Satisfaction Inventory Research Articles

Perceived Stress, Sexual and Marital Satisfaction among Married Healthcare Workers in Nigeria

Background: Marital and sexual satisfaction are essential for conjugal bliss and harmony. However, stress in the workplace can influence sexual and marital satisfaction of couples. There is dearth of information about level of sexual and marital satisfaction among healthcare workers in Nigeria, as well as the connections between stress, sexual and marital satisfaction among healthcare workers. Purpose: This study assessed inter-relationship between perceived stress, sexual and marital satisfaction among married healthcare workers.Methods: This descriptive cross-sectional study adopted a quantitative approach among 150 consented healthcare workers recruited using a simple random sampling technique. Instruments for data collection included the Perceived Stress Scale, Enrich Marital Satisfaction questionnaire and Pinney Sexual Satisfaction Inventory. The Pearson correlation was used to ascertain relationships and linear regression was done to predict influence of one variable on the other.Results: Perceived level of stress of the healthcare workers was low [16.9(0.001)] and mean sexual satisfaction (SS) was poor [78.93(23.68)]. Also, 49.3% were found to be the dissatisfied maritally. Perceived stress showed a positive correlation with marital satisfaction (MS) (r=0.48, p<0.01). However, stress negatively correlated with participants’ SS with partners (r=-0.51, p<0.01). Similarly, general SS positively correlated with MS (r=0.32, p<0.01). Predictors of MS included perceived stress (β=0.614, p=0.01), age differences with spouse (β=0.30, p=0.01), number of children (β=-0.24, p=0.01), and family type (β=-0.21, p=0.05).Conclusion: Only half of the participants in this study are maritally satisfied. Marital satisfaction increases with sexual satisfaction. Stress is correlated with reduced sexual satisfaction of the participant, and as number of children increases, marital satisfaction reduces. Couples should be encouraged to give birth to moderate number of children to improve marital satisfaction.

Quality of life, sexual satisfaction, anxiety and depression status in lymphoma survivors

Objective: The progressive development of lymphoma therapies has led to an important prolongation of patient survival. We aimed to investigate anxiety, depression, sexual satisfaction and health-related quality of life status in these lymphoma survivors. We examined the effects of depression, anxiety and sexual satisfaction on the quality of life. Materials and methods: In a prospective study, the data were collected from fifty lymphoma survivors. We used six forms. These forms consist of sociodemographic features, the Beck Depression Inventory (BDI), Beck Hopelessness Scala (BHS), State-Trait Anxiety Inventory (STAI I-II), Golombock-Rust Inventory of Sexual Satisfaction (GRISS) and European Organization for Research on the treatment of Cancer Questionnaires Quality of Life (QoL) - C30 questionnaires. Results: The mean age of the patients was 50,2 ± 14,8 (20 – 75) years, and 50% of them were females. In our study, we found that 26% of the patients had high depression values above the cutoff (≥ 17 of BDI score). The mean depression score of the patients was 10,6 ± 8 (0 - 32) and the mean hopelessness score was 5,7 ± 4,5 (0 - 19). The patients whose anxiety and depression scores were high role, cognitive and emotional functioning of EORTC-QLQ-C30 was found statistically significantly low. The mean STAI-I score of the patients was 35,6 ± 11,3 (22-73) and the mean STAI-II score was 41,4 ± 10,6 (23 - 67). Statistical significance in terms of emotional and social functioning was found in the patients with high anxiety scores. When all patients were evaluated with respect to GRISS, we found high scores (> 5) for frequency, communication, vaginusmus and premature ejaculation. We compared the EORTC-QoL-C30 scores and GRISS of the patients. There was an association between emotional dysfunction with high scores of frequency (p = 0.040). Also, there was an association between low scores of role functioning with high scores of avoidance and premature ejaculation (p = 0.015, p = 0.003). However, there was a significant correlation between low scores of global QoL with high scores of avoidance, communication, and touch. There was no statistically significant difference between the anxiety and depression levels of the patient according to gender. But, some functional scales including role function (p = 0.001), social function (p = 0.001) and cognitive function (p = 0.027) were lower in female patients. Conclusion: The lymphoma survivors had high anxiety and depression scores, reduced sexual functioning and low functioning scales of QoL. There was an association between sexual dysfunction low role, emotional functioning and global QoL scores in patients.

