The process map of penile prosthesis implantation in outpatient surgery in Spain: a consensus document.

Abstract

Penile prosthesis (PP) implantation is feasible as an outpatient surgery. The present study describes the surgical process and establishes a consensus for improving the care circuit for outpatient PP implantation in Spain. A working group composed of a scientific committee with extensive experience in PP implantation and representatives of important scientific societies reached a consensus about the recommendations for outpatient PP implantation. The consensus was based on a structured methodology and evidence extracted from a systematic review, literature review and clinical experience. This study details the consensus reached regarding the profile of patients who are candidates for outpatient PP implantation; the care process in the presurgical, surgical and postsurgical phases; and the quality indicators for monitoring and evaluating the quality-of-care standards for outpatient PP implantation. Based on the insights of the working group, this study gives a description of the process map of outpatient PP implantation and promotes the map as a useful tool for urologist physicians and hospital managers.