Clinical Outcome: Patient and Partner Satisfaction after Penile Implant Surgery

Abstract

Background: Erectile dysfunction (ED) is a common disorder, which affects at least 50% of males aged 50-70 years. According to EAU Guidelines on male sexual dysfunction, implantation of an inflatable penile prosthesis (IPP) is a valid, third-line therapeutic option for treatment of ED. Objective: We conducted a retrospective single centre study to analyze mechanical reliability, complication rate, patient satisfaction and quality of life after penile prosthesis implantation. Materials and Methods: A total of 126 electronic patient files after primary implantation of an IPP during a 5-year period were investigated. A structured telephone interview concerning patient and partner satisfaction was conducted at least 1 year after implant surgery. Results: We found that 15 patients (11.9%) had revision surgery for various reasons. Mechanical failure occurred in 7.14% of the patients and was the main reason for revision surgery. Other major complications and complaints were loss of penile length (18.53%), postoperative pain (11.9%) and altered sensation (8.73%). No patients required explantation for infection, and 1 patient (0.79%) underwent revision surgery for an imminent erosion. One year or more after surgery, the patient and partner satisfaction rates, were 83.2 and 85.4%, respectively. We observed very high patient and partner satisfaction rates for the implantation of an IPP, with improvement of the general quality of life. These rates are negatively influenced by the occurrence of postoperative complications and complaints such as postoperative penile length shortening, pain and floppy glans syndrome. Most patients regain sexual function 6 weeks after surgery with no or minimal effect on the orgasm. Conclusion: The implantation of a 3-piece IPP has proven an effective, third-line treatment for patients with ED.

Comparison of Satisfaction With Penile Prosthesis Implantation in Patients With Radical Prostatectomy or Radical Cystoprostatectomy to the General Population

“…Although nearly a quarter of participants in this study (23%) had post-RP ED, the study did not specifically analyze satisfaction by etiology. 13 Our study corroborates these findings by reporting a high mean item response for the EDITS satisfaction question in both study and control groups.…”

Urethral instillation of chlorhexidine gel is an effective method of sterilisation

“…ED is treated in a stepwise manner with penile implants offered to patients who fail to respond to conservative lines of therapy. Penile implants have high patient and partner satisfaction rates exceeding 80%; however, implant surgery is not free from complications such as infection and urethral injury [ 14 , 15 ].…”

Current practices regarding corporotomy localization during penoscrotal inflatable penile implant surgery: a multicenter cohort study

“…Moreover, it is the only therapeutic solution offering high efficacy rates for ED patients in whom nonsurgical approaches are contraindicated due to intolerable side effects or are not acceptable to the patient due to low satisfaction rates [2]. Three piece IPPs are the most popular devices used for motivated men suffering from severe ED, and they have demonstrated high patient and partner satisfaction over time [3,4].…”