601 Clinical outcome/patient and partner satisfaction after penile implant surgery

Abstract

We conducted a retrospective single centre study to analyse the mechanical reliability, complication rate, quality of life and patient satisfaction of the implantation of a penile prosthesis in patients with erectile dysfunction. Data were collected of 126 patients with erectile dysfunction who underwent primary implantation of an inflatable penile prostheses during a 5-year period. The surgical approach was either penoscrotal or infrapubic. We classified the patients in five aetiological groups: vasculogenic, post-prostatectomie, peyronies disease, diabetes and others. At least one year after implant surgery a structured telephone interview concerning patient and partner satisfaction was conducted. Mechanical failure occurred in 7.14%. The three major complaints were loss of penile length (18.53%), post-operative pain (11.9%) and altered sensation (8.73%). Three patients (2.28%) received prolonged antibiotic therapy for possible signs of infection (no explantation required) and one patient (0.79%) underwent revision surgery for an imminent erosion. The occurrence of floppy glans syndrome was significant higher with the infrapubic approach. In total, 15 patients (11.9%) had revision surgery for various reasons. One year or more after surgery, there were high patient and partner satisfaction rates, respectively 83.2% and 85.4%. We found the highest satisfaction rates in the vasculogenic and post-prostatectomy group. There was a significant lower satisfaction rate for the AMS-Ultrex (25%) comparing to the Coloplast Titan (91%) and AMS-LGX (80%). The average time to activation of the prosthesis after surgery was 6 weeks and more than 50% had sexual intercourse within 4 weeks after activation. 72.41% of the patients had an orgasm during their first sexual intercourse. The average quality of life on a scale from 0 to 5 was 2 before and 3.5 after surgery.