Evaluation of the Effectiveness of Local Anesthesia and Patient Tolerance in Penile Prosthesis Implantation

Ali Erhan Eren; Baran Arslan; Mücahit Gelmiş; Mehmet Salih Boğa; Ekrem İslamoğlu

doi:10.54233/endourolbull-1649521

Evaluation of the Effectiveness of Local Anesthesia and Patient Tolerance in Penile Prosthesis Implantation

Authors : Ali Erhan Eren, Baran Arslan, Mücahit Gelmiş, Mehmet Salih Boğa, Ekrem İslamoğlu

Pages : 86-92

Doi:10.54233/endourolbull-1649521

View : 34 | Download : 46

Publication Date : 2025-05-30

Article Type : Research Paper

Abstract :Objective: This study aims to evaluate the effectiveness, safety, and patient tolerance of penile prosthesis implantation (PPI) performed under local anesthesia (LA). The study investigates its impact on perioperative pain management, postoperative recovery, and overall patient satisfaction. Material and Methods: This prospective study included 26 male patients who underwent PPI under LA between January 2024 and December 2024. Ethical approval was obtained from the Ethics Committee Antalya Training and Research Hospital No: 2/24, Date: 30.01.2025). Pain intensity was assessed using the Visual Analog Scale (VAS), while patient stability and intraoperative parameters were monitored. The American Society of Anesthesiologists (ASA) classification system was used for anesthesia risk assessment. Results: The mean age of the patients was 67.25 ± 11.48 years. Diabetes mellitus and hypertension were present in 75% and 62.5% of patients, respectively. According to ASA classification, 46.2% were classified as ASA-II, while 53.8% were ASA-III. The mean intraoperative VAS score was 1.8 (mild pain), while the mean postoperative VAS score was 4.6 (mild-to-moderate pain). No patients required additional sedation or conversion to general anesthesia. No major intraoperative complications or postoperative prosthesis-related complications were observed. Conclusion: Local anesthesia is a feasible and effective alternative for penile prosthesis implantation, offering benefits such as minimal intraoperative discomfort, avoidance of systemic anesthetic complications, and a favorable recovery profile. Further studies with larger cohorts are needed to optimize pain management strategies and evaluate long-term functional outcomes.
Keywords : Penis protezi implantasyonu, Lokal anestezi, Erektil disfonksiyon, Ağrı yönetimi

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