Abstract
Setting expectations is critical to postoperative satisfaction rates for patients. Providers counseling for Penile Prosthesis (PP) often cite high levels of satisfaction, although the body of evidence (BES) supporting these claims are based on observational studies. To better understand how to counsel patients and their partners, we performed a systematic review to assess satisfaction rates after PP surgery. We performed Pubmed, Embase, and Cochrane searches for eligible articles published between 1/1/65-7/29/17 to identify articles reporting the use of PP. The BES was assigned a strength rating of A (high), B (moderate), or C (low) using the AUA rating system. We reviewed 267 articles; of which 61 study arms (SA) reported patient satisfaction rates and 22 SA reported partner satisfaction rates after PP surgery. The BES was low (Grade C). The most commonly utilized outcome measure was the percentage of patients who reported satisfaction with PP. The mean satisfaction rate for Inflatable Penile Prosthesis (IPP) was 86.2% compared to 72.1% for MP. Older patient age, revision of penoscrotal web, lower preoperative expectations, and higher partner Female Sexual Function Index scores were associated with higher satisfaction rates. Partner dissatisfaction was associated with revisions, insufficient concealment, and a sense of unnaturalness of the device.
Published Version
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