Preoperative Psychological Evaluation for Patients Referred for Penile Prosthesis Implantation

Reis, Margareth de Mello Ferreira dos; Barros, Eduardo Augusto Corrêa; Pollone, Marilisa; Molina, Maria Beatriz Gracia; Westin, Caio Pereira de Vasconcellos; Glina, Sidney

doi:10.1016/j.esxm.2020.100311

Cited by 4 publications

(2 citation statements)

References 35 publications

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“…In addition to directly querying psychiatric history, a review of current medications may indicate ongoing treatment for psychiatric conditions. A history of psychiatric comorbidities may suggest increased risk for dissatisfaction, but the more important aspect of this initial assessment is to determine if a patient has active, untreated symptoms that may require additional support ( 11 ). Patients with poorly managed psychiatric conditions may not have the psychological reserve or ability to cope with a significant complication.…”

Section: Preoperative Considerationsmentioning

confidence: 99%

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Assessing psychiatric risk with a focus on optimizing patient satisfaction with penile prosthesis placement—a narrative review

Helo,

Betcher,

Ziegelmann

2023

Transl Androl Urol

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Background and Objective Treatment for medication-refractory erectile dysfunction (ED) is based on a shared decision-making model. The gold standard treatment for medication refractory ED is penile prosthesis (PP) placement. Patient satisfaction rates with PP are high with adequate counseling and expectation-setting. However, as with any elective surgery, patient selection is key to minimizing complications and ultimately patient dissatisfaction. Psychological well-being is an important consideration in the preoperative evaluation and postoperative management of patients undergoing PP placement. Methods We performed a PubMed literature review to identify pertinent studies for this narrative review. Specifically, we sought describe preoperative evaluation including appropriate counseling and patient selection as well relevant intraoperative and postoperative factors for patients undergoing PP placement with a specific focus on optimizing preoperative psychiatric factors and treatment-related patient satisfaction to identify pertinent articles describing ways to optimize patient satisfaction with PP. Key Content and Findings A patient’s psychological state can influence the degree of understanding of their condition, affect perception of their treatment team, and limit their ability to cope with complications. All patients should undergo a thorough medical history and physical examination to screen for psychiatric health disorders, substance abuse, and chronic pain conditions. Establishing patient expectations with regards to treatment-related outcomes during the preoperative consultation will ensure congruency between the patient and performing surgeon. Patients with a more significant psychiatric distress related to their underlying sexual dysfunction may require additional evaluation and counseling preoperatively. Conclusions PP placement is associated with high levels of overall satisfaction in appropriately screened patients. Specific considerations during preoperative counseling and careful patient selection, intraoperative decision making to avoid or anticipate possible complications, and postoperative cares are necessary to ensure the best result for an individual patient.

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Section: Preoperative Considerationsmentioning

confidence: 99%

“…Previous studies have demonstrated that the incidence of anxiety or depressive symptoms is 13.8–17.1% in men with ED ( 11 ). Failure to recognize psychiatric comorbidities may lead to surgical complications, prolonged hospital stay, readmission, and overall decreased patient satisfaction ( 12 - 15 ).…”

Section: Introductionmentioning

confidence: 99%