Alexithymia and Parental Bonding in Women with Genitopelvic Pain/Penetration Disorder.

The role of emotion regulation and alexithymia in the pathophysiology of genitopelvic pain/penetration disorder (GPPPD) is emphasized. Parental bonding is linked to emotion regulation and alexithymia. This study aimed to examine the relationships between parental bonding, alexithymia, and GPPPD. Sixty-four patients with GPPPD were enrolled in the study, and 60 controls were matched for demographic features. Toronto Alexithymia Scale (TAS-20) was used to evaluate alexithymia, the Bonding to Parents Scale (BPS) was used to assess parental bonding, and sexual functions were assessed via Golombok-Rust Inventory of Sexual Satisfaction (GRISS). The rate of alexithymic traits was statistically higher in the GPPPD group than in the controls (p = 0.005). Patients with GPPPD obtained higher scores on the maternal care/control (p = 0.003) and maternal overprotection (p = 0.008) compared to controls. Difficulty describing feelings factor of alexithymia (p = 0.012) emerged as a predictor of group membership (GPPPD vs controls). To test whether alexithymia was significantly associated with parental bonding, all subjects were divided into two subgroups, alexithymic and non-alexithymic. When the subgroups were compared in terms of parental attitudes, maternal (p = 0.034) and paternal (p = 0.006) overprotection subscale scores were higher in the alexithymic group than in the non-alexithymic group. According to the results, alexithymic traits are characteristic of patients with GPPPD; however, although patients with GPPPD may experience difficulties with perceived parental bonding, this factor does not appear to be a predictor of GPPPD.

Job Disengagement Among Physical Education Teachers: Insights From a Cross-sectional Web-Based Survey With Path Modeling Analysis.

Physical education teachers often experience stress and job disengagement. This study's aims were as follows: (1) to adapt in the Arabic language and test the reliability and the validity of the work-family conflict (WFC) and family-work conflict (FWC) scales, (2) to develop and assess the psychometric properties of work disengagement among physical education teachers, and (3) to evaluate an explanatory model by presenting the mediating role of perceived stress as a major influencing factor in work disengagement and job satisfaction. A total of 303 primary and secondary school physical education teachers, comprising 165 (54.5%) men and 138 (45.5%) women participated voluntarily in our study. The measuring instruments are the Work Disengagement Scale, the Perceived Stress Scale, the WFC scale, the FWC scale, and the 9-item Teacher of Physical Education Job Satisfaction Inventory. The Arabic language versions of the WFC and FWC scales had reasonably adequate psychometric properties, which were justified by confirmatory factor analyses and by the measurement of reliability, convergent, and discriminant validity through the measurement model using SmartPLS software. Similarly, the structural model established with SmartPLS confirmed strong links of the concepts of FWC, WFC, the job satisfaction questionnaire, and perceived stress with work disengagement among teachers of physical education. There is a growing interest in helping teachers cope with the daily pressures of work and family. A positive organizational context is a context with clear values regarding work priorities, which constitutes the basis of a feeling of shared responsibility and professional support. Good conditions can act as protective factors reducing work stress and positively influencing personal well-being, work attitudes, work commitment, and professional efficiency. Additional research on teachers is needed to examine the relationship between perceived work stress and the role of families, along with the extent to which this association can have a significant impact on teachers' commitment to work.

Epidemiological Aspect of Physical and Mental Fatigue among Greek Employees in Pharmaceutical Companies: the role of Organizational Commitment and Work Satisfaction

The purpose of the current study was to investigate the association of organizational commitment and job satisfaction with physical and mental fatigue among employees working in pharmaceutical companies. The research involved 102 employees of different specialties (medical visitors, administrators, laboratory staff, etc.) with an average age of 43 years. Participants completed the Fatigue Assessment Scale (FAS), the Meyer and Allen Organizational Commitment Questionnaire, and the Employee Satisfaction Inventory (ESI). The results showed that satisfaction from nature of work as well as continuous commitment predicted fatigue (B=-0,428, sig. 0,001, B=0,170, sig. 0,008 respectively). Moreover, the results indicated that working hours per week predicted negatively physical and mental fatigue (B=-0,033, sig. 0,034). In conclusion, research on fatigue or interventions aimed at reducing it should take organizational commitment and job satisfaction into highly consideration.

