PD46-08 EARLY VS DELAYED INSERTION OF PENILE PROSTHESIS IN PATIENTS WITH REFRACTORY PRIAPISM: A SYSTEMATIC REVIEW AND META-ANALYSIS
Notice bibliographique
Résumé
You have accessJournal of UrologySexual Function/Dysfunction: Surgical Therapy I (PD46)1 May 2024PD46-08 EARLY VS DELAYED INSERTION OF PENILE PROSTHESIS IN PATIENTS WITH REFRACTORY PRIAPISM: A SYSTEMATIC REVIEW AND META-ANALYSIS Ahmed Al Saeedi, Mohamed Elmarasi, Ibrahim Elmakaty, Ibrahim Adnan, Maya Aldeeb, Kareim Khalafalla, Ahmad Majzoub, Mohamed Yamani, and Khalid Al Kubaisi Ahmed Al SaeediAhmed Al Saeedi , Mohamed ElmarasiMohamed Elmarasi , Ibrahim ElmakatyIbrahim Elmakaty , Ibrahim AdnanIbrahim Adnan , Maya AldeebMaya Aldeeb , Kareim KhalafallaKareim Khalafalla , Ahmad MajzoubAhmad Majzoub , Mohamed YamaniMohamed Yamani , and Khalid Al KubaisiKhalid Al Kubaisi View All Author Informationhttps://doi.org/10.1097/01.JU.0001008900.49567.2e.08AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Priapism, characterized by prolonged and painful erections, can cause erectile dysfunction (ED) due to ischemia-induced corporal tissue fibrosis, necessitating penile prosthesis (PP) surgery, yet consensus on the optimal timing remains lacking. The objective of this study was to evaluate and compare the clinical outcomes associated with early versus delayed PP implantation in individuals with priapism-induced ED. METHODS: We included studies that focused on refractory priapism leading to erectile dysfunction and its management with PP. Our search strategy covered six databases from their inception to May 6, 2023. We assessed cohort study bias with the risk of bias tool and case series bias with the modified Newcastle-Ottawa scale. Pooled odds ratios (ORs) were calculated using a fixed-effect model.The outcomes investigated included complications, patient satisfaction, sexual function restoration, prosthesis type, follow-up duration, hospital stay, surgery duration, as well as implant length and girth. RESULTS: Nine studies were included, comprising four cohort studies and five case series, involving a combined total of 278 patients. Total complications were higher in the delayed group (OR 4.16; 95% confidence interval [CI] 2.77 to 6.26). Fibrosis was significantly more pronounced in the delayed PP group, with an OR of 118.18 (95%CI 20.06 to 696.32). The odds of erosion, infections, and penile injury did not show statistically significant differences between the two groups (OR 2.52; 95%CI 0.67 to 9.49), (OR 0.89; 95%CI 0.38 to 2.10), and (OR 1.83; 95%CI 0.79 to 4.26), respectively. Patients' satisfaction resulted in a pooled OR of 0.15 (95%CI 0.04 to 0.49) in favor of the early PP insertion group. CONCLUSIONS: The findings of this study support the notion of addressing erectile dysfunction following ischemic priapism within an early window of 30 days. Nevertheless, it remains crucial to take into account patients' preferences, values, and psychological aspects in order to make a well-informed decision. Download PPT Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e976 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Ahmed Al Saeedi More articles by this author Mohamed Elmarasi More articles by this author Ibrahim Elmakaty More articles by this author Ibrahim Adnan More articles by this author Maya Aldeeb More articles by this author Kareim Khalafalla More articles by this author Ahmad Majzoub More articles by this author Mohamed Yamani More articles by this author Khalid Al Kubaisi More articles by this author Expand All Advertisement PDF downloadLoading ...
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,007 | 0,001 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».