[Follow-up analysis of penile prosthesis implantation]

Objective To investigate the satisfaction of patients after penile prosthesis implantation.Methods A retrospective analysis was conducted on clinical data of 23 patients who underwent penile prosthesis implantation at the General Hospital of the Southern Theater Command from June 2021 to December 2024 and participated in follow-up surveys. Results The average age of patients was (40.7±12.0) years. The primary etiologies of erectile dysfunction included trauma (69.6%), diabetes (26.1%) and neurological diseases (4.3%). All surgeries were performed via the penoscrotal approach. The operative duration ranged from 120 to 154 minutes, with a median of 135 minutes. The incidence of postoperative complications was 17.39%, mainly concentrated in diabetic patients, and all were effectively controlled through debridement or conservative treatment. The average postoperative sexual frequency was 1.34±0.77 times per week. The satisfaction scores of the patients and their partners for postoperative sexual life averaged 2.04 and 2.22 points (out of 3), respectively. Conclusion Penile prosthesis implantation significantly improves the quality of sexual life in patients with erectile dysfunction, demonstrating high mechanical safety and postoperative satisfaction. Although the diabetic population carries a higher risk of complications, their strong demand for functional recovery means their postoperative satisfaction remains largely unaffected.