INSIST-ED: Italian Society of Andrology registry on penile prosthesis surgery. First data analysis

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Edoardo Pescatori *
Giovanni Alei
Gabriele Antonini
Antonio Avolio
Carlo Bettocchi
Marco Bitelli
Francesco Boezio
Tommaso Cai
Enrico Caraceni
Maurizio Carrino
Fulvio Colombo
Enrico Conti
Antonio Corvasce
Federico Dehò
Stefano Fiordelise
Nicola Ghidini
Emilio Italiano
Giuseppe La Pera
Giovanni Liguori
Carlo Maretti
Nicola Mondaini
Alessandro Natali
Carlo Negro
Alessandro Palmieri
Fabrizio Palumbo
Matteo Paradiso
Massimo Polito
Diego Pozza
Mauro Silvani
Aldo Tamai
Massimiliano Timpano
Lilia Utizi
Francesco Varvello
Patrizio Vicini
Antonio Vitarelli
Giorgio Franco
(*) Corresponding Author:
Edoardo Pescatori | info@andrologiapescatori.it

Abstract

Objectives: The Italian Society of Andrology, i.e. “Società Italiana di Andrologia” (S.I.A.), launched on December 2014 a prospective, multicenter, monitored and internal review board approved Registry for penile implants, the “INSIST-ED” (Italian Nationwide Systematic Inventarisation of Surgical Treatment for ED) Registry. Purpose of this first report is to present a baseline data analysis of the characteristics of penile implant surgery in Italy. Material and methods: The INSIST-ED Registry is open to all surgeons implanting penile prostheses (all brands, all models) in Italy, providing anonymous patient, device, surgical procedure, outcome, follow-up data, for both first and revision surgeries. A Registry project Board overviews all the steps of the project, and a Registry Monitor interacts with the Registry implanting surgeons. Results: As by April 8, 2016, 31 implanting surgeons actively joined the Registry, entering 367 surgical procedures in its database, that comprise: 310 first implants, 43 prosthesis substitutions, 14 device explants without substitution. Implanted devices account for: 288 three-component devices (81,3%), 20 two-component devices (5,4%), 45 non-hydraulic devices (12,3%). Leading primary ED etiologies in first implant surgeries resulted: former radical pelvic surgery in 111 cases (35,8%), Peyronie’s disease in 66 cases (21,3%), diabetes in 39 cases (12,6%). Two intraoperative complications have been recorded. Main reasons for 57 revision surgeries were: device failure (52,6%), erosion (19,3%), infection (12,3%), patient dissatisfaction (10,5%). Surgical settings for patients undergoing a first penile implant were: public hospitals in 251 cases (81%), private environments in 59 cases (19%). Conclusions: The INSIST-ED Registry represents the first European experience of penile prosthesis Registry. This baseline data analysis shows that: three-pieces inflatable prosthesis is the most implanted device, leading etiology of erectile dysfunction (ED) in patient receiving a prosthesis is former radical pelvic surgery, primary reason for revision surgery is device failure, primary settings for first penile implant surgery are public hospitals. Evaluation of penile implant impact on recipients quality of life is presently ongoing.

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Author Biography

Edoardo Pescatori, Hesperia Hospital, Modena

Implanting surgeon active in the INSIST-ED Registry