Modified malleable prosthesis with a fixed mesh: case series for the Ghattas technique / 亚洲男科学杂志(英文版)
Asian Journal of Andrology
;
(6): 167-170, 2022.
Article
in English
| WPRIM
| ID: wpr-928518
ABSTRACT
Penile prosthetic implantation represents a cornerstone for patients with organic erectile dysfunction (ED) that is refractory, unsatisfactory, or contra-indicated for other approved medical or mechanical options. In this study, we introduce the "Ghattas technique," wherein we constructed a polypropylene mesh sheath that surrounds and is fixed to a 13-mm malleable prosthesis cylinder, which can increase the cylinder diameter for cases that need a larger prosthesis. All patients underwent preoperative evaluation and completed the five-item International Index of Erectile Function questionnaire (IIEF-5). Postoperative outcomes were evaluated by IIEF-5 and Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) questionnaires at final follow-up. The mean age of the 23 included patients was 57.9 (standard deviation [s.d.] 11.4) years and the mean duration of ED was 8.5 (s.d. 7.9) years. Erection improvement was determined by comparing mean preoperative and postoperative IIEF-5 scores (8.3 [s.d. 3.9] vs 24.6 [s.d. 0.6], P < 0.001). High treatment satisfaction was determined according to a mean EDITS score of 94.9 (s.d. 9.9). The proposed Ghattas technique was safe and effective in our patients, and provides opportunity for cases that need a diameter larger than 13 mm. Further studies are needed to confirm these results.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Surgical Mesh
/
Penile Prosthesis
/
Surveys and Questionnaires
/
Treatment Outcome
/
Patient Satisfaction
/
Erectile Dysfunction
Limits:
Child
/
Humans
/
Male
Language:
English
Journal:
Asian Journal of Andrology
Year:
2022
Type:
Article
Similar
MEDLINE
...
LILACS
LIS