{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,26]],"date-time":"2026-07-26T22:05:03Z","timestamp":1785103503712,"version":"3.55.0"},"reference-count":21,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2017,12,29]],"date-time":"2017-12-29T00:00:00Z","timestamp":1514505600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"},{"start":{"date-parts":[[2017,12,29]],"date-time":"2017-12-29T00:00:00Z","timestamp":1514505600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["jsm.jsexmed.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2018,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Penile prostheses (PPs) are a discrete, well-tolerated treatment option for men with medical refractory erectile dysfunction. Despite the increasing prevalence of erectile dysfunction, multiple series evaluating inpatient data have found a decrease in the frequency of PP surgery during the past decade.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>To investigate trends in PP surgery and factors affecting the choice of different PPs in New York State.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>This study used the New York State Department of Health Statewide Planning and Research Cooperative (SPARCS) data cohort that includes longitudinal information on hospital discharges, ambulatory surgery, emergency department visits, and outpatient services. Patients older than 18 years who underwent inflatable or non-inflatable PP insertion from 2000 to 2014 were included in the study.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Outcomes<\/jats:title>\n                  <jats:p>Influence of patient demographics, surgeon volume, and hospital volume on type of PP inserted.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Since 2000, 14,114 patients received PP surgery in New York State; 12,352 PPs (88%) were inflatable and 1,762 (12%) were non-inflatable, with facility-level variation from 0% to 100%. There was an increasing trend in the number of annual procedures performed, with rates of non-inflatable PP insertion decreasing annually (P &amp;lt; .01). More procedures were performed in the ambulatory setting over time (P &amp;lt; .01). Important predictors of device choice were insurance type, year of insertion, hospital and surgeon volume, and the presence of comorbidities.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Clinical Implications<\/jats:title>\n                  <jats:p>Major influences in choice of PP inserted include racial and socioeconomic factors and surgeon and hospital surgical volume.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Strengths and Limitations<\/jats:title>\n                  <jats:p>Use of the SPARCS database, which captures inpatient and outpatient services, allows for more accurate insight into trends in contrast to inpatient sampling alone. However, SPARCS is limited to patients within New York State and the results might not be generalizable to men in other states. Also, patient preference was not accounted for in these analyses, which can play a role in PP selection.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>During the past 14 years, there has been an increasing trend in inflatable PP surgery for the management of erectile dysfunction. Most procedures are performed in the ambulatory setting and not previously captured by prior studies using inpatient data.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1016\/j.jsxm.2017.12.005","type":"journal-article","created":{"date-parts":[[2017,12,29]],"date-time":"2017-12-29T21:13:50Z","timestamp":1514582030000},"page":"245-250","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":22,"title":["Trends in Penile Prosthetics: Influence of Patient Demographics, Surgeon Volume, and Hospital Volume on Type of Penile Prosthesis Inserted in New York State"],"prefix":"10.1093","volume":"15","author":[{"given":"James A.","family":"Kashanian","sequence":"first","affiliation":[{"name":"Department of Urology , New York, NY , USA"},{"name":"New York Presbyterian\u2013Weill Cornell Medicine , New York, NY , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ron","family":"Golan","sequence":"additional","affiliation":[{"name":"Department of Urology , New York, NY , USA"},{"name":"New York Presbyterian\u2013Weill Cornell Medicine , New York, NY , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tianyi","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Health Services and Policy Research , New York, NY , USA"},{"name":"Weill Cornell Medicine , New York, NY , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neal A.","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Urology , New York, NY , USA"},{"name":"New York Presbyterian\u2013Weill Cornell Medicine , New York, NY , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J.","family":"Lipsky","sequence":"additional","affiliation":[{"name":"Department of Urology , New York, NY , USA"},{"name":"New York Presbyterian\u2013Columbia University Medical Center , New York, NY , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter J.","family":"Stahl","sequence":"additional","affiliation":[{"name":"Department of Urology , New York, NY , USA"},{"name":"New York Presbyterian\u2013Columbia University Medical Center , New York, NY , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Art","family":"Sedrakyan","sequence":"additional","affiliation":[{"name":"Department of Health Services and Policy Research , New York, NY , USA"},{"name":"Weill Cornell Medicine , New York, NY , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2017,12,29]]},"reference":[{"issue":"Suppl 7","key":"2023012309131793200_bib1","first-page":"415","article-title":"Technological improvements in three-piece inflatable penile prosthesis design over the past 40 years","volume":"12","author":"Pastuszak","year":"2015","journal-title":"J\u00a0Sex Med"},{"key":"2023012309131793200_bib2","first-page":"159","article-title":"Comparison of satisfaction rates and erectile function in patients treated with sildenafil, intracavernous prostaglandin E1 and penile implant surgery for erectile dysfunction in urology practice","volume":"170","author":"Rajpurkar","year":"2003","journal-title":"J\u00a0Urol"},{"key":"2023012309131793200_bib3","first-page":"2040","article-title":"National practice patterns of treatment of erectile dysfunction with penile prosthesis implantation","volume":"193","author":"Oberlin","year":"2015","journal-title":"J\u00a0Urol"},{"key":"2023012309131793200_bib4","doi-asserted-by":"crossref","first-page":"280","DOI":"10.1002\/sm2.82","article-title":"The decline of inpatient penile prosthesis over the 10-year period, 2000\u20132010","volume":"3","author":"Alwaal","year":"2015","journal-title":"Sex Med"},{"key":"2023012309131793200_bib5","first-page":"1092","article-title":"Hospital-based trends in penile prosthetic surgery","volume":"12","author":"Mirheydar","year":"2015","journal-title":"J\u00a0Sex Med"},{"key":"2023012309131793200_bib6","doi-asserted-by":"crossref","first-page":"1377","DOI":"10.1016\/S0140-6736(16)30054-X","article-title":"Trends in adult body-mass index in 200 countries from 1975 to 2014: a pooled analysis of 1698 population-based measurement studies with 192 million participants","volume":"387","author":"NCD Risk Factor Collaboration (NCD-RisC)","year":"2016","journal-title":"Lancet"},{"key":"2023012309131793200_bib7","doi-asserted-by":"crossref","first-page":"933","DOI":"10.1161\/CIR.0b013e31820a55f5","article-title":"Forecasting the future of cardiovascular disease in the United States: a policy statement from the American Heart Association","volume":"123","author":"Heidenreich","year":"2011","journal-title":"Circulation"},{"key":"2023012309131793200_bib8","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1038\/ijir.2014.11","article-title":"Modern utilization of penile prosthesis surgery: a national claim registry analysis","volume":"26","author":"Segal","year":"2014","journal-title":"Int J Impot Res"},{"key":"2023012309131793200_bib9","first-page":"489","article-title":"Penile prosthesis surgery: current recommendations from the international consultation on sexual medicine","volume":"13","author":"Levine","year":"2016","journal-title":"J\u00a0Sex Med"},{"key":"2023012309131793200_bib10","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1046\/j.1464-410x.1999.00142.x","article-title":"The likely worldwide increase in erectile dysfunction between 1995 and 2025 and some possible policy consequences","volume":"84","author":"Ayta","year":"1999","journal-title":"BJU Int"},{"key":"2023012309131793200_bib11","first-page":"1638","article-title":"Trends in the utilization of penile prostheses in the treatment of erectile dysfunction in the United States","volume":"12","author":"Lee","year":"2015","journal-title":"J\u00a0Sex Med"},{"key":"2023012309131793200_bib12","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1016\/0090-4295(86)90370-5","article-title":"Inflatable