UK Practice for Penile Prosthesis Surgery - baseline analysis of the British Association of Urological Surgeons (BAUS) Penile Prosthesis Audit.

OBJECTIVES To undertake a prospective multicentre national audit of penile prosthesis practice in the UK over a 3-year period. PATIENTS AND METHODS Data were submitted by urological surgeons as part of the British Association of Urological Surgeons Penile Prosthesis National Audit. Patients undergoing a penile prosthesis (inflatable or malleable) were included as part of a prospective registry over a 3 year period. Data was validated and then analysed using Tableau software. RESULTS A total of 1071 penile prosthesis procedures were included from 22 centres. The three commonest aetiological factors for erectile dysfunction were diabetes, prostate surgery and Peyronie's disease. Of the recorded data inflatable penile prostheses were the commonest devices implanted with 665 devices used (62.1%) whereas malleable prostheses accounted for 14.2% of the implants. Recorded intraoperative complications included urethral injury (0.7%, n=7), corporal perforation (1.1%, n=12) and cross over (0.6%, n= 6). Known post operative complications were recorded in 9.8% of cases (74/752), with the 2 most frequently reported being post- operative penile pain (n=11) and scrotal haematoma (n=14). DISCUSSION This baseline analysis is the largest prospective registry of penile prostheses procedures to date. The data shows that over the 3-year collection period in the UK, there are now fewer surgeons performing the procedure together with a reduction in the number of centres. Perioperative complications were infrequent, and the rate of implant abortion (eg due to urethral injury) was very low. Further follow up data will be required to publish long term outcomes and patient satisfaction.