https://doi.org/10.4081/aiua.2024.12576

A systematic review and meta-analysis of short- and long-term complications of early versus delayed penile prosthesis implantation in patients with ischemic priapism

Vol. 96 No. 3 (2024)
Published: October 2, 2024
Penile prosthesis, early implantation, delayed implantation, ischemic priapism, priapism
Abstract Views: 125
PDF: 60
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Authors

Agustin J. Nanda De Niro
deniro_nanda@yahoo.co.id
https://orcid.org/0000-0002-6987-2566
Surgery Department, Prof. dr. I.G.N.G Ngoerah General Hospital, Bali, Indonesia.
Gede Wirya Kusuma Duarsa
Surgery Department, Prof. dr. I.G.N.G Ngoerah General Hospital, Bali, Indonesia.
Marshal Harvy Wicaksono
https://orcid.org/0009-0006-0418-9834
Surgery Department, Prof. dr. I.G.N.G Ngoerah General Hospital, Bali, Indonesia.
Pande Made Wisnu Tirtayasa
https://orcid.org/0000-0001-5519-1316
Surgery Department, Prof. dr. I.G.N.G Ngoerah General Hospital, Bali, Indonesia.
Kadek Budi Santosa
https://orcid.org/0000-0001-5295-2319
Surgery Department, Prof. dr. I.G.N.G Ngoerah General Hospital, Bali, Indonesia.
I Wayan Yudiana
Surgery Department, Prof. dr. I.G.N.G Ngoerah General Hospital, Bali, Indonesia.
Nyoman Gede Prayudi
Surgery Department, Prof. dr. I.G.N.G Ngoerah General Hospital, Bali, Indonesia.

Background: This study determined pooled estimates of short- and long-term complications of early versus delayed implantation of penile prosthesis in patients with ischemic priapism.
Methods: We searched Pubmed, ProQuest, Scopus, EBSCOHost, and other sources from January 1, 2013, to March 2023. All study designs were included except animal studies, review articles, and consensus documents. Of the 214 articles, four studies were included in the systematic review, and further meta-analysis included three studies (PROSPERO CRD42023411005).
Results: The short-term complication rate was lower with early implantation than with later implantation (β= -2.08; 95% Confidence Interval [CI] = -3.54, -0.6; p = < 0.05). A similar value was also found in the pooled analysis for long-term outcomes, defined as overall satisfaction rate, which is better with early implantation than later (β = 2.18; 95% CI = 1.35, 3.02; p= < 0.05).
Conclusions: The results of the pooled analysis confirmed that short-term complications were significantly lower with early implantation than with delayed implantation. Overall satisfaction rates were higher in early implantation than in delayed implantation of penile prostheses.

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How to Cite

Nanda De Niro, A. J., Duarsa, G. W. K., Harvy Wicaksono, M., Tirtayasa, P. M. W., Santosa, K. B., Yudiana, I. W., & Prayudi, N. G. (2024). A systematic review and meta-analysis of short- and long-term complications of early versus delayed penile prosthesis implantation in patients with ischemic priapism. Archivio Italiano Di Urologia E Andrologia, 96(3). https://doi.org/10.4081/aiua.2024.12576
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