The Relationship Between Social Maturity and Sexual Satisfaction, Subjective Well-being, and Controlling Behaviors in Couples: Emphasizing the Mediating Role of Marital Commitment

Background: Subjective well-being and life satisfaction can help individuals achieve more success in their lives and enjoy better supportive social relationships and higher levels of physical and mental health. The present study aimed to determine the relationship of social maturity with sexual satisfaction, subjective well-being, and controlling behaviors through the mediating role of marital commitment in couples. Methods: The statistical population in this correlational cross-sectional study included all couples in Tehran City, Iran, in 2019, of which 370 people were selected as the sample using a multi-stage cluster sampling method. The research tools included Rao’s social maturity scale (RSMS), the Golombok-Rust inventory of sexual satisfaction (GRISS), the subjective well-being scale (SWS), the controlling behaviors scale (CBS), and the dimensions of commitment inventory (DCI). The obtained data were statistically analyzed by employing structural equation modeling (SEM) in SPSS software, version 23 and LISREL version 8.8. Results: The results showed a positive relationship between sexual satisfaction and social maturity as well as between subjective well-being and social maturity, both mediated by marital commitment (P<0.001). However, a negative relationship was observed between controlling behaviors and social maturity, mediated by marital commitment (P<0.001). Conclusion: Based on the results of the present study, the proposed model had a good fit. Therefore, considering the findings of this study helps researchers and therapists design more appropriate therapies.

The outcomes of pics technique for the management of end-stage peyronie's disease

To present the surgical, the functional and patients’ reported outcomes (PROs) of PICS technique in multicentric series of patients affected by end-stage PD. Patients underwent an IPP implantation followed by PICS technique were recruited in two European tertiary referral center. The primary endpoint of the study was the achievement of a complete straightening of the penis. The secondary endpoints were surgical, functional and PROs. The International Index of Erectile Function (IIEF-5), the Sexual Encounter profile questions 2 and 3 (SEP 2 and SEP 3) and the Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) were used to assess patients’ erectile function. The PICS technique was used in 37 patients. Median patient age was 62 years (IQR 57-70 years). Residual curvature after IPP was 60° (IQR 50–70°). Operative time was 100 minutes (IQR 90–120). Median follow-up resulted of 14 months (IQR 12–17). 27 of 37 patients (72.9%) achieved a totally straight penis. 6 patients (16.2 %) experienced a residual penile curvature: of 10° in 3 patients, 15° in 1 patient and 20° in 2 patients. The residual curvature did not interfere with sexual intercourse in any of the cases. No intraoperative complications were detected. 9 of 37 patients (24.3%) developed an early postoperative complications: 3 (8.1%) manifested a transient fever and 6 (16.2%) experienced a genital hematoma. We detected a single case (2.7%) of acute infection requiring a removal of the IPP. No cases of IPP mechanical failure were described. Median IIEF-5 score increased from 10 (8-12) in postoperative settings to 23.5 (22.2-25) at 12 months follow-up. SEP 2-3 increased from 5 (13.5%) and 0 (0%) to 34 (91.9) in both domains. EDITS scored 25 (21.2-29.5) at 12 months follow-up. The PICS technique represents a safe and effective approach to manage residual penile curvature during IPP placement in patients with end-stage PD. None

The effects of chronotype on sexual satisfaction and quality of life in couples.

Physiological, psychological, and behavioral variables are under circadian regularity audit in humans. Chronotype describes an individual's time preference regarding mental/physical endeavors and represents the circadian rhythm's physiological expressions. This study aimed to investigate the effects of couples' chronotypes on their sexual satisfaction and quality of life. 228 heterosexual Turkish adults (114 females and 114 males with a mean age of 35.57 years and a standard deviation of 6.95 years), recruited from the general population, participated as 114 couples in this study. Demographic data were recorded. Chronotype assessment was made using the Morningness/Eveningness Questionaire. The quality of life (QOL) was scored using the World Health Organization-BREF scale. Sexual satisfaction was assessed using the Golombok-Rust Inventory of Sexual Satisfaction (GRISS) and the New Sexual Satisfaction Scale (NSSS). From morningness to intermediate and then to eveningness, the E-type females scored highest in the physical and psychological aspects of quality of life assessments. Regarding sexual satisfaction E-type females scored better than M-type and I-type females for most sub-scores and the overall score of GRISS. The couple/partner-centered sub-score and the overall NSSS score were highest in E-Type females. Chronotype similarity status affected QOL in females physically/psychologically, but not males. Sexual satisfaction was not significantly affected by couples' chronotype similarity. The individual's chronotype is a significant factor affecting the quality of life in the female gender and sexual satisfaction in both genders. However, the chronotype similarity status of the couple does not substantially affect the couple's quality of life and sexual satisfaction. We suggest that chronotype similarity is not essential for improving couples' quality of life and sexual satisfaction.

