{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T02:04:41Z","timestamp":1780711481363,"version":"3.54.1"},"reference-count":30,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T00:00:00Z","timestamp":1752019200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T00:00:00Z","timestamp":1752019200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Urology"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Complications related to penile prosthesis implantation surgery (PPI) can be categorized as infectious, non\u2010infectious organ\/tissue damage, device failure, and patient\/partner dissatisfaction. However, no scoring system has been established to assess both preoperative physical status and intraoperative risk factors. The Estimation of Physiologic Ability and Surgical Stress (E\u2010PASS) score was originally developed to estimate postoperative complication risk in gastrointestinal surgeries. It incorporates age, severe cardiac\/pulmonary disease, diabetes mellitus, performance status index, American Society of Anesthesiologists (ASA) classification, blood loss, body weight, operative time, and skin incision length. This study aims to evaluate the feasibility of the E\u2010PASS scoring system in predicting postoperative complications following PPI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this single\u2010center retrospective study, data of 56 patients who underwent PPI between 2015 and 2024 were analyzed. Demographics, preoperative physical condition parameters, and intraoperative risk factors were recorded. E\u2010PASS score and sub\u2010scores were calculated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Postoperative complications occurred in 17 patients (30.4%). Patients with complications had higher performance scores, ASA scores, prior pelvic\/penile\/urethral surgeries, prior PPI history, and higher E\u2010PASS scores (preoperative risk score, surgical stress score, and comprehensive risk score [CRS]). A CRS cut\u2010off value of \u22120.1238 predicted complications (AUC\u2009=\u20090.75; 95% CI 0.62\u20130.88;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.003). CRS above the cut\u2010off was associated with a 16.2\u2010fold increase in complication risk.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The E\u2010PASS scoring system appears to be a reliable tool for predicting postoperative complications in patients undergoing PPI by incorporating both preoperative physical condition and intraoperative risk factors.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/iju.70165","type":"journal-article","created":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T11:58:14Z","timestamp":1752062294000},"page":"1474-1481","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["E\u2010\n                    <scp>PASS<\/scp>\n                    Scoring System in Predicting Postoperative Complications After Penile Prosthesis Implantation"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5558-327X","authenticated-orcid":false,"given":"Kursat","family":"Kucuker","sequence":"first","affiliation":[{"name":"Department of Urology, Medical Faculty Pamukkale University  Denizli Turkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0513-4505","authenticated-orcid":false,"given":"Alper","family":"Simsek","sequence":"additional","affiliation":[{"name":"Department of Urology, Medical Faculty Band\u0131rma Onyedi Eylul University  Balikesir Turkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8597-2081","authenticated-orcid":false,"given":"Mesut Berkan","family":"Duran","sequence":"additional","affiliation":[{"name":"Department of Urology, Medical Faculty Pamukkale University  Denizli 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