Abstract
BackgroundPenile prothesis (PP) is the gold-standard treatment of drug-refractory erectile dysfunction (ED). While postoperative outcomes have been widely described in the literature, there are few data about patient satisfaction and intraoperative events. We aimed to assess long-term patient satisfaction and perioperative outcomes after PP implantation in a single-centre cohort of unselected patients using validated scales.ResultsA total of 130 patients received a PP (median age: 62.5 years [IQR: 58–69]; median International Index of Erectile Function (IEEF-5) score: 6 [IQR: 5–7]). Median follow-up was 6.3 years [IQR: 4–9.4]. Thirty-two (24.6%) patients underwent surgical revision, of which 20 were PP removals (15.4%). Global PP survival rate was 84.6% and previous PP placement was a risk factor for PP removal (p = 0.02). There were six (4.6%) non-life-threatening intraoperative events including two which resulted in non-placement of a PP (1.5%). EAUiaic grade was 0 for 124 procedures (95.4%), 1 for four procedures (3.1%) and 2 for two procedures (1.5%). Of patients who still had their PP at the end of the study, 91 (80.5%) expressed satisfaction.ConclusionsPP implantation is a last-resort treatment for ED with a satisfactory outcome. PPs are well accepted by patients.
Highlights
Erectile dysfunction (ED) is a frequent condition in men which increases with age
Study population A total of 130 patients were included in the study
The peno-scrotal approach was used in the majority of cases (n = 96, 73.8%)
Summary
Erectile dysfunction (ED) is a frequent condition in men which increases with age. Penile prosthesis (PP) placement is a recommended surgical treatment for drug-refractory ED regardless of aetiology [2]. Only a few studies have assessed patient satisfaction using validated scales such as the Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) scale, many years ago [8, 9]. Penile prothesis (PP) is the gold-standard treatment of drug-refractory erectile dysfunction (ED). While postoperative outcomes have been widely described in the literature, there are few data about patient satisfaction and intraoperative events. We aimed to assess long-term patient satisfaction and perioperative outcomes after PP implantation in a single-centre cohort of unselected patients using validated scales
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