Risk profiling in patients undergoing penile prosthesis implantation.


Journal

Asian journal of andrology
ISSN: 1745-7262
Titre abrégé: Asian J Androl
Pays: China
ID NLM: 100942132

Informations de publication

Date de publication:
Historique:
pubmed: 7 9 2019
medline: 1 12 2020
entrez: 7 9 2019
Statut: ppublish

Résumé

Penile prosthesis implantation is the gold standard of surgical therapy for patients with medication-refractory erectile dysfunction. However, this umbrella definition includes significant heterogeneity and associated risk profiles that should be candidly discussed and addressed perioperatively. Factors associated with operative success and patient satisfaction are often surgery specific; however, risk profiling via patient selection, preoperative optimization, proper device selection, and intraoperative consideration are highly correlated. Some examples of common risk profiles include comorbidity(ies) such as cardiovascular disease, diabetes mellitus, prior abdominal surgery, Peyronie's disease, and psychological risk factors. Similarly, integration of surgeon- and patient-amenable characteristics is key to decreasing risk of infection, complication, and need for revision. Finally, patient risk profiling provides a unique context for proper device selection and evidence-based intraoperative considerations.

Identifiants

pubmed: 31489849
pii: 266178
doi: 10.4103/aja.aja_92_19
pmc: PMC6958986
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

8-14

Commentaires et corrections

Type : CommentIn

Déclaration de conflit d'intérêts

None

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Auteurs

Linda M Huynh (LM)

Department of Urology, University of California, Irvine Medical Center, Orange, CA 92868, USA.

Mohamad M Osman (MM)

Department of Urology, University of California, Irvine Medical Center, Orange, CA 92868, USA.

Faysal A Yafi (FA)

Department of Urology, University of California, Irvine Medical Center, Orange, CA 92868, USA.

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Classifications MeSH