OBESITY AND MARITAL RELATIONSHIP: THE MEDIATING ROLE OF COPING

OBJECTIVE: To find out the mediating role of coping between factors of obesity and marital relationship in women with obesity. METHODS: This analytical cross-sectional study was conducted from May to November 2019 at various universities (Lahore College for Women University, Riphah International University, and University of Central Punjab) and hospitals (Services Hospital, Jinnah Hospital and Shalimar Hospital) of Lahore, Pakistan. Sample (n=400) was collected through Purposive sampling technique. Overeating Situations Scale, big five personality inventory, relationship satisfaction inventory, brief coping response inventory along demographic form were administered on the sample. Data was analyzed through Path analysis using AMOS-20 RESULTS: Majority (n=213/400; 53.25%) of participants were working in private-sector, 216/400 (54%) were teachers and 54% (n=184/400) were doctors. Participants ranged in age from 25-50 years. Forty-five percent (n=180) had 1-5 years’ duration of marriage. Path analysis revealed that the structural path from reappraisal coping to openness to experience and from extraversion to the marital relationship has a positive direct effect. It can also be seen that the structural path from emotional, psychological, and cognitive factors to marital relationship and from disengagement coping to the marital relationship have direct significant negative, whereas from reappraisal coping to marital relationship show a direct positive effect. Coping showed two indirect paths to marital relationship: the path mediated by reappraisal coping to marital relationship and disengagement coping marital relationship. CONCLUSION: Mediating effect of coping revealed that women who use reappraisal coping enjoy better marital life as compared to the women who use disengagement type of coping.

The factors affecting sexual satisfaction and sexual myths in married women: A prospective study

Aim: The cultural differences and taboos of the society affect women’s sexual life and sexual relationship qualities and their belief in sexual myths. In addition, women’s demographic characteristics and living conditions are also effective on sexual myths. Our aim in this study is to analyze the frequency of believing in sexual myths in married women and to examine the factors affecting sexual life and sexual relationship qualities.
 Material and Method: Married women between the ages of 18-55 in the tertiary gynecology and obstetrics clinic were included in the study, prospectively. Demographic characteristics of women such as age, marital status, marriage and employment status, monthly income, family structure and number of children, sexual life and sexual relationship qualities and sexual myths were compared. The Golombok-Rust Inventory of Sexual Satisfaction (GRISS) Scale, which is used to evaluate the quality of sexual intercourse and sexual dysfunctions, and The Sexual Myth Scale to determine the status of having sexual myths were used. 
 Results: Overall 171 married women were included in the study. The median age was 35 years (IQR 29-43) and 60.8% (n=104) were university graduates and 20.5% (n=35) were graduate/doctoral graduates. The rate of believing in sexual myths among married women was 21.4%. As the age of the women increased, the frequency of sexual intercourse decreased (p

The Impact of the COVID-19 Pandemic and Social Isolation on the Sexual Functioning of Women Who Have Been Treated for Vaginismus.

