Patient and Partner Satisfaction after AMS Inflatable Penile Prosthesis Implant

Abstract

Introduction The implantation of penile prostheses is an effective option for treating erectile dysfunction (ED), and nowadays it is used to treat those cases where pharmacological agents have not provided a useful result. Aims The primary aim of the present study was to verify the patient and their partner’s satisfaction, in 80 patients who underwent AMS CX 700 prostheses implant in a single center, by the same surgeon, in the period between 2004 and 2008. Methods In the period between March 2004 and May 2008, 80 penile prostheses implantations have been performed. Any information regarding patients has been retrospectively collected consulting their case histories stored in our archive. Each patient was followed postoperatively, and surgical complications were recorded. Main Outcome Measure All the patients entered in this study were contacted by phone by a single operator who asked for their consent to collect information regarding their operation, the use of the prostheses, and the couple satisfaction. Once the consent was obtained, a nine-point questionnaire was administered. Results Seventy-six patients (97%) affirmed to use penile prostheses frequently. Fifty-four patients (69%) and 70 partners (90%) affirmed that they never had problems with the use of the prosthesis and they considered themselves satisfied. Sixty-two patients (79%) answered that this therapeutic method has led to evident improvements in their sexual life. Sixty-two patients (79%) gave a score equal or major than seven and sixty-four partners (82%) gave a score equal or major than seven. All but two patients (97%) reported they would suggest this treatment to other people. Conclusions Penile prosthetic surgery constitutes a valid therapeutic alternative, capable of modifying the prognosis and the course of ED. This consideration is emphasized by the high rate of patients and partner’s satisfaction emerged in our series and in literature.

Does a replacement or revision of an inflatable penile prosthesis lead to decreased patient satisfaction?

“…Previous studies have reported that the majority of patients are satisfied with their penile implants. 3 However, this study shows that despite Patient discomfort or dissatisfaction is usually seen in patients who are not properly informed of these potential complications prior to the procedure. Tefilli et al analyzed the psychosexual aspect of IPP replacement and noted that the factors that improved sexual experiences were penile rigidity and how rapid the prosthesis could provide erection.…”

“…1,2 The majority of patients who undergo IPP replacement are satisfied with the results and do not require further attention. 3 Surgical re-implantation of IPP devices has been shown to cause greater morbidity and intra-operative complications than initial implantation. 1,4 However, patient satisfaction after reimplantation and revision has not been well studied.…”

Can Ambicor® Penile Prosthesis be Used in One Piece in Patients with Inadequate Cavernous Structure? Our Experience of Two Cases

“…Even though patient and partner satisfaction is as high as 97% after penile prosthesis implantation, important complications seen in the perioperative and postoperative periods show that prosthesis implantation is a critical operation (4,5,6). The most important complications seen in the perioperative period is related to the urethra, bladder and bowel.…”

Penile prosthesis implant for erectile dysfunction: A new minimally invasive infrapubic surgical technique

“…Surgical treatment, as third-line therapy, can be performed after failure of all other options. Penile prosthesis implant, although invasive, has reached high levels of satisfaction and is associated with better sexual function, perception and with patient and partner' s high gratification (6,7). Complications related to mechanical failure of prosthesis, space for the reservoir (filled with 100 mL of saline solution), posterior to transversalis fascia in cephalad to caudal position (Figures 5, 6), is created.…”