penile prosthesis utilization at one and two years: results of the
TRANSCRIPT
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Penile Prosthesis Utilization at One and Two Years: Results of the
PROPPER Study
Gary K. Tan, D.O.Gerard D. Henry, M.D.Anthony J. Bella, M.D.
Edward Karpman, M.D.William O. Brant, M.D.
Mohit Khera, M.D., M.B.A., M.P.H.Bryan T. Kansas, M.D., M.P.H.
Nelson E. Bennett, M.D.Tobias S. Kohler, M.D., M.P.H.Eugene Y. Rhee, M.D., M.B.A.
Leroy A. Jones, M.D.Brian S. Christine, M.D.
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Disclosure
• This study is supported by Boston Scientific, Inc.
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Objective
• Assess penile prosthesis (PP) utilization at one and two years after AMS PP placement in men with ED using PROPPER
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Method
• PROPPER
– Prospective Registry of Outcomes with Penile Prosthesis for Erectile Restoration
– 11 sites in US and Canada
– IRB/EC oversight
– Patients received AMS 700, Ambicor, or Spectra
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Method
• Patients who answered device use question were included
• Utilization was analyzed by:– Age
– Etiology of ED
– Device model
– Race
– Etc
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Results
• 826 patients included at one year
• 554 patients included at two years
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Age
Average Age
1 Year Two Years
N 737 490
Avg ± SD 63.8 ± 9.8 63.4 ± 9.8
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Utilization by ED Etiology
0%10%20%30%40%50%60%70%80%90%
100%
1 Yr
2 Yrs
90%
225/242
161/176
153/178
97/115
139/155
93/103
64/74
50/58
10/12
8/10
146/165
81/92
93% 92% 86%84%
90% 87% 86%83% 80%
89% 88%
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Utilization by Device Type
100%
83.3%89.2%
100%
85.7%88.4%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Spectra Ambicor AMS 700
1 Year
2 Years
10/10 2/2 15/18 6/7712/ 798
482/ 545
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Utilization by Race
90%
85%
88%
100%
89%
85%
87%
95%
75%
80%
85%
90%
95%
100%
White AfricanAmerican
Hispanic Other
1 Year
2 Years
600/ 670
403/ 454
93/ 109
56/ 66
22/ 25
13/ 15
20/ 20
18/ 19
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Utilization by Penile Girth
• With device inflated (1 yr post-op)
– 11.6 ± 2.3 cm (n=157)
• With device inflated (2 yr post-op)
– 12.6 ± 1.2 cm (n=32)
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Utilization by Penile Length
• With device inflated (1 yr)
– 12.4 ± 2.5 cm (n=488)
• With device inflated (2 yr)
– 12.3 ± 2.5 cm (n=356)
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Utilization by Other Variables
• No significant difference in utilization at 1 or 2 yrs
– Previous ED treatment
– Baseline IIEF-5
– Surgical approach
– Surgical type
– Curvature correction procedure
– AMS 700 reservoir placement
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Overall Utilization (All)
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
1 year 2 years
89.2% 88.4%
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Conclusion
• PP utilization is high
– 89.2% at one year
– 88.4% at two years
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Questions?