@Article{,
AUTHOR = {Omar M. Dawood, Daniel J. Sadowski, Steve Scaife, Nicholas N. Tadros, Robert H. Blackwell},
TITLE = {Rural Medicare patients less likely to undergo penile prosthesis implantation following radical cystectomy},
JOURNAL = {Canadian Journal of Urology},
VOLUME = {27},
YEAR = {2020},
NUMBER = {6},
PAGES = {10461--10465},
URL = {http://www.techscience.com/CJU/v27n6/60350},
ISSN = {1488-5581},
ABSTRACT = {<b>Introduction:</b> 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.<br/>
<b>Materials and methods:</b> 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 cancer stage, and type of urinary diversion.<br/>
<b>Results:</b> A total of 95 penile implants were performed in the 11,477 cystectomy patients (0.83%). Patients who had a penile implant were mostly from urban counties (85.1%) and in the Western region of the United States (83.9%). After controlling for covariates, rural patients who underwent an ileal conduit for urinary diversion were less likely to have a penile prosthesis procedure after radical cystectomy.<br/>
<b>Conclusions:</b> Penile prosthetic procedures are uncommon in bladder cancer patients who have undergone radical cystectomy; therefore, sexual health should be considered and discussed with patients after radical cystectomy.},
DOI = {}
}