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Volume 22, Issue 1 (January 2020) 22, 8–14; 10.4103/aja.aja_92_19

Risk profiling in patients undergoing penile prosthesis implantation

Linda M Huynh, Mohamad M Osman, Faysal A Yafi

Department of Urology, University of California, Irvine Medical Center, Orange, CA 92868, USA

Correspondence: Dr. FA Yafi (fyafi@uci.edu)



Penile prosthesis implantation is the gold standard of surgical therapy for patients with medication-refractory erectile dysfunction. However, this umbrella definition includes significant heterogeneity and associated risk profiles that should be candidly discussed and addressed perioperatively. Factors associated with operative success and patient satisfaction are often surgery specific; however, risk profiling via patient selection, preoperative optimization, proper device selection, and intraoperative consideration are highly correlated. Some examples of common risk profiles include comorbidity(ies) such as cardiovascular disease, diabetes mellitus, prior abdominal surgery, Peyronie's disease, and psychological risk factors. Similarly, integration of surgeon- and patient-amenable characteristics is key to decreasing risk of infection, complication, and need for revision. Finally, patient risk profiling provides a unique context for proper device selection and evidence-based intraoperative considerations.

Keywords: patient selection; penile prosthesis; risk factors

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