Background: Multiple factors that impact the mental and hormonal condition of the person influence female sexual function. To our knowledge, however, hardly any research has investigated the sexual function during the COVID-19 pandemic for women who were treated for vaginismus.Aim: The purpose of this research is to examine how sexual function, frequency of sexual activity, and dyspareunia altered in women who had been treated for vaginismus before the pandemic.Methods: This observational study ultimately included 204 patients with completely treated vaginismus at the Women's Health Clinic . Before and during the pandemic, the following data was collected: age, education level, profession, frequency of sexual activity, Arizona Sexual Experiences Scale (ASEX) scores, Golombok-Rust Inventory of Sexual Satisfaction (GRISS) scores, and Hamilton Depression Rating Scale (HDRS) scores.Results: Before the pandemic, the mean ASEX score of women in the research group was 12.56±3.41 , and during the pandemic, ASEX average scores of the women significantly increased to 16.88±5.56 . The GRISS total scores were 28.7±10.1 (range, 14-50) following therapy and 23.9±14.8 (8-58) during the pandemic. After therapy, the HDRS score was 9.58±5.53 (1-19) , while it was 15.21±6.43 (5-26) during the pandemic. During the coronavirus disease 2019 (COVID-19) pandemic, mental health declined significantly, indicating a mild state of depression unrelated to vaginismus. During the pandemic, the mean frequency of sexual activity was 2.9±1.4 per week, and the frequency of sexual encounters did not considerably vary.Clinical Implications: Therapists should examine the pandemic's impacts on all sexual function symptom categories and modify their treatment plans appropriately. The findings indicate that lowering COVID-19-related stress may be especially useful in minimizing the negative impact of COVID-19 on symptoms. We noticed that vaginismus-treated women did not relapse during the pandemic.Limitations: The study population was comprised of women attending a particular women health clinic. This can place a certain bias on the demography of the patient population.Conclusion: The present research indicated that the frequency of sexual activity among women treated for vaginismus did not alter, and notwithstanding a rise in stress and depression ratings, the majority of sexual function scores, including pain, improved during the pandemic. Nonetheless, dissatisfaction and anorgasmia subscales deteriorated, while ASEX satisfaction did not improve to the same extent, suggesting deleterious consequences on sexual function.

High/severe fear of childbirth and related risk factors among pregnant women: is vaginismus a risk factor?

This study aimed to investigate the prevalence of fear of childbirth (FOC) and associated factors including vaginismus in pregnant women with high/severe FOC. In the study, 407 women who were at 24–40 weeks of gestation were included. The Wijma Delivery Expectancy/Experience Questionnaire Version A (WDEQA), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), and vaginismus sub-scale of the Golombok Rust inventory of sexual satisfaction (GRISS) were used. 186 (46%) participants had high/severe FOC. Pregnant women with high/severe FOC had a significantly higher fear of pain during sexual intercourse, higher scores in the WDEQA, BDI, BAI, and vaginismus sub-scale of GRISS. Depression and anxiety level, educational level, access to information on delivery during pregnancy, presence of medical disease, and expression of FOC were predictors of high/severe FOC. Assessment of FOC and associated risk factors, including vaginismus, during pregnancy, will enable the identification of risk groups and the creation of support programmes. Impact Statement What is already known on this subject? The range of fear of childbirth (FOC) changes from mild anxiety to severe fear. The prevalence and severity of FOC and related risk factors vary in the studies due to cultural factors, differences in the definition of FOC and measurement tools. The relationship between FOC and vaginismus has not been sufficiently investigated. What do the results of this study add? This study aimed to investigate the prevalence of fear of childbirth (FOC) and associated factors including vaginismus in pregnant women with high/severe FOC. What are the implications of these findings for clinical practice and/or further research? This is the first study that evaluates vaginismus as a risk factor for FOC. Assessment of FOC and associated risk factors, including vaginismus, in pregnant women, will enable the identification of risk groups and the creation of support programs for risk reduction.

Feasibility of an External Erectile Prosthesis for Transgender Men Who have Undergone Phalloplasty.

