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Patient expectations prior to coloplast titan penile prosthesis implant predicts postoperative satisfaction
Andrew C Kramer1, Adam Schweber1
1Department of Surgery, Division of Urology, The University of Maryland School of Medicine, Baltimore, MD, USA.
Introduction:
Managing and understanding expectations of patients prior to inflatable penile prosthesis (IPP) surgery is a critical. Clinicians vary in the way they explain the operation, and patients have varied expectations prior to surgery.
Aims:
The goal is to understand the role that preoperative counseling and patients' realistic understanding of IPP surgery play in determining postoperative satisfaction.
Methods:
21 Patients underwent IPP surgery, and received a preoperative expectations survey, then, 4 months later, gave a single score of 1-100 (1 is very dissatisfied, 100 is extremely satisfied).
Main Outcome Measures:
The results were correlated with an R(2) value and visualized on a scatter plot. This significance is tested using a two-tailed test.
Results:
Lower preoperative expectations scores correlated almost linearly with higher satisfaction scores after surgery. The R (Pearson) value was -0.489, with an R(2) of 0.239. This was significant using a two-tailed test, with a P value of 0.0245.
Conclusion:
Giving patients an accurate description of the procedure and setting realistic expectations leads to higher postoperative satisfaction.

