(489) Comparison of Penile Prostheses Outcomes in Veterans with Peyronie’s Disease: A Single-Center Analysis

Abstract Introduction Peyronie’s disease (PD) causes erectile dysfunction (ED) in at least 40% of cases. ED refractory to medical and injection therapy can be treated with implantable penile prosthesis, which may also address the deformities. However, prosthesis surgery has significant associated morbidity-including erosive infection-and frequently requires explant or revision. Data for Veterans Affairs (VA) patients PD is limited, especially respect placement. More information needed proper counseling perioperative planning this high-risk population. Objective The aim study compare outcomes revision rates Veteran without after primary implantation. Methods A retrospective cohort xxx VA Medical Center Informatics Computing Infrastructure database was performed. who underwent between January 2013 February 2022 were identified included study. Patient factors including age, race, procedure type, relevant comorbidities collected. Patients history separated into two cohorts patient these groups compared using chi-square Fisher’s exact tests. Freedom from analyzed Cox regression hazard ratios. Results total 229 placement 4 months follow-up. 24 (10.48%) identified. mean age younger than that non-PD (61.3 vs 65.0 respectively, p=0.0358). Rear tip extender length longer (3.02 cm 2.32 p=0.0313). Operative time shorter (91 minutes 111 p=0.0409). Prosthesis hospital stay, post-operative complication not significantly different groups. increased risk removal (p>0.05). No experienced infection erosion; explants performed component migration supersonic transporter deformity respectively. Conclusions undergoing have similar as veterans PD. Additionally, implantation men low morbidity dysfunction. Disclosure