title: [Evolution of the number and type of penile prostheses implanted in France for erectile dysfunction: Analysis of French national coding database (2006-2013)].
abstract: OBJECTIVE
  Patients who are not responding to injectable and/or vacuum oral pharmacological treatments can receive a penile prosthesis. Three types of penile prostheses are used in France: rigid, semi-rigid and inflatable prostheses 3-piece or 2-piece. We have assessed the National surgical insertion practices between 2006 and 2013 (number of prostheses insertions, types, procedure locations, number of surgeons and distribution [public or private sectors]).
  
  
  METHODS
  Data analysis from the French Technical Agency of Information on Hospitals (ATIH) (2006-2013) using the common classification of medical acts (CCAM) and after code extractions related to this surgery (JHLA002, JHLA003, JHLA004).
  
  
  RESULTS
  Between 2006 and 2013, the number of penile implants in France doubled (307 to 633), inflatable penile prostheses with an extracavernous component remained the most frequently used (87 %) (228 to 552) (+142 %). The use of semi-rigid prostheses declined by 26.7 %. The distribution between the private and public sector was close to 1 in 2013. More than half of French penile prostheses were implanted in three regions (Île-de-France, Languedoc-Roussillon, Rhône-Alpes). Nearly 62 % of surgeons implanted only one or two three-compartment prostheses in 2013.
  
  
  CONCLUSIONS
  The number of penile prostheses in France doubled between 2006 and 2013. Three regions were particularly active as far as this surgery is concerned (Île-de-France, Languedoc-Roussillon, Rhône-Alpes). They were boosted by 5 surgeons with more than 20 prostheses surgeries a year.
  
  
  METHODS
  4.
authors: Service d'urologie-transplantation, université Picardie-Jules-Verne, CHU Amiens-Picardie, 80054 Amiens, France. Electronic address: allan.lipsker@gmail.com.
authors: A
authors: A
authors: Lipsker
authors: Service d'urologie-transplantation, université Picardie-Jules-Verne, CHU Amiens-Picardie, 80054 Amiens, France.
authors: R
authors: R
authors: Saljoghi
authors: Service d'urologie-transplantation, université Picardie-Jules-Verne, CHU Amiens-Picardie, 80054 Amiens, France.
authors: D
authors: D
authors: Lecuelle
authors: Service d'urologie-transplantation, université Picardie-Jules-Verne, CHU Amiens-Picardie, 80054 Amiens, France.
authors: K
authors: K
authors: Caillet
authors: Service d'urologie-transplantation, université Picardie-Jules-Verne, CHU Amiens-Picardie, 80054 Amiens, France.
authors: E
authors: E
authors: Alezra
authors: Service de chirurgie digestive et métabolique, université Picardie-Jules-Verne, CHU Amiens-Picardie, 80054 Amiens cedex, France.
authors: F
authors: F
authors: Le Roux
authors: Service d'urologie-transplantation, université Picardie-Jules-Verne, CHU Amiens-Picardie, 80054 Amiens, France.
authors: M
authors: M
authors: Demailly
authors: Service d'urologie-transplantation, université Picardie-Jules-Verne, CHU Amiens-Picardie, 80054 Amiens, France; Laboratoire de recherche HeRVI (EA 3801), 80054 Amiens, France; Biobanque de Picardie, 80054 Amiens, France.
authors: F
authors: F
authors: Saint
mesh_terms: D016208:Databases, Factual; D007172:Erectile Dysfunction / Q000601:surgery*; D005602:France; D006801:Humans; D008297:Male; D015917:Penile Prosthesis; D019919:Prosthesis Implantation / Q000706:statistics & numerical data*
keywords: Dysfonction érectile; Erectile dysfunction; Penile prostheses; Penis; Physician's practice; Pratique des médecins; Prothèse pénienne; Verge