Case volume impacts re-op rates after penile prosthesis Sx

December 20, 2016

(HealthDay)—Surgeon volume is associated with the likelihood of reoperation after inflatable penile prosthesis surgery, with the trend driven by reoperations for infection, according to a study published in the January issue of The Journal of Urology.

Ifeanyi C. Onyeji, from the Columbia University Medical Center in New York City, and colleagues queried the New York Statewide Planning and Research Cooperative System database from 1995 to 2014 for inflatable penile prosthesis cases. They examined the impact of surgeon annual case volume on inflatable penile prosthesis reoperation rates among 14,969 men followed for a median of 95.1 months from the time of implant.

The researchers found that the rate of overall reoperation was 6.4 percent, and the rates of reoperation from and noninfectious complications were 2.5 and 3.9 percent, respectively. Reoperation for infection, but not for noninfectious complications, was more likely for implants placed by lower-volume implanters. Compared with patients by in the highest quartile of annual case volume (more than 31 cases per year), those treated by surgeons in the lowest, second, and third annual case volume quartiles (zero to two, three to seven, and eight to 31 cases per year, respectively) were significantly more likely to require reoperation for inflatable penile prosthesis infection (hazard ratios, 2.5, 2.4, and 2.1, respectively).

"Patients treated by higher-volume implanters are less likely to require reoperation after inflatable penile prosthesis insertion than those treated by lower-volume surgeons," the authors write.

One author disclosed financial ties to Coloplast.

Explore further: Reoperation rate 4 percent for mesh-based prolapse surgery

More information: Full Text

Related Stories

Reoperation rate 4 percent for mesh-based prolapse surgery

June 15, 2016

(HealthDay)—For women undergoing mesh-based prolapse surgery, the reoperation rate is 4.0 percent at a median of 1.17 years, with reduced risk for patients of surgeons with very high volume, according to a study published ...

Fewer reoperations seen with cervical disc replacement

June 25, 2013

(HealthDay)—Total disc replacement (TDR) is associated with a lower reoperation rate and longer time to reoperation compared with anterior cervical fusion (ACF), according to a study published in the June 15 issue of Spine.

Recommended for you

Scientists 3-D print human of the future

December 29, 2016

Interactive 3-D models of human joints, showing how common medical complaints have arisen and how we are likely to evolve in the future, have been created at Oxford University.

An eye on young specialists' success

December 5, 2016

Graduates from several medical and surgical specialties are having difficulty securing practice opportunities, especially in specialties dependent upon limited resources, according to new research from Queen's ophthalmologist ...

'Halo' effect common after lasik eye surgery

December 3, 2016

(HealthDay)—Nine out of 10 Lasik laser eye surgery patients report satisfaction afterwards. But a sizable percentage experience new visual disturbances—like seeing halos around lights—up to six months after the procedure, ...


Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.