Does knowing pre-operative penile length influence patient satisfaction post penile prosthesis implantation?
Journal
International journal of impotence research
ISSN: 1476-5489
Titre abrégé: Int J Impot Res
Pays: England
ID NLM: 9007383
Informations de publication
Date de publication:
Dec 2022
Dec 2022
Historique:
received:
19
04
2021
accepted:
13
09
2021
revised:
01
09
2021
pubmed:
29
9
2021
medline:
21
12
2022
entrez:
28
9
2021
Statut:
ppublish
Résumé
Patients who undergo penile prosthesis implantation as treatment for erectile dysfunction commonly complain of penile shortening after implantation. We conducted a study to determine whether knowledge of pre-operative stretched penile length measurement influences patient satisfaction. This prospective study consisted of 149 patients undergoing inflatable penile prosthesis (IPP) implantation from August 2017 to December 2019. Study group participants underwent pre-operative stretched penile length measurement in clinic while the control group did not. Six months post-operatively, patients completed a modified 14-item Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) questionnaire to assess overall satisfaction and penile length satisfaction. A total of 102 patients were eligible for final analysis (49 in study group, 53 in control). Mean scores for overall treatment satisfaction were 3.57 and 3.53 (scale from 0 to 4) in the study versus control group, respectively (p = 0.483). Mean scores for satisfaction with penile length were 4.08 and 4.11 (scale from 1 to 5) in the study vs. control group (p = 0.645). The study suggests that knowledge of pre-operative stretched penile length does not influence post-operative satisfaction after penile prosthesis implantation. Therefore, performing pre-operative measurements in clinic solely for informing the patient may be unnecessary. Current interventions aimed at conserving penile length may be effective at maintaining satisfaction with penile length.Trial Registration- This trial is registered and approved by the IRB committee at our institution, ID: HSC-MS-19-0320.
Identifiants
pubmed: 34580432
doi: 10.1038/s41443-021-00472-1
pii: 10.1038/s41443-021-00472-1
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
776-780Commentaires et corrections
Type : CommentIn
Informations de copyright
© 2021. The Author(s), under exclusive licence to Springer Nature Limited.
Références
Miranda-Sousa A, Keating M, Moreira S, Baker M, Carrion R. Concomitant ventral phalloplasty during penile implant surgery: a novel procedure that optimizes patient satisfaction and their perception of phallic length after penile implant surgery. J Sex Med. 2007;4:1494–9.
doi: 10.1111/j.1743-6109.2007.00551.x
Jorissen C, De Brunya H, Baten E, Renterghem KV. Clinical outcome: patient and partner satisfaction after penile implant surgery. Curr Urol. 2019;13:94–100.
doi: 10.1159/000499286
Rajpurkar A, Dhabuwala CB. Comparison of satisfaction rates and erectile function in patients treated with sildenafil, intracavernous prostaglandin E1 and penile implant surgery for erectile dysfunction in urology practice. J Urol. 2003;170:159–63.
doi: 10.1097/01.ju.0000072524.82345.6d
Habous M, Giona S, Tealab A, Aziz M, Sherif H, Abdelwahab O, et al. Penile length is preserved after implant surgery. BJU Int. 2019;123:885–90.
doi: 10.1111/bju.14604
Pryor M, Carrion R, Wang R, Henry G. Patient satisfaction and penile morphology changes with postoperative penile rehabilitation 2 years after Coloplast Titan prosthesis. Asian J Androl. 2016;18:754–8.
doi: 10.4103/1008-682X.163266
Wang R, Howard GE, Hoang A, Yuan J, Lin H, Dai Y. Prospective and long‑term evaluation of erect penile length obtained with inflatable penile prosthesis to that induced by intracavernosal injection. Asian J Androl. 2009;11:411–5.
doi: 10.1038/aja.2009.35
Osterberg E, Maganty A, Ramasamy R, Eid JF. Pharmacologically induced erect penile length and stretched penile length are both good predictors of post-inflatable prosthesis penile length. Int J Impot Res. 2014;26:128–31.
doi: 10.1038/ijir.2013.50
Althof SE, Corty EW, Levine SB, Levine F, Burnett AL, McVary K, et al. EDITS: development of questionnaires for evaluating satisfaction with treatments for erectile dysfunction. Urology.1999;53:793–9.
doi: 10.1016/S0090-4295(98)00582-2
Vitarelli A, Divenuto L, Fortunato F, Falco A, Pagliarulo V, Antonini G, et al. Long term patient satisfaction and quality of life with AMS700CX inflatable penile prosthesis. Arch Ital Urol Androl. 2013;85:133–7.
doi: 10.4081/aiua.2013.3.133
Natali A, Olianas R, Fisch M. Penile implantation in Europe: successes and complications with 253 implants in Italy and Germany. J Sex Med. 2008;5:1503–12.
doi: 10.1111/j.1743-6109.2008.00819.x
Narang G, Figler B, Coward R. Preoperative counseling and expectation management for inflatable penile prosthesis implantation. Transl Androl Urol. 2017;6:S869–80.
doi: 10.21037/tau.2017.07.04
Deveci S, Martin D, Parker M, Mulhall JP. Penile length alterations following penile prosthesis surgery. Eur Urol. 2007;51:1128–31.
doi: 10.1016/j.eururo.2006.10.026
Engel J, Sutherland D, Williams S, Wagner KR. Changes in penile length after robot-assisted laparoscopic radical prostatectomy. J Endourol. 2011;25:65–9.
doi: 10.1089/end.2010.0382
Akin-Olugbade O, Parker M, Guhring P, Mulhall J. Determinants of patient satisfaction following penile prosthesis surgery. J Sex Med. 2006;3:743–8.
doi: 10.1111/j.1743-6109.2006.00278.x
Howell S, Palasi S, Green T, Kannady C, Panuganti S, Slaughter K, et al. Comparison of satisfaction with penile prosthesis implantation in patients with radical prostatectomy or radical cystoprostatectomy to the general population. J Sex Med. 2021;9:100300.
doi: 10.1016/j.esxm.2020.100300
Clavell-Hernandez J, Ermeç B, Kadıoğlu A, Wang R. Perplexity of penile rehabilitation following radical prostatectomy. Turk J Urol. 2019;45:77–82.
doi: 10.5152/tud.2019.18488
Gittens P, Moskovic D, Avila D Jr, Chandrashekar A, Khera M, Lipshultz LI. Favorable female sexual function is associated with patient satisfaction after inflatable penile prosthesis implantation”. J Sex Med. 2011;8:1996–2001.
doi: 10.1111/j.1743-6109.2011.02290.x
Mulhall J, Ahmed A, Branch J, Parker M. Serial assessment of efficacy and satisfaction profiles following penile prosthesis surgery. J Urol. 2003;169:1429–33.
doi: 10.1097/01.ju.0000056047.74268.9c
Habous M, Tal R, Tealab A, Aziz M, Sherif H, Mahmoud S. Predictors of satisfaction in men after penile implant surgery. J Sex Med. 2018;15:1016.
doi: 10.1016/j.jsxm.2018.05.011
Schover LR. Sex therapy for the penile prosthesis recipient. Urol Clin North Am. 1989;16:91–8.
doi: 10.1016/S0094-0143(21)01482-8