Journal article
New findings regarding the influence of assistants on surgical outcomes in penile prosthesis implantation
International journal of impotence research, Vol.35(8), pp.736-740
12/01/2023
DOI: 10.1038/s41443-022-00624-x
PMID: 36209303
Abstract
Penile prosthesis implantation is the definitive treatment for refractory erectile dysfunction, yet exposure to this procedure during training of urology residents is often limited. To assess the effects of resident participation in penile prosthesis surgery, we compared surgical outcomes in a retrospective case series of 253 penile prosthesis surgeries by a single surgeon at the same institution between 2017 and 2020 with the assistance of either a registered nurse first assistant (RNFA) or a resident. Pertinent patient characteristics and surgical complications including device complications, surgical site infection, postoperative bleeding, iatrogenic injury, cardiovascular events, pulmonary events, and urinary retention were documented. Measured outcomes included operative time, Emergency Room (ER) visits, unplanned postoperative visits, pain medication refills, and surgical complications. Compared to RFNAs, resident-assisted penile prosthesis surgery was associated with significant increase in mean operative time (71.4 min vs. 87.9 min, p < 0.01) and postoperative ER visits (3.0% vs. 10.6%, p = 0.03) but not surgical complications (19.7% vs. 20.8%, OR 1.03, 95% CI [0.46 -2.30]) or other measured outcomes. Compared to a dedicated RFNA, Resident assistance increased operative time by approximately 17 min, but did not increase post-operative surgical complications, supporting the notion that resident assistance in these procedures may be appropriate as an integral part of training.
Details
- Title: Subtitle
- New findings regarding the influence of assistants on surgical outcomes in penile prosthesis implantation
- Creators
- Shuo-Chieh Wu - Dartmouth–Hitchcock Medical CenterAmanda R Swanton - Dartmouth–Hitchcock Medical CenterJames M Jones - Dartmouth CollegeMartin S Gross - Dartmouth–Hitchcock Medical Center
- Resource Type
- Journal article
- Publication Details
- International journal of impotence research, Vol.35(8), pp.736-740
- DOI
- 10.1038/s41443-022-00624-x
- PMID
- 36209303
- ISSN
- 0955-9930
- eISSN
- 1476-5489
- Language
- English
- Date published
- 12/01/2023
- Academic Unit
- Urology
- Record Identifier
- 9984701650302771
Metrics
4 Record Views