Presentation Authors: Mohamad Habous*, Jedda, Saudi Arabia, Simone Giona, Camberley, United Kingdom, Osama Abdelwahab, Jedda, Saudi Arabia, Osama Laban, Tabouk, Saudi Arabia, Saleh Binsaleh, Riyadh, Saudi Arabia, John Mulhall, New York, NY, Usama Kamil, Alaa Tealab, Jedda, Saudi Arabia, Gordon Muir, David Ralph, London, United Kingdom
Introduction: A common cause of patient dissatisfaction after penile prosthesis implantation (PPI) is caused by the patient believing the penis has been shortened.This prospective study aimed to investigate the correlation between stretched penile dimensions measured preoperatively and erect postoperative penile dimensions after 6,12 and 24 months.
Methods: Consecutive PPI were assessed in a high-volume center from January 2015 until July 2018. Standardized measurements of stretched penile length and girth were performed in theatre preoperatively and at the end of surgery with the penis in the erect position. The erect penile length and girth was then again measured at 6,12 and 24 months follow up. A special questionnaire containing 5 questions was used for this study and completed at each visit. The first three questions detailed the patient perception of penile size post-operatively, being increased, decreased, or same size. The 4th question a Likert scale from 1-5 about overall satisfaction and the last questions if he recommends the operation to a friend. Microsoft Excel and SPSS were used for database and statistical analysis
Results: 122 patients had complete data and were included in the analysis. An inflatable prosthesis was used in 48(39%) and a malleable in 74(61%) patients. The median age was 56 and the mean BMI was 30. Overall, there was a statistically significant but marginal increase in length at 6/12 months follow-up of 0.09 cm (P=0.002) when compared to immediate post-operative size. At 12 months the increase in length was 0.26cm (P
Conclusions: PPI preserves penile size long term and might actually result in a small enhancement. Good counselling and objective measurement should be performed in all to improve patient overall satisfaction.