@article{Pescatori_Alei_Antonini_Avolio_Bettocchi_Bitelli_Boezio_Cai_Caraceni_Carrino_Colombo_Conti_Corvasce_Dehò_Fiordelise_Ghidini_Italiano_La Pera_Liguori_Maretti_Mondaini_Natali_Negro_Palmieri_Palumbo_Paradiso_Polito_Pozza_Silvani_Tamai_Timpano_Utizi_Varvello_Vicini_Vitarelli_Franco_2016, title={INSIST-ED: Italian Society of Andrology registry on penile prosthesis surgery. First data analysis}, volume={88}, url={https://www.pagepressjournals.org/aiua/article/view/aiua.2016.2.122}, DOI={10.4081/aiua.2016.2.122}, abstractNote={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.}, number={2}, journal={Archivio Italiano di Urologia e Andrologia}, author={Pescatori, Edoardo and Alei, Giovanni and Antonini, Gabriele and Avolio, Antonio and Bettocchi, Carlo and Bitelli, Marco and Boezio, Francesco and Cai, Tommaso and Caraceni, Enrico and Carrino, Maurizio and Colombo, Fulvio and Conti, Enrico and Corvasce, Antonio and Dehò, Federico and Fiordelise, Stefano and Ghidini, Nicola and Italiano, Emilio and La Pera, Giuseppe and Liguori, Giovanni and Maretti, Carlo and Mondaini, Nicola and Natali, Alessandro and Negro, Carlo and Palmieri, Alessandro and Palumbo, Fabrizio and Paradiso, Matteo and Polito, Massimo and Pozza, Diego and Silvani, Mauro and Tamai, Aldo and Timpano, Massimiliano and Utizi, Lilia and Varvello, Francesco and Vicini, Patrizio and Vitarelli, Antonio and Franco, Giorgio}, year={2016}, month={Jul.}, pages={122–127} }