TITAN INFLATABLE PENILE PROSTHESIS FAMILY
Report
- Report Number
- 2125050-2024-00339
- Event Type
- Injury
- Date Received
- February 29, 2024
- Report Date
- February 29, 2024
- Manufacturer
- COLOPLAST A/S
- Product Code
- FHW
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
TITLE: THE NATURAL HISTORY OF BENIGN PROSTATIC HYPERPLASIA-RELATED VOIDING SYMPTOMS FOLLOWING PENILE PROSTHESIS IMPLANTATION. AUTHOR(S): RAEVTI BOLE, PRAJIT KHOOBLALL AND PETAR BAJIC.
METHODS: FOLLOWING INSTITUTIONAL REVIEW BOARD APPROVAL, WE PERFORMED A RETROSPECTIVE REVIEW OF ALL ADULT MALES WITH A PREOPERATIVE DIAGNOSIS OF LUTS UNDERGOING PENILE PROSTHESIS SURGERY AT OUR INSTITUTION FROM (B)(6) 2017 TO (B)(6) 2022. THE PRIMARY OUTCOME WAS PROGRESSION TO TRANSURETHRAL SURGERY. RESULTS: FROM 2017 TO 2022, 211 PATIENTS WITH PREEXISTING LUTS UNDERWENT PENILE PROSTHESIS SURGERY AND MET ALL CRITERIA FOR INCLUSION INCLUDING NO HISTORY OF TRANSURETHRAL SURGERY. THE MEDIAN (INTERQUARTILE RANGE, IQR) AUA SYMPTOM SCORE (AUA-SS) WAS 12 (12). POST-VOID RESIDUAL WAS BELOW 200 CC IN 96.2% OF PATIENTS PREOPERATIVELY AND 99.1% OF PATIENTS AFTER SURGERY. AT A MEDIAN (IQR) FOLLOW-UP DURATION OF 9 (23) MONTHS AFTER SURGERY, 5.7% (12/211) OF PATIENTS HAD PROGRESSED TO BLADDER OUTLET SURGERY AND 35.5% OF PATIENTS ENDORSED LUTS BOTHER WITH A MEDIAN (IQR) AUA-SS OF 14.5 (11.8). CONCLUSION: THE MAJORITY OF PATIENTS WITH UNCOMPLICATED LUTS DID NOT REQUIRE BLADDER OUTLET SURGERY FOLLOWING PENILE PROSTHESIS IMPLANTATION AND COULD BE MANAGED WITH CONSERVATIVE OR PHARMACOLOGIC MEASURES ALONE. PROSTATE GLAND SIZE WAS SIGNIFICANTLY LARGER IN PATIENTS WHO PROGRESSED TO BLADDER OUTLET SURGERY. WHILE THE RESULTS ARE OVERALL REASSURING, FURTHER STUDY IS NEEDED TO IDENTIFY SPECIFIC FACTORS ASSOCIATED WITH PURSUING BLADDER OUTLET SURGERY IN THIS SMALL SUBSET OF PATIENTS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 895881 | TITAN INFLATABLE PENILE PROSTHESIS FAMILY | PENILE PROSTHESIS, INFLATABLE | FHW | COLOPLAST A/S |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Required Intervention |