Long-term penile prosthesis couple's satisfaction: A systematic review and meta-analysis

Area of Science:

• Urology
• Sexual Medicine
• Medical Device Research

Background:

• Current data on penile prosthesis (PP) outcomes rely heavily on subjective patient reports.
• Objective analysis is needed to fully understand patient and partner satisfaction with PP implantation.

Purpose of the Study:

• To systematically review and objectively analyze existing data on patient and partner satisfaction following penile prosthesis implantation.

Main Methods:

• An extensive literature search was conducted using keywords 'penile prosthesis' and 'satisfaction'.
• Data from English-language articles published between 1969 and 2023, involving human participants, were included.

Main Results:

• A high patient satisfaction rate of 83% was observed across 12,132 subjects.
• Satisfaction increased with three-piece prostheses, cardiovascular/neurological diseases, and over time, independent of age.
• Partner satisfaction was lower than patient satisfaction, increasing with inflatable devices and Peyronie's disease.
• Long-term complication rates were low (3-4.6%).

Conclusions:

• Penile prosthesis implantation yields excellent patient and partner satisfaction that improves with time.
• Complication rates are limited, with a strong association between complications and diabetes mellitus.