Patient Expectations Prior to Coloplast Titan Penile Prosthesis Implant Predicts Postoperative Satisfaction

Abstract

Introduction Managing and understanding expectations of patients prior to inflatable penile prosthesis (IPP) surgery is a critical. Clinicians vary in the way they explain the operation, and patients have varied expectations prior to surgery. Aims The goal is to understand the role that preoperative counseling and patients’ realistic understanding of IPP surgery play in determining postoperative satisfaction. Methods 21 Patients underwent IPP surgery, and received a preoperative expectations survey, then, 4 months later, gave a single score of 1–100 (1 is very dissatisfied, 100 is extremely satisfied). Main Outcome Measures The results were correlated with an R2 value and visualized on a scatter plot. This significance is tested using a two-tailed test. Results Lower preoperative expectations scores correlated almost linearly with higher satisfaction scores after surgery. The R (Pearson) value was −0.489, with an R2 of 0.239. This was significant using a two-tailed test, with a P value of 0.0245. Conclusion Giving patients an accurate description of the procedure and setting realistic expectations leads to higher postoperative satisfaction.

Contemporary Patient Satisfaction Rates for Three-Piece Inflatable Penile Prostheses

“…Partners' attitudes may play a role [17] and patient expectations can have a great impact [18]. Poor outcomes requiring explantation and secondary procedures affected responses.…”

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

“…14 Generally, after PPI dissatisfaction is due to a perceived loss of penile length, 15 postoperative pain and difficulty in using the device. 7 Recent series in the literature have shown that penile prosthesis are used by the large majority of patients undergoing PPI (89-97%). 4,16 In some cases, however, patients do not accept their new sexuality and they may even decide for the removal of the device.…”

“…This communication gap may produce unrealistic expectations in men and partners, causing variable degrees of postoperative dissatisfaction. 7 Porena et al 18 were the first to address the issue of the couple's satisfaction after PPI, concluding that the degree of satisfaction is the best indicator to verify the effectiveness of therapy. A recent study highlighted the key role of female partners' sexual function in couples' satisfaction rates after PPI.…”

“…Furthermore, satisfaction rates must not be considered as a direct consequence of surgical outcomes. 6 According to Kramer et al, 7 counselling might have an important role to improve the sexual response and to manage the expectations of patients undergoing PPI. The aim of this study is to explore the impact of a psychosexual counselling programme on the erectile function and sexual response of patients undergoing PPI and their respective partners.…”

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

“…There have been numerous studies published until now which evaluated each type of prosthesis independently as regards the satisfaction of the patient, the partner and the surgeon. Similarly, studies have been conducted to assess both types of prostheses independently in very specific scenarios such as to evaluate new developments and technical advances of each of the prostheses, or to compare their effectiveness in special clinical situations such as for concomitant DE and Peyronie's disease treatment 379101112…”