INSIST-ED: Italian Society of Andrology registry on penile prosthesis surgery. First data analysis

  • Edoardo Pescatori | Hesperia Hospital, Modena, Italy.
  • Giovanni Alei Policlinico Umberto I, Roma, Italy.
  • Gabriele Antonini Policlinico Umberto I, Roma, Italy.
  • Antonio Avolio Ospedale Mazzoni, Ascoli Piceno, Italy.
  • Carlo Bettocchi Policlinico Bari, Bari, Italy.
  • Marco Bitelli Ospedale S. Sebastiano Martire, Frascati, Italy.
  • Francesco Boezio Ospedale Tatarella, Cerignola, Italy.
  • Tommaso Cai Ospedale Santa Chiara, Trento, Italy.
  • Enrico Caraceni Area Vasta 3, Civitanova Marche, Italy.
  • Maurizio Carrino Ospedale Cardarelli, Napoli, Italy.
  • Fulvio Colombo Policlinico S.Orsola-Malpighi, Bologna, Italy.
  • Enrico Conti Ospedale San Bartolomeo, Sarzana, Italy.
  • Antonio Corvasce Ospedale Bonomo, Andria, Italy.
  • Federico Dehò Ospedale San Raffaele, Milano, Italy.
  • Stefano Fiordelise AUSL Piacenza, Italy.
  • Nicola Ghidini Hesperia Hospital, Modena, Italy.
  • Emilio Italiano Ospedali Riuniti, Palermo, Italy.
  • Giuseppe La Pera San Camillo Forlanini, Roma, Italy.
  • Giovanni Liguori Ospedali Riuniti, Trieste, Italy.
  • Carlo Maretti CIRM, Piacenza, Italy.
  • Nicola Mondaini Ospedale S.M. Annunziata, Firenze, Italy.
  • Alessandro Natali AUOC, Firenze, Italy.
  • Carlo Negro Ospedale Cardinal Massaia, Asti, Italy.
  • Alessandro Palmieri Università Federico II, Napoli, Italy.
  • Fabrizio Palumbo Policlinico Bari, Bari, Italy.
  • Matteo Paradiso Ospedale Cardinal Massaia, Asti, Italy.
  • Massimo Polito Ospedali Riuniti, Ancona, Italy.
  • Diego Pozza Wojtyla Hospital, Roma, Italy.
  • Mauro Silvani Ospedale Infermi, Biella, Italy.
  • Aldo Tamai Casa di Cura Eretenia, Vicenza, Italy.
  • Massimiliano Timpano Ospedale Molinette, Torino, Italy.
  • Lilia Utizi Area Vasta 3, Civitanova Marche, Italy.
  • Francesco Varvello Ospedale San Lazzaro, Alba, Italy.
  • Patrizio Vicini Rome American Hospital, Roma, Italy.
  • Antonio Vitarelli Policlinico Bari, Bari, Italy.
  • Giorgio Franco Policlinico Umberto I, Roma, Italy.


Objectives: The Italian Society of Andrology, i.e. “Società Italiana di Andrologia” (S.I.A.), launched on December 2014 a prospective, multicenter, monitored and internal review board approved Registry for penile implants, the “INSIST-ED” (Italian Nationwide Systematic Inventarisation of Surgical Treatment for ED) Registry. Purpose of this first report is to present a baseline data analysis of the characteristics of penile implant surgery in Italy. Material and methods: The INSIST-ED Registry is open to all surgeons implanting penile prostheses (all brands, all models) in Italy, providing anonymous patient, device, surgical procedure, outcome, follow-up data, for both first and revision surgeries. A Registry project Board overviews all the steps of the project, and a Registry Monitor interacts with the Registry implanting surgeons. Results: As by April 8, 2016, 31 implanting surgeons actively joined the Registry, entering 367 surgical procedures in its database, that comprise: 310 first implants, 43 prosthesis substitutions, 14 device explants without substitution. Implanted devices account for: 288 three-component devices (81,3%), 20 two-component devices (5,4%), 45 non-hydraulic devices (12,3%). Leading primary ED etiologies in first implant surgeries resulted: former radical pelvic surgery in 111 cases (35,8%), Peyronie’s disease in 66 cases (21,3%), diabetes in 39 cases (12,6%). Two intraoperative complications have been recorded. Main reasons for 57 revision surgeries were: device failure (52,6%), erosion (19,3%), infection (12,3%), patient dissatisfaction (10,5%). Surgical settings for patients undergoing a first penile implant were: public hospitals in 251 cases (81%), private environments in 59 cases (19%). Conclusions: The INSIST-ED Registry represents the first European experience of penile prosthesis Registry. This baseline data analysis shows that: three-pieces inflatable prosthesis is the most implanted device, leading etiology of erectile dysfunction (ED) in patient receiving a prosthesis is former radical pelvic surgery, primary reason for revision surgery is device failure, primary settings for first penile implant surgery are public hospitals. Evaluation of penile implant impact on recipients quality of life is presently ongoing.



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Author Biography

Edoardo Pescatori, Hesperia Hospital, Modena
Implanting surgeon active in the INSIST-ED Registry 
Original Papers - Andrology
Penis, Penile prosthesis, Surgery, Surgical procedures, Implant, Registry, Quality of life, Impotence, Erectile dysfunction
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  • PDF: 1133
How to Cite
Pescatori, E., Alei, G., Antonini, G., Avolio, A., Bettocchi, C., Bitelli, M., Boezio, F., Cai, T., Caraceni, E., Carrino, M., Colombo, F., Conti, E., Corvasce, A., Dehò, F., Fiordelise, S., Ghidini, N., Italiano, E., La Pera, G., Liguori, G., Maretti, C., Mondaini, N., Natali, A., Negro, C., Palmieri, A., Palumbo, F., Paradiso, M., Polito, M., Pozza, D., Silvani, M., Tamai, A., Timpano, M., Utizi, L., Varvello, F., Vicini, P., Vitarelli, A., & Franco, G. (2016). INSIST-ED: Italian Society of Andrology registry on penile prosthesis surgery. First data analysis. Archivio Italiano Di Urologia E Andrologia, 88(2), 122-127.