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Penile length alterations following penile prosthesis surgery
Serkan Deveci1, David Martin, Marilyn Parker
1Department of Urology, Weill Medical College of Cornell University, Presbyterian Hospital and Memorial Sloan Kettering Cancer Center, New York, NY 10021, United States.
European Urology
|November 7, 2006
Summary
Penile prosthetic surgery does not change measured penile length. However, many patients report subjective length loss, which can impact satisfaction. This study clarifies the objective and subjective outcomes of penile implants.
Area of Science:
- Urology
- Andrology
- Surgical Innovation
Background:
- Penile prosthetic surgery is a treatment for erectile dysfunction.
- Concerns exist regarding potential changes in penile length post-surgery.
Purpose of the Study:
- To assess the objective impact of penile prosthetic surgery on stretched flaccid penile length.
- To evaluate patient-reported subjective changes in penile length and their correlation with treatment satisfaction.
Main Methods:
- Stretched flaccid penile length was measured preoperatively and at 1 and 6 months post-penile implant surgery.
- Patient-reported outcomes were assessed using the International Index of Erectile Function (IIEF) and Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS).
- Subjective penile length changes were recorded at 6 months postoperatively.
Main Results:
- No statistically significant difference was observed in measured penile length after surgery compared to preoperative values.
- A majority of patients (72%) reported a subjective decrease in penile length, with higher incidence in those with prior radical prostatectomy.
- Subjective length loss did not correlate with erectile function scores but was associated with lower IIEF satisfaction and EDITS scores.
Conclusions:
- Penile prostheses do not negatively affect objective stretched flaccid penile length.
- Subjective perception of penile length loss after implantation does not influence overall treatment satisfaction scores.
