Between December 1996 and December 1998, 79 inflatable penile implant insertions have been performed at our institution by a single surgeon. The objective of this analysis was to compare our in-patient and out-patient experience with penile prosthesis insertion with respect to ease of performance and complication profiles. Data was collected in a prospective manner for both groups (in-patient, n = 33 and out-patient, n = 46). The two groups were compared with respect to intra-operative blood loss, operative time, time lost from work, narcotic use and complication rates. Both groups of patients experienced similar operative blood loss, essentially identical operative times, time lost from work and narcotic use. Most importantly, overall complication rates were 6% for the in-patient group and 4% for the out-patient group. Inflatable penile implant surgery is feasible in an ambulatory surgical setting. There is no difference in complication rates, loss of time from work, or intra-operative and post-operative course. Furthermore, there is a significant saving at our institution by performing the procedure in an out-patient fashion. In-patient prosthetic surgery is reserved for secondary procedures following a prior implant infection or primary implants in men with significant co-morbidities that require in-patient postoperative monitoring.

中文翻译：

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住院和门诊阴茎假体手术的比较。

在1996年12月至1998年12月之间，由一位外科医生在我们机构进行了79次可充气的阴茎植入物插入。该分析的目的是比较我们在住院和门诊使用阴茎假体的经验，以了解其表现和并发症情况。两组均以前瞻性方式收集数据（住院患者，n = 33，门诊患者，n = 46）。比较两组的术中失血量，手术时间，下班时间，麻醉药使用和并发症发生率。两组患者均经历了相似的手术失血，基本相同的手术时间，工作时间损失和麻醉使用。最重要的是，住院组的总并发症发生率为6％，而门诊组的总并发症发生率为4％。充气式阴茎植入术在非卧床手术环境中是可行的。并发症发生率，工作时间损失，术中和术后病程均无差异。此外，通过以门诊病人的方式执行该程序，我们的机构可节省大量资金。对于有严重合并症的男性，在先前的植入物感染或主要植入物之后，需要进行术后第二次手术，以进行第二次手术。