Abstract
Prior studies evaluating quality of life after a penile prosthesis have not used validated questionnaires and have lacked implant-specific assessments of how a penile prosthesis affects a person’s sexual quality of life (SQoL). Moreover, these assessments are often done on populations at large without a granular assessment of patient characteristics and demographics that may affect SQoL. The Quality of Life and Sexuality with Penile Prosthesis (QoLSPP) questionnaire was designed and validated to specifically evaluate SQoL after a penile prosthesis is placed. With the QoLSPP, we aim to better characterize prosthesis-specific SQoL after inflatable penile prosthesis (IPP) placement across a number of patient subpopulations. 395 consecutive men received an IPP between Jan 1, 2009-Nov 27, 2017 and 270 with functional emails were sent the QoLSPP. 90 surveys were returned by men with an IPP at the time of survey administration. 75 were first-time implantees; 15 were removal/replacements. Generally, responses were considered positive if ≥3 and outstanding if ≥4. Among first-time implantees, subpopulation analysis was done by age at survey completion (<55, 55-65, ≥66), age of penile prosthesis at survey completion (<1 year, 1-5 years, >5 years), device model (Coloplast Titan, AMS 700 CX and AMS LGX), history of a psychiatric diagnosis, etiology of erectile dysfunction (ED) (post-procedural vs all other causes), total device length > or ≤ 21cm (rear tip extender + cylinder), diabetes status and body mass index (BMI) < / ≥ 30.
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