High Patient Satisfaction After Inflatable Penile Prostheses Implantation Correlates with Female Partner Satisfaction

Abstract

Introduction Patient and female partner satisfaction after implantation of an inflatable penile prosthesis (IPP) assessed by objective means, and the correlation between the partners, is important for determining postoperative sexual life. Aim The primary goal was to evaluate patients' erectile function and patients' and their partners' satisfaction after IPP implantation. A secondary aim was to investigate potential determinative factors of satisfaction according to device characteristics, demographics, and cause of erectile dysfunction (ED). Methods Ninety patients, who underwent IPP implantation as an alternative to refractory or undesirable medical treatment for ED, were evaluated. Patients who could not or refused to participate, or were out of a relationship, were excluded. The 69 remaining patients were evaluated for their pre- and postoperative erectile function and posttreatment satisfaction for themselves and their partners. Main Outcome Measures Preoperative and postoperative scores on the International Index of Erectile Function Questionnaire–five items (IIEF-5) were compared. The Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) was given to males and their female partners. Patient demographics, etiology of ED, and implant characteristics were correlated also with patients' EDITS scores. Results Mean IIEF-5 scores demonstrated a significant improvement after IPP implantation: from 8.88 ± 3.75 to 20.97 ± 4.37 (P < 0.001). The mean patients' EDITS score was 75.48 ± 20.54, whereas mean female partners' score was 70.00 ± 22.92, highlighting high posttreatment satisfaction for both. Regression analysis suggested a direct linear correlation of satisfaction between the sexual partners as a degree of satisfaction. There were no statistically significant differences according to level of education or implant characteristics. Concerning the etiology of ED, no conclusions could be made. Conclusions Overcoming previous limitations in determining post-IPP implantation satisfaction, our study reiterates high rates of patient and partner satisfaction. Of particular note, patient satisfaction appears independent of prosthesis type and cylinder length.

The importance of psychosexual counselling in the re-establishment of organic and erotic functions after penile prosthesis implantation

“…A recent study highlighted the key role of female partners' sexual function in couples' satisfaction rates after PPI. 19 Our study thoroughly evaluated the role of sexual counselling in the improvement of PPI outcomes, being the first to propose a structured psychosexual counselling to the couples. Our results clearly suggest that the erotic function recovery is more pronounced in couples undergoing psychosexual counselling.…”

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

“…A recent study from Greece was conducted in 90 patients to assess the patients' erectile function and satisfaction after IPP implantation as well as the relationship between patient and partner satisfaction. 25 Although it was not specifically designed to compare different types of prosthesis, the authors reported that patient satisfaction, as assessed by EDITS questionnaire, did not differ significantly between devices implanted. AMS 700CX TM and Coloplast Titan ® were included among the models implanted.…”

“…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. 19,25 Currently, IPP model selection is based solely on pricing and surgeon preference disregarding patient satisfaction or preference. The main aim of this study is to compare overall patient satisfaction after implantation of either AMS 700 CX TM or Coloplast Titan ® IPP for the treatment of ED.…”

Peyronie’s disease: Contemporary evaluation and management

“…Satisfaction rates with penile prosthesis placement in the modern literature often exceed 80–90% for patients and their partners 145‐148 . In their multicenter prospective series, Khera et al.…”