030 Postoperative Penile Prosthesis Pain: Is it Worse in Diabetic Patients?

Le résumé fourni par la source

Inflatable penile prosthesis (IPP) surgery is an effective, safe and satisfactory treatment option for medication-refractory erectile dysfunction. Postoperative complications include infection, mechanical failure, erosion, and pain1. Current literature suggests the need for a better approach to postoperative pain management after IPP surgery2. Furthermore, targeted pain management strategies for diabetic patients have been suggested in the non-urologic literature, as several clinical studies have demonstrated that postoperative pain is different in diabetic and non-diabetic patients3. The purpose of this study is to determine if there is a difference in postoperative pain after IPP placement in diabetics. This is a single-institution retrospective review of 173 primary penoscrotal three-piece IPP prosthesis cases performed between 2014 and 2017. The main outcome measure was the number of 30-day postoperative emergency room and unplanned clinic visits specifically for significant pain. T-test was used for mean assessment and chi-square analysis was used for proportion assessment. P values <0.05 were considered statistically significant. The top HgbA1C quartile (with values greater than or equal to 8) was compared to the other HgbA1C quartiles, for a total of 30 (23%) and 98 (77%) patients, respectively.

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