IntroductionTransgender men interested in achieving penetration after phalloplasty are currently limited to internal devices and makeshift supports. More options are needed to support sexual penetration after phalloplasty.AimThis study was designed to assess the feasibility of an external erectile prosthesis (the Elator) for transgender men who have undergone phalloplasty and wish to use their neophallus for sexual penetration, assess how the device affected the sexual experiences of men and their partners, and identify any side effects and concerns.MethodsTransgender men and their partners were provided with an erectile device to use for one month. They were surveyed at 4 time points: enrollment, measurement, receipt, and after using the device, using a combination of pre-existing and device-specific measures.Main Outcome MeasureThe primary outcome was whether men found it feasible to use an external penile prosthesis for sexual penetration after phalloplasty – defined as interest in, and willingness to, use the device more than once over the study period; intention to continue using the device on the Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS); and no decrease in relationship satisfaction on the Gay and Lesbian Relationship Satisfaction Scale (GLRSS). The secondary outcome was an increase in sexual or relationship satisfaction with use of the device, defined as a statistically significant increase on either the Quality of Sexual Experience Scale (QSE) or the GLRSS.ResultsFifteen couples enrolled in the pilot study. Of the 10 who completed the study, only 3 found device use feasible and endorsed strongly positive experiences, while the remaining 7 found it unusable. There were no changes in QSE or GLRSS scores. Most device issues were related to proper fit.ConclusionThere is a great deal of interest in non-surgical options for achieving penetration after phalloplasty. The tested external erectile device can work well, but its utility is limited to individuals with very specific post-phalloplasty anatomy. Most individuals and couples found the device unsuitable for the neophallus and/or that it could not be used comfortably.Boskey ER, Jolly D, Mehra G, et al. Feasibility of an External Erectile Prosthesis for Transgender Men Who have Undergone Phalloplasty. Sex Med 2022;10:100560.

Satisfaction rates of inflatable penile prosthesis in men who have sex with men are high.

Men with erectile dysfunction (ED) have high patient satisfaction after placement of inflatable penile prostheses (IPP). The impact on satisfaction and quality of life has never been studied in men who have sex with men (MSM). This study sought to assess the satisfaction rates and quality of life of MSM after placement of IPP for ED. This study was a multi-institutional, retrospective study that enrolled adult men who self-identified as MSM and underwent IPP placement. Two questionnaires were administered at one time point post-operatively, the Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS), and the Quality of Life and Sexuality with Penile Prosthesis (QoLSPP) questionnaire. Results of these questionnaires were analyzed with descriptive statistics. Forty-nine MSM were assessed retrospectively with median age of 62 years with average follow-up of 15.2 months. Median EDITS score was 93.2/100 (range, 70.5-100). Median overall QoLSPP score was 72/80 (58-79), with median scores of 22/25 (16-25), 19/20 (13-20), 18/20 (12-20), and 14/15 (9-15), for the functional, personal, relational, and social domains respectively. Overall, MSM report high satisfaction rates and quality of life after IPP placement. A better understanding of the needs and demands of this patient population may lead to improved patient satisfaction and quality of life.

EEG correlates of quality of life and associations with seizure without awareness and depression in patients with epilepsy.

AimsQuality of life (QOL) is an important issue for not only patients with epilepsy but also physicians. Depression has a large impact on QOL. Nonlinear electroencephalogram (EEG) analysis using machine learning (ML) has the potential to improve the accuracy of the diagnosis of epilepsy. Therefore, in this study, we examined EEG nonlinearity, EEG correlates of QOL in patients with epilepsy, and the accuracy of EEG for the interval from seizure without awareness (SA–) and for depression, using ML.MethodsThe Side Effects and Life Satisfaction (SEALS) inventory was used to assess QOL, and the Neurological Disorders Depression Inventory for Epilepsy (NDDI‐E) was used as a screening tool for depression on the date of the EEG recording. EEG with wavelet denoising (WD), the Savitzky–Golay filter, and non‐denoising were created in combination with low‐ and high‐pass filters. These EEG sets were adopted for phase space reconstruction methods. Using a generalized linear mixed‐effects model for SEALS, sample entropy as a measurement of regularity, SA–, seizure with awareness, and depression were examined.ResultsWD and non‐denoising EEG sets in the bilateral posterior temporal‐occipital, centro‐parietal, parieto‐occipital, and Fz–Cz of the 10–20 method were associated with SEALS and demonstrated nonlinearity, and the moderate effects of classification for the interval elapsed from SA– and for depression. When the intervals from SA– were added, the effects of the EEG classification for depression increased.ConclusionThese findings suggest that EEG regions associated with QOL showing nonlinearity are useful for classifying SA– and depression.

Evaluation of Satisfaction and Outcomes of Patients Who Underwent Two-Piece Inflatable Penile Prosthesis Implantation.

