(104) A Multicenter Evaluation of Penile Curvature Correction in Men with Peyronie’s Disease Undergoing Inflatable Penile Prosthesis Placement

Abstract Introduction Inflatable penile prosthesis (IPP) insertion is recommended for the treatment of patients with Peyronie’s Disease (PD) and significant erectile dysfunction (ED). Adjunctive procedures such as modeling, plication, or incision/excision grafting can be used when there residual curvature after IPP placement. Objective To evaluate management correction in PD undergoing among high-volume prosthetic urologists. Methods We performed a retrospective study 205 diagnosed by 7 high volume surgeons. Demographic, intraoperative, postoperative data were collected analyzed. Descriptive statistics using mean standard deviation continuous variables, while incidence percentages categorical variables. calculated change each adjunctive techniques. Intra- post-operative complications collected. Results met inclusion criteria age 60.7 years (SD=9.2) median follow-up 6 months (0.5-58.5 months). The preoperative was 43.4° (SD=18.9°) dorsal being most common. Overall, 73 (35.60%) had only no procedure, 24 (11.70%) underwent 10 (4.90%) grafting, 98 (47.80%) modeling. Preoperatively, starting 35.7° IPP-only group, 48.1° plication 60.6° 46.0° modeling p<0.001. Patients significantly fewer comorbidities compared to other groups: 1 (10%) diabetes none smokers cardiovascular disease, After correction, 25.5° 40.0° 55.0° 35.0° p <0.001 (Figure 1). Intraoperatively, proximal perforation occurred 2 (0.96%) patients, managed rear tip extender sling. Post-operatively, 33 (16.10%) non-infectious 4 (1.90%) infectious complications. There difference between groups. Conclusions Although seem provide greatest placement, this procedure less commonly Our results suggest reserved greater comorbidities. Disclosure Any authors act consultant, employee shareholder an industry for: Antares Pharma: SpeakBoston Scientific, Clarus Therapeutics, Coloplast, Cynosure, Promescent, Sprout, Viome, Hims & Hers Health, Inc.