Success with penile prosthesis from patient's viewpoint

Area of Science:

• Urology
• Sexual Medicine
• Reconstructive Surgery

Background:

• Impotence affects a significant number of men, impacting quality of life.
• Penile prostheses are a treatment option for erectile dysfunction.
• Patient and partner satisfaction are key metrics for treatment success.

Purpose of the Study:

• To evaluate patient-reported outcomes and satisfaction following penile prosthesis implantation.
• To assess the impact of penile prostheses on sexual satisfaction, self-image, and partner approval.
• To identify factors influencing overall success and patient regret.

Main Methods:

• A questionnaire-based survey was distributed to penile prosthesis recipients.
• Data collected included patient satisfaction with sexual function, self-image, device appearance, and partner approval.
• Response rate was 67% (38 out of 57 recipients).

Main Results:

• 89% reported improved sexual satisfaction; 76% noted improved self-image.
• 87% were satisfied with prosthetic appearance; 76% reported partner approval.
• 5% of patients expressed regret, with lack of partner approval being a significant factor in 4 of these cases.

Conclusions:

• Penile prosthesis implantation is a successful treatment for erectile dysfunction, enhancing sexual intercourse for men and their partners.
• High patient satisfaction is associated with improved sexual function, self-image, and partner acceptance.
• Involving partners in the preoperative evaluation process is recommended to maximize treatment success and minimize patient regret.