[100 cases of three-piece Inflatable Penile Prosthesis with new scrotal pump: Evaluation of 3 specialised centres]. / 100 Casos de implante de prótesis de pene de 3 components con Nuevo sistema de bombeo: experiencia de 3 centros especializados.

OBJECTIVES: The aim is to assess our experience with new Coloplast Titan™ Inflatable Penile Prosthesis (IPP) with One-Touch Release (OTR) pump. Our 3 main focuses of attention will be prosthesis performance and patient and partner satisfaction in our first 100 cases in 3 specialised centres by 2 principal surgeons. METHODS: Retrospective review was used to assess the Coloplast Titan™ OTR implant procedures/cases in our departments (from October 2009 to December 2012). The changes in Erection Function (EF), Intercourse Satisfaction (IS), overall satisfaction of the patient and partner were assessed by use of the following questionnaires: EF and IS domains of the International Index of Erectile Function (IIEF) and modified EDITS. RESULTS: Mean patient age (N = 100) was 54.2 years old (range: 20-77) with a mean length of follow-up of 21 months (range: 6-44). Mean length of prosthesis implanted was 18.6 cm (14-23.5). Only 3% of patients showed complications requiring surgical exploration. Good prosthesis performance was assessed in 99 patients (99%). Differences in the IIEF-EF and IIEF-IS domain before and after surgery were +16.8 and +6.4 respectively. Patient and partner overall satisfaction were 90% and 84% respectively in modified EDITS. The average number of postoperative teaching sessions needed to teach the patient how to operate the device was 1.28 (1-4). CONCLUSIONS: The Coloplast Titan™ OTR IPP was easy to implant, inflate, and deflate with high levels of EF improvement, patient and partner satisfaction. A small number of postoperative teaching sessions were required for the patient to properly operate the device.

100 Casos de implante de prótesis de pene de 3 componentes con nuevo sistema de bombeo: experiencia de 3 centros especializados / 100 cases of three-piece Inflatable Penile Prosthesis with new scrotal pump: Evaluation of 3 specialised centres

OBJETIVOS: Presentar nuestra experiencia con la prótesis de pene Coloplast Titan™ One-Touch Release. Evaluamos el correcto funcionamiento de la prótesis, facilidad de manejo, grado de satisfacción del paciente y de su pareja en los primeros 100 casos realizados en tres centros implantadores. MÉTODOS: Revisión retrospectiva de los 100 primeros pacientes tratados mediante la colocación de la prótesis de pene Coloplast Titan™ One-Touch Release (Octubre 2009 a Diciembre 2012). La función eréctil y la satisfacción por parte del paciente y su pareja se evaluaron mediante los cuestionarios: The International Index of Erectile Function (IIEF), Intercourse Satisfaction (IS) y EDITS modificado pre y postoperatorio. La facilidad de manejo fue evaluada en función del número de consultas de aprendizaje. RESULTADOS: La edad media de los pacientes (N:100) fue de 54.2 años (20-77). El seguimiento medio (N = 100) fue de 21 meses (6-44). La longitud media de las prótesis implantadas fue de 18.6 cm (14-23.5). Tan sólo un 3% de pacientes presentaron complicaciones que requirieron exploración quirúrgica. El buen funcionamiento de la prótesis fue confirmado en 99 pacientes (99%). Las diferencias en los valores de IIEF-EF y IIEF-IS pre y postoperatorios fueron +16.8 y +6.4 respectivamente (p < 0.05). El cuestionario EDITS modificado mostraba una satisfacción global del 90% de los pacientes y del 84% de las parejas. El número medio de consultas de aprendizaje fue de 1.28 (1-4). CONCLUSIONES: El modelo de prótesis de pene Coloplast Titan™ One-Touch Release es sencilla de implantar y manejar, con una importante mejora de la función eréctil y la satisfacción del paciente y su pareja

OBJECTIVES: The aim is to assess our experience with new Coloplast Titan™ Inflatable Penile Prosthesis (IPP) with One-Touch Release (OTR) pump. Our 3 main focuses of attention will be prosthesis performance and patient and partner satisfaction in our first 100 cases in 3 specialised centres by 2 principal surgeons. METHODS: Retrospective review was used to assess the Coloplast Titan™ OTR implant procedures/cases in our departments (from October 2009 to December 2012). The changes in Erection Function (EF), Intercourse Satisfaction (IS), overall satisfaction of the patient and partner were assessed by use of the following questionnaires: EF and IS domains of the International Index of Erectile Function (IIEF) and modified EDITS. RESULTS: Mean patient age (N = 100) was 54.2 years old (range: 20-77) with a mean length of follow-up of 21 months (range: 6-44). Mean length of prosthesis implanted was 18.6 cm (14-23.5). Only 3% of patients showed complications requiring surgical exploration. Good prosthesis performance was assessed in 99 patients (99%). Differences in the IIEF-EF and IIEF-IS domain before and after surgery were +16.8 and +6.4 respectively. Patient and partner overall satisfaction were 90% and 84% respectively in modified EDITS. The average number of postoperative teaching sessions needed to teach the patient how to operate the device was 1.28 (1-4). CONCLUSIONS: The Coloplast Titan™ OTR IPP was easy to implant, inflate, and deflate with high levels of EF improvement, patient and partner satisfaction. A small number of postoperative teaching sessions were required for the patient to properly operate the device