No abstract

there were high patient and partner satisfaction rates, respectively 83.2% and 85.4%. We found the highest satisfaction rates in the vasculogenic and post-prostatectomy group. There was a significant lower satisfaction rate for the AMS-Ultrex (25%) comparing to the Coloplast Titan (91%) and AMS-LGX (80%). The average time to activation of the prosthesis after surgery was 6 weeks and more than 50% had sexual intercourse within 4 weeks after activation. 72.41% of the patients had an orgasm during their first sexual intercourse. The average quality of life on a scale from 0 to 5 was 2 before and 3.5 after surgery.CONCLUSIONS: We found very high patient and partner satisfaction rates and an increase of the general quality of life. These rates can be negatively influenced by the occurrence of postoperative penile length shortening, pain and floppy glans syndrome. We prefer the penoscrotal approach for insertion because of significant lower floppy glans syndrome. Sexual life can restart after an average of 6 weeks after surgery and the prosthesis has minimal effect on reaching an orgasm.