Mp45-04 satisfaction and Sexual Dysfunction of Men With Testicular Prostheses After Radical Orchiectomy

Abstract

examining its use in patients with Peyronie's disease (PD). The objective of this study was to explore the use of the SSIPI in men with PD and to determine if any factors predict postoperative outcomes in specific domains.METHODS: Preoperative, intraoperative, and postoperative data for patients with PD undergoing IPP placement by a single surgeon at a tertiary care institution was retrospectively collected into a secure database. A completed SSIPI from either the 3, 6, or 12 month follow up visit was used. Linear regression and Fischer's exact test was used to determine if there were any significant relationships between variables and the four subdomains for each patient.RESULTS: Within the study time period, 32 patients with PD who received an implant completed a postoperative SSIPI. Average curvature preoperatively was 44.8 degrees. Overall postoperative median SSIPI scores was 4.5 (IQR 4.2 e 4.8). There was no significant difference in the subdomains between the two different implants used which were the Coloplast Titan (n[23) and the AMS 700 CX (n[9). Of the preoperative variables assessed, only body mass index was significantly negatively correlated with the appearance domain of the SSIPI (slope[-0.06, R 2 [0.20, p[0.018). Of the categorical variables, those patients with a subjectively difficult dilation had a significantly higher score in the pain domain (p[0.046) indicating less pain postoperatively.CONCLUSIONS: This is the first study to use the SSIPI to gauge the satisfaction of penile implants in patients with PD. Analysis of this data supports patient counseling on weight loss prior to undergoing penile implant in order to improve patient satisfaction with appearance. Interestingly, difficult dilation intraoperatively was associated with less perceived pain by the patient postoperatively. Significance of this is unclear, but postoperative pain might be less among patients with corporal fibrosis due to prior injection therapy. This merits further investigation along with a larger patient population to determine if other factors such as racial differences may play a role in patient perceived satisfaction after penile implant placement in men with PD.