Abstract
ABSTRACTIntroduction:Penile prostheses are subject to a continuous development and have gained better mechanical reliability and safety during the last decades. In this study, we aimed to investigate the outcomes and satisfaction rates of inflatable penile prosthesis (IPP) and semirigid penile prosthesis (SPP) implantation.Materials and Methods:From August 2001 to June 2012, 257 men with erectile dysfunction (ED) underwent penile prosthesis implantation (PPI) at our institution. Of the 257 patients, 118 underwent implantation of IPP and 139 underwent SPP implantation. The pre-operative and post-operative erectile status of the patients were assessed by international index of erectile function (IIEF) questionnaire. The satisfaction of patients and partners were evaluated by a telephone interview using the erectile dysfunction inventory of treatment satisfaction (EDITS) questionnaire and EDITS partner survey.Results:The overall major complication rate was higher in IPP group. PPI led to a significant improvement in IIEF scores in both groups. For IPP and SPP groups the average EDITS scores were 78±11and 57±8, respectively, and that for the partners were 72±10 and 49±7, respectively (p<0.05).Conclusion:Although the IPP implantation have better satisfaction rates, the SPP implantation is still a viable treatment option in the surgical treatment of ED because of low cost and high durability with acceptable satisfaction rates.
Highlights
Penile prostheses are subject to a continuous development and have gained better mechanical reliability and safety during the last decades
After 2008, all types of penile prosthesis were included in the general insurance system, so that inflatable penile prosthesis (IPP) could be implanted more commonly
The satisfaction of patients and partners were evaluated by a telephone interview using the erectile dysfunction inventory of treatment satisfaction (EDITS) questionnaire and erectile dysfunction inventory of treatment satisfaction partner survey [8]
Summary
Penile prostheses are subject to a continuous development and have gained better mechanical reliability and safety during the last decades. We aimed to investigate the outcomes and satisfaction rates of inflatable penile prosthesis (IPP) and semirigid penile prosthesis (SPP) implantation. Materials and Methods: From August 2001 to June 2012, 257 men with erectile dysfunction (ED) underwent penile prosthesis implantation (PPI) at our institution. Penile prosthesis implantation (PPI) is the gold standard of treatment for ED patients who have failed the first and second line treatments or have found them unacceptable [2]. The first inflatable penile prosthesis (IPP) was designed in 1973 by Scott et al [3] which was associated with high mechanical failure rates ranging from 21-45% within a few years after implantation [4,5,6]. To anticipate the functional results of PPI, it is important to assess the psychosocial status of the couple and to inform them about the procedure to avoid unrealistic expectations
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