The Decline of Inpatient Penile Prosthesis over the 10-Year Period, 2000-2010

Sexual Medicine
Amjad AlwaalBenjamin N Breyer

Abstract

Across all specialties, economic pressure is driving increased utilization of outpatient surgery when feasible. Our aims were to analyze national trends of penile prosthesis (PP) surgery and to examine patient and hospital characteristics, and perioperative complications in the inpatient setting. We analyzed data from National Inpatient Sample. Patients in NIS who underwent PP insertion between 2000 and 2010 were included. Our main outcomes were the number of inpatient PP procedures, type of prosthesis, patient demographics, comorbidities, hospital characteristics, and immediate perioperative complications. There was a progressive and dramatic decline by nearly half in the number of both inflatable (IPP) and noninflatable (NIPP) inpatient insertions performed from 2000 to 2010 (P = 0.0001). The overall rate of inpatient complications for PP insertion was 13.5%. Patients with three or more comorbidities were found to have a higher risk of complications than patients with no comorbidities (OR = 1.45, 95% CI = 1.18-1.78) (P = 0.0001). Surgeries performed in high-volume hospitals (10 or more PP cases per year) were associated with reduced risk of complications (OR = 0.6) (P < 0.0001). There was a dramatic decrease in inpatient sett...Continue Reading

References

Jan 27, 2000·The Journal of Urology·H S ChiangT C Wen
Mar 14, 2002·International Journal of Impotence Research·J P Mulhall, K Bloom
Jun 11, 2005·The Journal of Urology·Drogo K MontagueUNKNOWN Erectile Dysfunction Guideline Update Panel
Nov 3, 2010·The Journal of Sexual Medicine·Francesco MontorsiMarlene Wasserman
May 31, 2011·The Urologic Clinics of North America·Drogo K Montague
Aug 21, 2012·The Journal of Urology·John M HollingsworthUNKNOWN Urologic Diseases in America Project
Oct 3, 2013·Archivio italiano di urologia, andrologia : organo ufficiale [di] Società italiana di ecografia urologica e nefrologica·Antonio VitarelliArcangelo Pagliarulo
Oct 14, 2014·Archivio italiano di urologia, andrologia : organo ufficiale [di] Società italiana di ecografia urologica e nefrologica·Nicola MondainiRiccardo Bartoletti

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