Abstract
Prior studies evaluating quality of life after a penile prosthesis have often not used validated questionnaires. Those that do often rely on the Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) and the International Index of Erectile Function (IIEF). Unfortunately, each lacks a granular assessment of how a prosthesis affects sexual quality of life (SQoL). The Quality of Life and Sexuality with Penile Prosthesis (QoLSPP) questionnaire was designed and validated to specifically evaluate SQoL after a prosthesis with four sub-domains: functional, personal, relational and social. With this tool, we aim to refine our understanding of SQoL after prosthesis placement in the United States. 122 men (mean age 65.9 yrs) who received a 3-piece prosthesis from 1 Aug 2013-1 Feb 2017 and had functional emails were sent the QoLSPP. 46 were returned including 7 patients with removal/ replacements (RR). Surveys were completed on average 2.0 yrs from the most recent prosthesis placement. The QoLSPP has a Likert-like 0-5 scale. Responses were considered positive if ≥3, except #5 which was considered positive if ≥2. Subpopulation analysis was done by age in years (<55, 55-65, ≥66), device model (Coloplast Titan, AMS 700 CX, and LGX), etiology of erectile dysfunction (ED), diabetes status, and body mass index (BMI) (< or ≥30). RRs were compared against those with their first prosthesis. Analysis with Fisher’s Exact.
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