Erectile dysfunction is a highly prevalent disorder. It is estimated that more than 50% of men who ranged in age from 40 to 70 years old suffer from erectile dysfunction to some degree. We aimed in this pilot cross-sectional study to determine female sexual function and social satisfaction before and 6 months after penile prosthesis implant. This study was carried on 50 consecutive married women whose husbands underwent malleable penile prosthesis implant in our department from July 2015 to July 2016. Our results showed significant increase in desire, lubrication, orgasm, and satisfaction scores after 6 months of penile prosthesis operation compared to scores before penile prosthesis implant (p < 0.001). Moreover, our study demonstrated significant increase in lubrication score in non-female genital mutilation after penile prosthesis implant (p 0.049). In addition, the results showed inverse correlations between age and female genital mutilation and female sexual function index scores after penile prosthesis implant. On the contrary, there were no correlations between number of offsprings and residence and duration of marriage and different domains of female sexual function index scores. Finally, penile prosthesis operation for patients with erectile dysfunction has a great impact on sexual functions of their female partners. We recommend preoperative and postoperative female partner involvement as a part of the treatment strategy for men undergoing penile prosthesis implant.

A single intratesticular injection of 0.5 cc of 50 mg/ml of an aqueous testosterone suspension was administered to 14 patients with asthenozoospermia. In 7 cases, injection was combined with ultrasound of 0.5 w/cm2 for 2 min weekly for 4 weeks. In another 4 cases, only ultrasound was applied. Intratesticular injection with or without ultrasound caused a significant increase of motility percentage. Sperm density improved in cases that were associated with oligozoospermia (less than 20 million/ml). Ultrasound therapy (0.5 w/cm2 for 2 min) used alone had no effect on semen parameters. Associated hormonal changes in blood plasma were evaluated.