Use of Sildenafil in Penile Implant Patients

Abstract

Objective: To determine whether Sildenafil use in the patients with penile implants provided additional sexual satisfaction. Material and Methods: 12 patients who had had insertion of inflatable penile implants were given oral Sildenafil in the period following implantation. They were assessed for sexual satisfaction before and after oral Sildenafil use. The assessment was done using questions 7, 8, 13 and 14 of the International Index of Erectile Function (IIEF) questionnaire. These four questions of the IIEF questionnaire address the domain of satisfaction in male sexual behavior. Each person answered these questions using a scale of 1 (almost never or never) to 5 (almost always or always). The main answer to each question after Sildenafil was compared to the mean answer before. Results: There was a significant increase in the mean answer score to each of these questions. Conclusion: Supplemental Sildenafil can increase the sexual satisfaction of patients with inflatable penile implants.

Preservation of Cavernosal Erectile Function after Soft Penile Prosthesis Implant in Peyronie's Disease: Long-Term Followup

“…Moreover, in order to adhere to patient's perspectives, the ideal prosthetic implant should provide a firm and straightened penis, if possible, restoring the original length or girth of the natural erection [12]. …”

Penile Hemodynamic Response to Phosphodiesterase Type V Inhibitors after Cavernosal Sparing Inflatable Penile Prosthesis Implantation: A Prospective Randomized Open-Blinded End-Point (PROBE) Study

“…Efforts have been made to preserve some postoperative residual erectile function in the form of spontaneous tumescence and increased penile girth during sexual activity, which may play an important role in inciting female arousal [ 7 , 8 ]. Therefore, PDE5i were prescribed after penile prosthesis implantations to increase patients' and partners' satisfaction by enhancing glans engorgement [ 9 , 10 ]. In that context, Mulhall et al [ 11 ] pointed out that patient satisfaction was indeed significantly increased with the implant-PDE5i combination compared to the implant alone.…”

Factores que influyen en la respuesta a los inhibidores de la fosfodiesterasa tipo cinco en monoterapia frente a tratamiento combinado en el tratamiento de la disfunción eréctil

“…Un estudio con 32 pacientes con prótesis esta combinación mejoraron todos los dominios del cuestionario IIEF y se registró en todos ellos un engrosamiento del glande [798]. Otro estudio con 12 pacientes describe lo mismo [799].…”