Sexual experiences between partners after penile prosthesis: Who is more satisfied?

Abstract

Penile prosthesis implantation (PPI) is the final stage treatment in erectile dysfunction (ED). In this study, we planned to investigate the effect of PPI application on sexual functionality in the patients and their partners. After taking permission and consent for the study, from 20 male patients who were applied penile prosthesis due to ED between March 2013 and June 2018 and their partners, the couples were included in the study. Patients and partners filled in Arizona Sexual Experiences Scale (ASEX) form before PPI. After starting to use prosthesis, 20 patients and 19 partners were asked to fill in modified EDITS and ASEX form in the follow‐ups in the sixth month. Average age was 54.35 years for the patients and 43.84 for the partners. Although post‐PPI sexual satisfaction ratio was detected higher in female partners compared with the male patients, this difference was not statistically significant (p = .71). A significant recovery was also observed in total scale score, physiological stimulation, orgasm capacity and satisfaction scores in both groups after PPI. Penile prosthesis implantation is an operation providing high satisfaction for both the partner and the patient and is still one of the best options of ED.

Does two-piece PPI provide improvement in patient-partner quality of life?

“…The unnatural appearance of the prosthesis and the unnatural sensation may also be the cause of dissatisfaction for patient and partner (18). Sexual desire disorder, sexual arousal disorders, orgasm and ejeculation problems can also be the cause of dissatisfaction with the patient and partner related to penile prosthesis implantation (19). In the current study three patients were dissatisfied due to ejaculation disorder, two patients and four partners complained of not being fully satisfied with orgasm and one couple was dissatisfied due to the unnatural appearance of the penis.…”

“…In our study, we calculated the patient and partner satisfaction rates as 80% and 86%, respectively, which is consistent with the literature. Ozbay et al in a study observed that patients with erectile dysfunction due to organic origin disease had sexual dysfunction together with their female partners and the sexual dysfunction of couples improved together after PPI (19).…”