Rural Medicare patients less likely to undergo penile prosthesis implantation following radical cystectomy
Omar M. Dawood1, Daniel J. Sadowski2, Steve Scaife3, Nicholas N. Tadros1, Robert H. Blackwell1
Canadian Journal of Urology, Vol.27, No.6, pp. 10461-10465, 2020
Abstract Introduction: Erectile dysfunction is common after radical cystectomy; however, research on sexual dysfunction after this procedure is relatively scarce. Our goal was to evaluate the incidence of penile prosthesis implantation after radical cystectomy, with a focus on rural/urban disparity.
Materials and methods: We used the SEER-Medicare database to identify patients with bladder cancer diagnosed between 1991-2009 who had a radical cystectomy (ICD-9 codes 57.7, 57.71, 57.79). The outcome was placement of a penile implant (ICD-9 codes 64.95 and 64.97). Covariates extracted included rural county status, age, race, ethnicity, marital status, geographic region, socioeconomic status, Charlson comorbidity, pathologic… More >