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首页> 外文期刊>The journal of sexual medicine >Penile prostheses and the litigious patient: A legal database review
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Penile prostheses and the litigious patient: A legal database review

机译：阴茎假体和诉讼患者：法律数据库审查

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Introduction: Erectile dysfunction (ED) is a common problem with significant impact on patient quality of life. Penile prosthesis implantation provides an effective treatment for ED but as an invasive procedure carries with it an increased risk of medicolegal liability. Aim: To investigate factors associated with malpractice litigation surrounding penile prosthesis implantation. Methods: The Westlaw legal database was used to perform an advanced search for case reports using the term "medical malpractice" in combination with "penile" or "penis" and "prosthesis" or "implant" with dates between the January 1990 and December 2013. Main Outcome Measures: Each report was examined for trial information including patient demographics, device model and indications, alleged breach of duty, alleged damages, progression to trial, case outcome, and plaintiff award(s). Results: The initial search yielded 76 cases that were narrowed to 40 after exclusions. There were 23 (57.5%) cases that were found in favor of the defendant, while 17 (42.5%) cases led to indemnity payment to the plaintiff including two cases (5.0%) that were settled out of court and 15 (37.5%) favoring the plaintiff in front of a jury. The mean settlement received was $335,500 compared with the mean indemnity award of $831,050 for verdicts decided in favor of the plaintiff (P=0.68). The most common breach of duty was error in surgical decision making, present in 20 cases (48.8%). Informed consent was an issue in 13 filings (31.7%), and postoperative infection was seen in 13 cases (31.7%). In cases that identified the type of implant used, 58.3% were malleable implants, and 41.7% were inflatable devices. Conclusions: The main issues involved in malpractice litigation for penile prosthesis implants included surgical performance, informed consent, and postoperative management. Urologists must be aware of these potential issues in order to minimize their malpractice liability.
机译：简介：勃起功能障碍（ED）是一个常见问题，对患者的生活质量产生重大影响。阴茎假体植入为ED提供了一种有效的治疗方法，但是由于侵入性手术会增加法医学责任的风险。目的：探讨与围绕阴茎假体植入的渎职诉讼相关的因素。方法：使用Westlaw法律数据库，以1990年1月至2013年12月之间的日期将“医疗事故”与“阴茎”或“阴茎”以及“假体”或“植入物”结合使用，以进行病例报告的高级搜索。主要结果指标：检查了每个报告的审判信息，包括患者的人口统计学，设备型号和适应症，涉嫌违反职责，涉嫌损害赔偿，审判进展，案件结果和原告裁决。结果：最初的搜索产生了76例，排除后缩小到40例。被告有利于被告的案件有23件（57.5％），向原告支付赔偿的案件有17件（42.5％），其中有2件（5.0％）在庭外和解，15件（37.5％）在陪审团面前有利于原告。获得的平均和解金额为335,500美元，而针对原告的判决平均赔偿金额为831,050美元（P = 0.68）。最常见的违反职责是手术决策错误，目前有20例（48.8％）。知情同意是13份申请中的一个问题（31.7％），术后感染是13例（31.7％）。在确定使用的植入物类型的案例中，58.3％是可延展植入物，41.7％是可充气设备。结论：阴茎假体植入物的不当诉讼涉及的主要问题包括手术性能，知情同意和术后处理。泌尿科医师必须意识到这些潜在问题，以最大程度地减少医疗事故责任。

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