Satisfaction rate at 1‐year follow‐up in patients treated with penile implants: data from the multicentre prospective registry <scp>INSIST</scp>‐<scp>ED</scp>

Capogrosso, Paolo; Pescatori, Edoardo S.; Caraceni, E.; Mondaini, Nicola; Utizi, L.; Cai, Tommaso; Salonia, Andrea; Palmieri, Alessandro; Dehò, Federico

doi:10.1111/bju.14462

Cited by 26 publications

(16 citation statements)

References 28 publications

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“…However, a prospective cohort study that included 142 Italian subjects has not found a significant association between Peyronie's disease and dissatisfaction (in such study, the only variable associated with satisfaction was the surgeon's experience). 38 Although a variety of studies show the subject's psychological characteristics associated with dissatisfaction with the penile prosthesis implantation, 13,39 the literature on how the preoperative psychological evaluation should be performed is scarce. The present evaluation protocol uses standardized tools and open interviews with an in-depth investigation of multiple realms of the patient's life.…”

Section: Discussionmentioning

confidence: 99%

Preoperative Psychological Evaluation for Patients Referred for Penile Prosthesis Implantation

et al. 2021

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Background: Patients may remain dissatisfied after penile prosthesis implantation for the treatment of erectile dysfunction. Studies showing the results of standardized protocols for preoperative psychological evaluation are lacking. Purpose: To estimate the rate of patients considered psychologically unfit for penile prosthesis implantation and to compare their characteristics with those considered fit after the implementation of a standardized psychological profile evaluation protocol for men with erectile dysfunction. Methods: Cross-sectional evaluation of men referred for penile prosthesis implantation by their urologists, based on organic causes for the erectile dysfunction, including a semi-structured (sexual and relational anamnesis of the patient and their partner, information about expectations about the results of the penile prosthesis implantation and possible complications) and a structured instrument including validated tools for the evaluation of depression and/or anxiety symptoms. These were the Self Reporting Questionnaire (SRQ-20), the 36-Item Short-Form Health Survey for quality of life, and the Five-Factor Model (FFM) for behavioral tendencies. After at least 3 interviews, the psychology team rated the patients as fit or unfit for surgery. Unfit patients were those with any of a set of warning signals indicating risk for dissatisfaction even after penile implantation. Main outcome measure: The prevalence of patients considered "unfit for surgery." Results: The quality of life scores were good, but 27.6% of patients (95% confidence interval, CI: 16.7e40.9%) were unfit for surgery. Being unfit was associated with obesity (P ¼ .027), anxiety and/or depression symptoms (P < .001) and high levels of neuroticism (P ¼ .001). Conclusion: The preoperative evaluation protocol combining standardized and validated tools shows that more than one-quarter of patients with a medical indication for penile prosthesis implantation were not in good psychological conditions for the surgery. The development of psychological evaluation protocols can help identify patients in need of adequate care before penile implantation. M de Mello Ferreira dos Reis, EA Corrêa Barros, M Pollone, et al. Preoperative Psychological Evaluation for Patients Referred for Penile Prosthesis Implantation. Sex Med 2020; XX:XXXeXXX.

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Section: Discussionmentioning

confidence: 99%

Preoperative Psychological Evaluation for Patients Referred for Penile Prosthesis Implantation

et al. 2021

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“…This data can be explained by the intensive pre- and postoperative counseling that every patient received, which allowed us to provide the patient with realistic expectations about the IPP implantation, to instruct the patient to a correct use of the device and to promptly detect and manage postoperative technical issues [ 15 , 16 ]. Furthermore, as many authors suggest, being all surgical procedures performed by the same surgeon with a wide experience in penile implantation, we think that surgeon's experience could be a predictor of satisfaction in this kind of surgery [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

Initial experience of a single center with the use of ZSI 475 penile prosthesis

Colombo

Gentile

Vagnoni

et al. 2021

Asian Journal of Urology

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Objective To evaluate surgical outcomes after implantation of the Zephyr ZSI 475 inflatable penile prosthesis (IPP) and patients' quality of life. Methods From December 2014 to September 2018, 15 patients underwent prosthesis implantation with ZSI 475. A retrospective review of clinical data was performed. Patients' quality of life after implantation was investigated with Quality of Life and Sexuality with Penile Prosthesis (QoLSPP) questionnaire. Results The median age of patients was 57 years and the average follow-up time was 22 months. Twelve patients received a standard implantation due to severe erectile dysfunction (ED); three patients also presented penile curvature and additional corporoplasty with grafting was necessary. Three procedures had to be interrupted due to defects of the insertion tools. In one case a manufacturing defect resulted in a pump leak. In one case, a severe postoperative complication occurred, which requested explanation of the device. During the follow-up, four patients experienced mechanical failure of the prosthesis. Results of QoLSPP questionnaire at 12 months were skewed toward the positive end of the scale in all domains. Conclusion In our initial experience, ZSI 475 suffered a high rate of mechanical failures; on the other hand, the company showed great commitment in order to improve the quality and reliability of the device. The lower cost of ZSI 475 may add to the chances of the product to become a cost-effective alternative to treat those patient who need a IPP.

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“…The study reported high patient satisfaction scores after 1 year of penile implant surgery, especially if the patients were treated by surgeons with higher level of experience (Capogrosso et al, ).…”

Section: Discussionmentioning

confidence: 99%

Post malleable Penile Prosthesis Satisfaction in elderly patients: Serial assessments

et al. 2019

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Post penile implant sexual satisfaction in elderly patients is a multifactorial issue. In the present study, we investigated the possible implication of age on satisfaction after malleable penile implant surgery in elderly patients. We compared post‐operative sexual satisfaction in the elderly with that of a younger age group (reference group). Patients were classified into three groups according to their ages (group I <45, group II between 45 and 65, and group III older than 65 years old). Modified Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) questionnaire was used at 3, 6 and 12 months after implant surgery. EDITS scores showed statistically significant high satisfaction rates in all age groups. EDITS scores were higher in the early post‐operative period in younger groups compared to elderly patients. However, the difference between groups was insignificant at 12 months post‐operatively (p value = .06). Our results show that elderly patients have a high post‐operative satisfaction rate close to that of younger age groups, and they are suitable candidates for penile implant surgery with good and realistic post‐operative sexual satisfaction expectations.

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Satisfaction rate at 1‐year follow‐up in patients treated with penile implants: data from the multicentre prospective registry INSIST‐ED

Abstract: This study reports high functional and patient satisfaction scores at 1 year after PPI surgery using a dedicated tool for the first time. Better outcomes should be expected for patients treated by surgeons with greater experience.

Cited by 26 publications

References 28 publications

Preoperative Psychological Evaluation for Patients Referred for Penile Prosthesis Implantation

Preoperative Psychological Evaluation for Patients Referred for Penile Prosthesis Implantation

Initial experience of a single center with the use of ZSI 475 penile prosthesis

Post malleable Penile Prosthesis Satisfaction in elderly patients: Serial assessments

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