Penile Prosthesis Implantation and Couple’s Satisfaction

Abstract

Objective: Implant surgery is the most acceptable curative choice for patients with erectile dysfunction and their partners, since the results are excellent with regard to the couple’s pleasure and the materials used are extremely manageable Materials and Methods: We performed 46 prosthesis implantations in patients with erectile dysfunction: in 22 patients we implanted soft prostheses; in 20 malleable prostheses; in 1 a mono-component prosthesis, and in 3 patients a tri-component model. All patients and partners were evaluated using a questionnaire. Results: We obtained a degree of satisfaction equal to 82% against 18% dissatisfaction due to a sensation of ‘unnaturalness’ report by the partner, with low perioperative and postoperative complications. Conclusion: In our opinion the degree of satisfaction of the patient is currently the only legitimate indicator to establish the effectiveness of therapy.

Use of Sildenafil in Penile Implant Patients

“…This may actually represent the patient's awareness of a lack of glanular engorgement, or a true decrease in girth and length [3]. Penile implants are placed in the corpora cavernosa displacing corporeal erectile tissue.…”

“…Penile implants are placed in the corpora cavernosa displacing corporeal erectile tissue. The glans penis is not involved [3]. It is not unusual for patients who have penile implants to report some engorgement of the penile shaft and glans penis on sexual excitement but the glans penis does not get as firm as they desire.…”

“…girth, and also penile length after the procedure. They do well functionally, however some patients have been less satisfied sexually because of the apparent girth and length loss [3].…”

“…Penile implants result in displacement of erectile cavernous tissue. Penile implants also do not involve the glans penis [3].…”

Penile prosthesis, sexual satisfaction and representation of male erotic value

“…(3) Thirdly, the satisfaction of prosthesis-assisted sexuality may be altered by psychological and relational factors. Several studies indicate that the least satisfaction was found in patients who are the most aware of the 'unnatural' aspect of the prosthesis (Montorsi et al, 2000;Porena et al, 1999). ln the same way, Collins and Kinder (1984) and Schover and Von Eschenbach (1985) argue that low satisfaction is characteristic of couples with important conflicts or with sexual desire troubles.…”