IntroductionThe aim of this study was to evaluate patient and partner satisfaction, device reliability, and complications in patients who underwent two-piece inflatable penile prosthesis (IPP) implantation.Patients and methodsThe data of 22 patients who underwent two-piece inflatable penile prosthesis implantation in our department between 2015 and 2018 were retrospectively analyzed, and a detailed review of all clinical reports was performed. Phone or face-to-face interviews were undertaken to assess the satisfaction rates of the patients and their partners using the modified Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) questionnaire.ResultsThe mean patient age and partner age were 57.95 ± 6.16 and 58.12 ± 6.66 years, respectively. The mean erectile dysfunction (ED) period was 5.33 ± 2.16 years, and the etiologies of erectile dysfunction were radical pelvic surgery (41%), diabetes mellitus (37%), and vascular disorders (22%). The mean operative time and postoperative hospital stay were 102 ± 29 minutes and 1.8 ± 0.66 days, respectively. Over a mean follow-up period of 29.04 ± 14.48 months, two (9%) cases underwent revision surgery due to mechanical device failure in one and infection in the other. The overall patient and partner satisfaction rates were 73% and 59%, respectively.ConclusionsThe two-piece inflatable penile prosthesis is an effective, reliable, and user-friendly prosthesis with acceptable complication and revision rates and provides a high level of patient and partner satisfaction in selected and fully informed patients.

The Relationship Between Sexual Satisfaction and Marital Satisfaction in Women With Ovarian Cancer and Their Spouses.

Ovarian cancer can have long-term physical and psychosexual effects on survivors. The post-ovarian cancer sexuality concerns of women can cause sadness and anxiety and negatively impact sexual and marital satisfaction in these women and their spouses. The aim of this study was to investigate the relationship between sexual satisfaction and marital satisfaction of women with ovarian cancer and their spouses. This study was designed retrospectively. This study was conducted with 172 participants: 86 women with ovarian cancer and 86 spouses. Data were collected over 6 months from July 2019 to December 2019. Sexual satisfaction levels were assessed using the Golombok Rust Inventory of Sexual Satisfaction. Marital satisfaction levels were assessed using the Golombok Rust Inventory of Marital State. Spouses' sexual satisfaction (mean, 8.10) was worse than that of the women (mean, 5.60). The women's marital satisfaction (mean, 47.39) was worse than that of their spouses (mean, 40.75). As the sexual satisfaction of the women increased, the marital satisfaction of the women (r = 0.346, P = .001) and spouses (r = 0.308, P = .001) increased. As the sexual satisfaction of the spouses increased, the marital satisfaction of the women (r = 0.512, P = .001) and spouses (r = 0.409, P = .001) increased. Nurses and healthcare teams need to be aware of post-ovarian cancer sexual and marital satisfaction problems of women and their spouses and organize activities at education and couple counseling on these problems.

Polyamory

IntroductionFew studies investigated the role of psychological variables underlying polylove.ObjectivesTo extend the knowledge regarding the psychological profile of polylovers.MethodsWe administered to a sample of individuals reporting to be polylovers and a sample of participants reporting to not be polylovers a battery of self-report questionnaires including the Attitude Towards Polylove scale (ATP), the Multidimensional Sexuality Questionnaire (MSQ), The Experiences in Close Relationships 12 items (ECR-12), the Couple Satisfaction Inventory (CSI), the Difficulties in Emotion Regulation Scale (DERS) and the Difficulties in Emotion Regulation Scale Positive (DERS-P).ResultsWe found that controlling for age and gender, polylovers, compared to not polylovers, scored higher on some dimensions of the DERS-P, on the ATP scores and on some dimensions of the MSQ. No others significant differences between groups emerged. Moreover, in the group of polylovers, ATP scores were positively related to sexual satisfaction, sexual self-esteem and sexual consciousness and negatively related to avoidant attachment style and difficulties in regulating positive emotions. Finally, we found that avoidant attachment style moderated the link between ATP scores and sexual self-esteem.ConclusionsEmotion dysregulation and attachment appear to be central variables explaining the specificity of psychological profiles of polylovers.DisclosureNo significant relationships.

