, 31 implanting surgeons actively joined the Registry, entering 367 surgical procedures in its database, that comprise: 310 first implants, 43 prosthesis substitutions, 14 device explants without substitution. Implanted devices account for: 288 three-component devices (81,3%), 20 two-component devices (5,4%), 45 non-hydraulic devices (12,3%). Leading primary ED etiologies in first implant surgeries resulted: former radical pelvic surgery in 111 cases (35,8%), Peyronie's disease in 66 cases (21,3%), diabetes in 39 cases (12,6%). Two intraoperative complications have been recorded. Main reasons for 57 revision surgeries were: device failure (52,6%), erosion (19,3%), infection (12,3%), patient dissatisfaction (10,5%). Surgical settings for patients undergoing a first penile implant were: public hospitals in 251 cases (81%), private environments in 59 cases (19%).
  
  
  CONCLUSIONS
  The INSIST-ED Registry represents the first European experience of penile prosthesis Registry. This baseline data analysis shows that: three-pieces inflatable prosthesis is the most implanted device, leading etiology of erectile dysfunction (ED) in patient receiving a prosthesis is former radical pelvic surgery, primary reason for revision surgery is device failure, primary settings for first penile implant surgery are public hospitals. Evaluation of penile implant impact on recipients quality of life is presently ongoing.
authors.affiliation: Hesperia Hospital, Modena. info@andrologiapescatori.it.
authors.forename: Edoardo
authors.initials: E
authors.lastname: Pescatori
authors.forename: Giovanni
authors.initials: G
authors.lastname: Alei
authors.forename: Gabriele
authors.initials: G
authors.lastname: Antonini
authors.forename: Antonio
authors.initials: A
authors.lastname: Avolio
authors.forename: Carlo
authors.initials: C
authors.lastname: Bettocchi
authors.forename: Marco
authors.initials: M
authors.lastname: Bitelli
authors.forename: Francesco
authors.initials: F
authors.lastname: Boezio
authors.forename: Tommaso
authors.initials: T
authors.lastname: Cai
authors.forename: Enrico
authors.initials: E
authors.lastname: Caraceni
authors.forename: Maurizio
authors.initials: M
authors.lastname: Carrino
authors.forename: Fulvio
authors.initials: F
authors.lastname: Colombo
authors.forename: Enrico
authors.initials: E
authors.lastname: Conti
authors.forename: Antonio
authors.initials: A
authors.lastname: Corvasce
authors.forename: Federico
authors.initials: F
authors.lastname: Dehò
authors.forename: Stefano
authors.initials: S
authors.lastname: Fiordelise
authors.forename: Nicola
authors.initials: N
authors.lastname: Ghidini
authors.forename: Emilio
authors.initials: E
authors.lastname: Italiano
authors.forename: Giuseppe
authors.initials: G
authors.lastname: La Pera
authors.forename: Giovanni
authors.initials: G
authors.lastname: Liguori
authors.forename: Carlo
authors.initials: C
authors.lastname: Maretti
authors.forename: Nicola
authors.initials: N
authors.lastname: Mondaini
authors.forename: Alessandro
authors.initials: A
authors.lastname: Natali
authors.forename: Carlo
authors.initials: C
authors.lastname: Negro
authors.forename: Alessandro
authors.initials: A
authors.lastname: Palmieri
authors.forename: Fabrizio
authors.initials: F
authors.lastname: Palumbo
authors.forename: Matteo
authors.initials: M
authors.lastname: Paradiso
authors.forename: Massimo
authors.initials: M
authors.lastname: Polito
authors.forename: Diego
authors.initials: D
authors.lastname: Pozza
authors.forename: Mauro
authors.initials: M
authors.lastname: Silvani
authors.forename: Aldo
authors.initials: A
authors.lastname: Tamai
authors.forename: Massimiliano
authors.initials: M
authors.lastname: Timpano
authors.forename: Lilia
authors.initials: L
authors.lastname: Utizi
authors.forename: Francesco
authors.initials: F
authors.lastname: Varvello
authors.forename: Patrizio
authors.initials: P
authors.lastname: Vicini
authors.forename: Antonio
authors.initials: A
authors.lastname: Vitarelli
authors.forename: Giorgio
authors.initials: G
authors.lastname: Franco
mesh_terms: D007172:Erectile Dysfunction / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007431:Intraoperative Complications / Q000453:epidemiology; D007558:Italy; D008297:Male; D019935:Penile Implantation / Q000379:methods*; D015917:Penile Prosthesis; D011446:Prospective Studies; D011788:Quality of Life; D012042:Registries; D012086:Reoperation / Q000706:statistics & numerical data