and noninflatable penile prostheses: comparative follow-up evaluation","volume":"27","author":"Beutler","year":"1986","journal-title":"Urology"},{"key":"2023012309131793200_bib13","doi-asserted-by":"crossref","first-page":"952","DOI":"10.1111\/andr.12237","article-title":"Erectile dysfunction patients are more satisfied with penile prosthesis implantation compared with tadalafil and intracavernosal injection treatments","volume":"4","author":"Kucuk","year":"2016","journal-title":"Andrology"},{"key":"2023012309131793200_bib14","doi-asserted-by":"crossref","first-page":"E169","DOI":"10.1111\/j.1464-410X.2012.11561.x","article-title":"Comparison of efficacy and satisfaction profile, between penile prosthesis implantation and oral PDE5 inhibitor tadalafil therapy, in men with nerve-sparing radical prostatectomy erectile dysfunction","volume":"112","author":"Megas","year":"2013","journal-title":"BJU Int"},{"key":"2023012309131793200_bib15","first-page":"824","article-title":"Malleable penile prosthesis is a cost-effective treatment for refractory ischemic priapism","volume":"12","author":"Tausch","year":"2015","journal-title":"J\u00a0Sex Med"},{"key":"2023012309131793200_bib16","doi-asserted-by":"crossref","first-page":"576","DOI":"10.1111\/bju.12686","article-title":"Penile prosthesis insertion in patients with refractory ischaemic priapism: early vs delayed implantation","volume":"114","author":"Zacharakis","year":"2014","journal-title":"BJU Int"},{"key":"2023012309131793200_bib17","article-title":"Early insertion of a malleable penile prosthesis in ischaemic priapism allows later upsizing of the cylinders","author":"Zacharakis","journal-title":"Scand J Urol"},{"key":"2023012309131793200_bib18","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1016\/j.urology.2014.02.028","article-title":"A\u00a0population-based analysis of contemporary rates of reoperation for penile prosthesis procedures","volume":"84","author":"Grewal","year":"2014","journal-title":"Urology"},{"key":"2023012309131793200_bib19","first-page":"223","article-title":"Impact of surgeon case volume on reoperation rates after inflatable penile prosthesis surgery","volume":"197","author":"Onyeji","year":"2017","journal-title":"J\u00a0Urol"},{"key":"2023012309131793200_bib20","article-title":"Systematic review of the volume-outcome relationship for radical prostatectomy: a 2017 update","author":"Leow","journal-title":"Eur Urol Focus"},{"key":"2023012309131793200_bib21","doi-asserted-by":"crossref","first-page":"1921","DOI":"10.1007\/s11255-017-1688-6","article-title":"Surgeon preference of surgical approach for partial nephrectomy in patients with baseline chronic kidney disease: a nationwide population-based analysis in the USA","volume":"49","author":"Khandwala","year":"2017","journal-title":"Int Urol Nephrol"}],"container-title":["The Journal of Sexual Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1743609517318738?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1743609517318738?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/jsm\/article-pdf\/15\/2\/245\/48602403\/jsm_15_2_245.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jsm\/article-pdf\/15\/2\/245\/48602403\/jsm_15_2_245.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,1,23]],"date-time":"2023-01-23T09:37:16Z","timestamp":1674466636000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jsm\/article\/15\/2\/245\/6980248"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,12,29]]},"references-count":21,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2017,12,29]]},"published-print":{"date-parts":[[2018,2,1]]}},"URL":"https:\/\/doi.org\/10.1016\/j.jsxm.2017.12.005","relation":{},"ISSN":["1743-6109","1743-6095"],"issn-type":[{"value":"1743-6109","type":"electronic"},{"value":"1743-6095","type":"print"}],"subject":[],"published-other":{"date-parts":[[2018,2]]},"published":{"date-parts":[[2017,12,29]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Trends in Penile Prosthetics: Influence of Patient Demographics, Surgeon Volume, and Hospital Volume on Type of Penile Prosthesis Inserted in New York State","name":"articletitle","label":"Article Title"},{"value":"The Journal of Sexual Medicine","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jsxm.2017.12.005","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2017 International Society for Sexual Medicine. Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}