Does knowing pre-operative penile length influence patient satisfaction post penile prosthesis surgery

ABSTRACT Introduction Patients may undergo penile prosthesis surgery (PPS) as a treatment option for erectile dysfunction (ED). Those who undergo PPS commonly complain of penile shortening after implantation. Furthermore, previous research has shown a decrease in penile length following inflatable penile prosthesis surgery compared to intracavernosal injection at 12 months. Objective Therefore, we conducted a prospective, multicenter cohort study to determine whether knowledge of pre-operative penile length measurement influences post-operative treatment satisfaction and satisfaction with penile length. Methods The cohort included a total of 102 patients undergoing PPS from August 2017 to December 2019. Study group participants underwent pre-operative penile length measurement (n=49) while the control group (n=53) did not undergo pre-operative measurement. Intra-operative and 6-week post-operative penile length measurements were later obtained in both groups. Six months post-operatively, patients were asked to complete the validated 14 item Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) questionnaire to assess both overall treatment satisfaction and satisfaction with penile length. Chi-square analysis was performed to determine whether a difference in satisfaction existed between the two groups. Results We observed high patient satisfaction scores in both groups when using the EDITS questionnaire. Mean scores for overall treatment satisfaction were 3.57 and 3.53 (on a scale from 0 to 4) in the study and control group respectively. Mean scores for satisfaction with penile length were 4.08 and 4.11 (on a scale from 1 to 5) in the study and control group. There was no difference in overall satisfaction of treatment between those who knew their pre-operative length and those who did not (p=0.483). We also found no difference in satisfaction of post-operative penile size between both groups (p=0.645). Moreover, 59% of the combined cohort believed their overall sexual satisfaction was affected by penile length, with no difference between both groups (p=0.463). We observed no significant decrease in mean penile length from pre-surgical intraoperative measurement to 6-week post-operative measurement (0.42 cm and 0.21 cm in study and control group, respectively) with no statistical difference between groups (p=0.251). Conclusions The study suggests that knowledge of pre-operative penile length does not influence 6-month post-operative satisfaction in patients who have PPS. Therefore, performing pre-operative measurement in clinic solely for the purpose of informing the patient may be unnecessary. Current interventions aimed at conserving penile length may be effective at maintaining patients’ satisfaction with their penile length. The effects of other factors such as partner satisfaction, sex therapy, time after PPS, and the use of malleable versus inflatable penile prosthetic should be investigated in future studies. Disclosure Work supported by industry: no.

Comparing patient satisfaction in penile prosthesis surgery after radical prostatectomy versus the general population.

ABSTRACT Introduction Penile prosthesis surgery (PPS) is currently a widely used treatment option for ED. Men who receive PPS following radical prostatectomy (RP) are generally satisfied with the outcome. Objective This study seeks to examine patient satisfaction with PPS and to determine if a difference in satisfaction exists in post-prostatectomy ED patients versus the general population. We hypothesize that the etiology of ED does not affect patient satisfaction following PPS. Methods 164 patients who received PPS at our institution from August 2017 to December 2019 were given a validated 14 item questionnaire, Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS), to assess their satisfaction with PPS. 102 patients responded at 6 months following surgery and were enrolled in this study. These patients’ charts were retrospectively reviewed for demographic information and information regarding the etiology of their ED. Patients were then assigned to one of two groups: patients with post-prostatectomy ED (study) and all other etiologies (control). We found no significant difference in age or race between the two groups. Patients in the study group were further assigned to a subgroup based on the specific procedure they had received: radical prostatectomy (RP) or radical cystoprostatectomy (RCP). Results Responses to three questions were analyzed: overall satisfaction, whether the procedure met expectations in the past four weeks, and confidence in ability to participate in sexual activity. Chi-square analysis was performed to determine the difference in the distribution of response rates. There was no difference in reported overall satisfaction (p=0.96), expectations (p=0.78), or confidence (p=0.78) between post-prostatectomy patients and all other etiologies of ED. On subgroup analysis, there was no difference in reported overall satisfaction (p=0.47) or confidence (p=0.080) between patients with RP compared to patients with RCP. RP and RCP patients differed in whether the PPS met expectations (p=0.033). ‘RP patients reported a mean of 3.5/4 compared to CRP patients who reported an average value of 3.0/4. Conclusions Our analysis suggests that the distribution of responses to the EDITS questionnaire are not significantly different between patients whose etiology of ED is post-prostatectomy compared to all other etiologies. Overall satisfaction, whether the treatment meets expectations, and confidence in the ability to participate in sexual relations are not significantly different between these patients. Disclosure Work supported by industry: no.