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

Abstract

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.

Cyber pornography use and masturbation outburst. Considerations on 150 italian patients complaining erectile dysfunction and trying to solve it

“…in our Andrology Center in Rome, since 2020, we examined 150 male patients (aged 20 to 86 years) with penile and/or sexual problems according a diagnostic protocol including the collection of the patient's history, the general and local clinical examination, metabolic analyses, and hormonal analyses (in all patients). In selected cases Nocturnal Penile Tumescence test (Rigiscan) (86 pts), dynamic penile Duplex sonography (138 pts), magnetic resonance imaging (36 pts), neurological tests (26 pts) and cardiological examination (100 pts) were performed (13)(14)(15). Since 2020, we administered a specific questionnaire to investigate masturbatory activity, including the following questions: 1.…”