Comparison of the patient and partner satisfaction with 700CX and Titan penile prostheses

Abstract

Most widespread three-component penile prosthesis models are 700CX™ and Titan®. Our purpose is to assess patient and partner satisfaction after the first implant. This is a multicenter, retrospective, nonrandomized study in which all patients who met the inclusion criteria between 2009 and 2013 were included. In total, 248 patients agreed to participate. To evaluate patient satisfaction, a validated but modified 11-question questionnaire was completed (EDITS); and a nonvalidated two-item questionnaire was given to the partner. Statistical analysis used an ordinal logistic regression model. Two hundred and forty-eight patients (194 with 700CX™ vs 54 with Titan®) and 207 couples completed the questionnaire (165 with 700CX™ vs 42 with Titan®). Overall satisfaction was high. Both showed great reliability for sexual intercourse and high compliance with prior expectations. Most patients were able to manage the penile prosthesis correctly within 6 months. Postoperative penile shortening led to some dissatisfaction in 42% and 46% of cases (700CX™ /Titan®). Significant differences were found in three questions of patients’ questionnaire. There were more patients satisfied with the 700CX™ (P = 0.0001). No patient with Titan® implant took longer than 6 months to optimal management. Only 4% of patients with 700CX™ implant were dissatisfied with the deflation, in contrast to 24% with the Titan® (P = 0.0031). Of the two partners’ questions, one showed a statistically significant difference (P = 0.0026). It seems that group 700CX™ would recommend to re-implant the prosthesis with a greater tendency. The overall satisfaction was very high for both prostheses. The final aspect of the erected and flaccid penis was satisfactory, but both groups showed significant discontent with its final size. Partners’ overall satisfaction was high.

Long-term patient-reported satisfaction with different inflatable penile prosthesis: Comparison between AMS 700CX and Coloplast Titan

“…They further stated that even though there was a difference in satisfaction, the majority of patients in both groups had positive outputs regarding question 1. 21 Indeed they noted a disparity in the proportion of ''very satisfied'' to ''satisfied'' answers (70% to 24% versus 44% to 44% in 700CX and Titan ® groups, respectively). 21 We did not observe such a difference in question 1 neither there was a so significant disproportion between ''very pleased'' and pleased'' answers in 700CX TM (50% ''very pleased'' to 33.3% ''pleased'').…”

“…More recently, Otero et al conducted the largest retrospective study with 248 patients comparing satisfaction with either AMS 700CX TM or Coloplast Titan ® implantable penile prothesis for the treatment of erectile dysfunction. 21 Concomitant Peyronie's disease or previous penile surgery were exclusion factors.…”

“…Frequently modified version are applied where original questions are replaced by treatment-specific questions. 21,23 When inflatable penile prothesis are concerned EDITS score has been show to rise steady until at least one year after surgery while early assessment (three and six months) might show less satisfactory results. 24 Although there are several studies evaluating patient, partner and surgeon satisfaction as well as specific components and technological advances of a single model, there is little published data comparing IPP models.…”

A Comparison Between AMS 700 and Coloplast Titan: A Systematic Literature Review

“…Otero et al [17] More patients were satisfied with the 700CX. Only 4% with the 700 CX were dissatisfied with the deflation compared to 24% with the Titan.…”

A prospective evaluation of penile measures and glans penis sensory changes after penile prosthetic surgery

“…Even though the overall satisfaction is high, subjective penile length reduction is still present (5,6). It seems that there was consensus that penile length will decrease after radical prostatectomy (7-9).…”