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Advances in Urology
Volume 2012, Article ID 240963, 4 pages
http://dx.doi.org/10.1155/2012/240963
Research Article

Outcomes of and Satisfaction with the Inflatable Penile Prosthesis in the Elderly Male

1Department of Urology, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, P.O. Box 7845, San Antonio, TX 78229-3900, USA
2Urology of San Antonio, 7909 Fredericksburg Road, Suite 110, San Antonio, TX 78229, USA

Received 28 February 2012; Accepted 2 April 2012

Academic Editor: Gerard D. Henry

Copyright © 2012 Humberto G. Villarreal and LeRoy Jones. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. To determine the outcomes of and satisfaction with the multi-component inflatable penile prosthesis (IPP) in the elderly male (age >71). Methods. Using a chart review and telephone survey, we retrospectively assessed patients who underwent IPP or combined IPP/artificial urinary sphincter (AUS) from 2004–2006. Results. We identified 56 patients that underwent IPP (48) or IPP/AUS (8). The age range was 71–86 (mean 74.3) at the time of surgery, with a follow-up range of 0.5–2.4 years (mean 1.5). The overall complication rate was 3.8% (2 of 56) with one device removed for infection and a second patient requiring exploration for a postoperative hematoma. The telephone interview was conducted with 35 of 56 patients. Patients rated ease of use (a scale from 1–5, 5 meaning very easy) and overall satisfaction (a scale of 1–5, 5 meaning very satisfied) at an average of 4.1 and 4.3, respectively. IPP usage varied from 0–7 times per month (mean 3.3). 32 of 35 patients (91%) said they would undergo the procedure again. Conclusion. Our review demonstrates that the IPP is well tolerated in the elderly male population, who report a high degree of satisfaction and ease of use with this device.