Sexual Quality of Life and Satisfaction With Penile Prostheses

Barton, Gregory J.; Carlos, Evan; Lentz, Aaron

doi:10.1016/j.sxmr.2018.10.003

Cited by 41 publications

(21 citation statements)

References 49 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…While the literature shows that patients seem to be satisfied over 90% of the time with the implantation of penile prosthesis, 31 a minority is still unsatisfied due to clinical complications, surgical team's and device's characteristics, and their psychological condition before and after surgery. According to this study's results, over 25% of candidates for surgery were not fit and needed psychological counseling and/or psychiatric treatment before further evaluations.…”

Section: Discussionmentioning

confidence: 99%

Preoperative Psychological Evaluation for Patients Referred for Penile Prosthesis Implantation

et al. 2021

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 99%

Preoperative Psychological Evaluation for Patients Referred for Penile Prosthesis Implantation

et al. 2021

View full text Add to dashboard Cite

show abstract

“…Penile prostheses are considered a definite line of management for refractory ED [10]. In uncomplicated surgeries, penile prostheses are associated with a high level of satisfaction (>85%) among patients and their partners [11]. Similar to any prosthetic surgery, complications can arise at the time of the placement of the prosthesis or at a later date.…”

Section: Discussionmentioning

confidence: 99%

A 3-piece penile prosthesis salvage in the presence of late-onset infected hematoma: Clinical, radiological and intraoperative findings—A case report

Fallatah

Mosa

Aljuhayman

et al. 2019

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

show abstract

“…For about 20 years we have been evaluating the relationships of our patients requiring a prosthetic solution for their ED. We started to consider the reactions of the partners; if they were informed of the surgical decision and if they supported or refused such a solution (8). In cases of married patients, we consider if they had extramarital relationships or if they buy prostitutes.…”

Section: Original Papermentioning

confidence: 99%

The woman and the penile prosthetic implant. Primary or secondary role? Personal experiences on 355 implanted patients

Pozza

Berardi²,

Pozza

et al. 2021

Arch Ital Urol Androl

View full text Add to dashboard Cite

In a group of 355 pts submitted to Penile Prosthesis Implant (PPI) we recorded data on their relationships with the woman (wife, partner, girlfriend, lover); the aspects of their sexual life; if they were married, divorced or widowed; if they had a lover; if they frequented brothels; if they were satisfied of their actual couple’s life; after operation we recorded data concerning if they had some difficulties utilizing the PPI and their level of satisfaction. After operation most pts (93%) confirmed their satisfaction. Relational aspects: Unmarried pts: 6 pts (21-30 years old) who weren’t able to penetrate their girlfriends managed to have regular sex with PPI and could marry. 42/46 unmarried pts after PPI decided to marry. In the group of married pts 3 pts weren’t able to penetrate their wives; after PPI they managed to have regular intercourses and pregnancies. 15 widowers and 23 divorced pts decided to have a PPI for possible sexual encounters or stable relationships. 96/271 (28,2%) married pts declared a stable extramarital relation that could represent the main reason for having a PPI. The results of PPI are commonly accepted. Until now PPI may re-establish penile rigidity and maintenance. In our opinion the simple act of penetrate and ejaculate in vagina, without considering the importance of personal, relational, emotional factors often well linked to the specific woman, cannot be considered the ideal target of PPI.

show abstract

Sexual Quality of Life and Satisfaction With Penile Prostheses

Cited by 41 publications

References 49 publications

Preoperative Psychological Evaluation for Patients Referred for Penile Prosthesis Implantation

Preoperative Psychological Evaluation for Patients Referred for Penile Prosthesis Implantation

A 3-piece penile prosthesis salvage in the presence of late-onset infected hematoma: Clinical, radiological and intraoperative findings—A case report

The woman and the penile prosthetic implant. Primary or secondary role? Personal experiences on 355 implanted patients

Contact Info

Product

Resources

About