259 Penile prosthesis implantation preserves penile length

A common cause of patient dissatisfaction after penile implanting (PI) is caused by patients complaing that surgery has shortened the penis. It has been suggested that stretched penile length preoperatively is almost the same after surgery when the prosthesis is in erect status. However, no comprehensive data supports this theory. This prospective study aimed to investigate penile size measured preoperatively and erect postoperatively. Consecutive penile prosthesis operations were assessed over one year period. Standardised measurements of stretched penile length and girth were performed in theatre preoperatively then re-measured at the end of the procedure with the penis in the erect position. We recorded type of penile implant, cylinder lengths and malleable rod diameters. All patients had data on body mass index (BMI), hypertension, glycated haemoglobin (HbA1c) and Peyronie’s disease(PD). 133 patients were assessed. 88 (66.2%) had malleable prosthesis( MPP), 45 (33.8%) inflatable prostheses (IPP). Median age and BMI were 56 and 30 respectively. 40(30.1%) patients had hypertension and 37(27.8%) suffered from PD. 89 men (66.9%) were diabetic.