LastHope wrote:Some tips that I've learned from members here:
1) Choose the highest volume surgeon you can afford.
2) Don't hesitate to fly to a different location to get this done if you don't have a high-volume surgeon nearby.
3) Appropriate sizing and quality of installation matters.
One study suggests that 52% of inflatable implants continue to function into their 20th year. The common understanding is that they are super busy having sex and don't have time or need to log in to FranTalk to share that. This is totally understandable, most people don't login to car forums to post that their car runs with no issues.
The study is based on observational findings of forms filled by surgical centers and not a controlled study, so take these stats with a grain of salt.
7% of inflatable implants fail within 1 year
9% of inflatable implants fail within 3 years
13% of inflatable implants fail within 5 years
23% of inflatable implants fail within 10 years
36% of inflatable implants fail within 15 years
48% of inflatable implants fail within 20 years
Source:
Miller LE, Khera M, Bhattacharyya S, Patel M, Nitschelm K, Burnett AL.
Long-Term Survival Rates of Inflatable Penile Prostheses: Systematic Review and Meta-Analysis.
Urology. 2022 Aug;166:6-10. doi: 10.1016/j.urology.2022.03.026. Epub 2022 Apr 11. PMID: 35421510.
Conflict of interest statement
CONFLICT OF INTEREST
LM discloses professional relationships with Boston Scientific.
SB, MP, and KN report employment with Boston Scientific.
AB and MK disclose no conflicts of interest.
https://pubmed.ncbi.nlm.nih.gov/35421510/
This is the exact quote from the article:
"The robustness of the meta-analysis results was evaluated in a 1-study removed sensitivity analysis and sources of heterogeneity among studies were investigated with subgroup analysis. In 12 studies (20,161 patients; median age 57 years), PP device survival was 93.3% at 1 year, 91.0% at 3 years, 87.2% at 5 years, 76.8% at 10 years, 63.7% at 15 years, and 52.9% at 20 years."
I find it very difficult to believe that over 50% of implants last over 20 years. Even if you include those who have passed on, these numbers seem high.
