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Contemporary Patient Satisfaction Rates for Three-Piece Inflatable Penile Prostheses

DOI: 10.1155/2012/707321

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Abstract:

Among the many treatments for erectile dysfunction, implantation of a penile prosthesis has been associated with high patient satisfaction rates. Specifically, the placement of a three-piece inflatable penile prosthesis (IPP) confers the highest rates of satisfaction. We reviewed the literature over the past 20 years regarding satisfaction rates for penile prostheses, with a focus on patients who had undergone an initial IPP implantation for erectile dysfunction. In all, 194 articles were reviewed, and of these, nine met inclusion criteria for analysis and data collation. We determined contemporary satisfaction rates to reflect patients’ experiences with newer products and surgical approaches. Of importance, we noted that varied metrics were used to determine patient satisfaction, and overall satisfaction could not be precisely determined. Nevertheless, we found that patients in general were quite satisfied with their three-piece IPPs and restoration of sexual function. We also identified reasons for patient dissatisfaction and reviewed the literature to find ways by which satisfaction could be improved. Given the various means by which patient satisfaction was determined, future efforts should include standardized and validated questionnaires. 1. Introduction The placement of a patient-activated inflatable penile prosthesis (IPP) to treat erectile dysfunction has allowed patients to achieve dependable spontaneity for intercourse. As compared with other treatments for erectile dysfunction, including oral medication, transurethral suppositories, injectable medications, and vacuum-assisted devices, patients who have a penile prosthesis have reported the highest satisfaction rates [1–4]. Early satisfaction rates had been determined by physicians’ assessments. However, discrepancy has been shown between satisfaction rates determined by physicians and those determined by patients [5]. It is generally thought that patient self-administered questionnaires are more reliable than those administered by a physician. As such, over the past several years, penile prosthesis satisfaction rates have been captured by self-administered surveys. However, relatively few studies have been conducted utilizing validated surveys. Early satisfaction rates for penile prosthetic implants do not reflect contemporary device improvements or surgical technique. Indeed, over the years, device manufacturers have modified their penile prostheses to improve device satisfaction and longevity rates. Having evolved from malleable and two-piece penile implants, the three-piece inflatable

References

[1]  A. Rajpurkar and C. B. Dhabuwala, “Comparison of satisfaction rates and erectile function in patients treated with sildenafil, intracavernous prostaglandin E1 and penile implant surgery for erectile dysfunction in urology practice,” Journal of Urology, vol. 170, no. 1, pp. 159–163, 2003.
[2]  K. Hatzimouratidis and D. G. Hatzichristou, “A comparative review of the options for treatment of erectile dysfunction: which treatment for which patient?” Drugs, vol. 65, no. 12, pp. 1621–1650, 2005.
[3]  C. C. Carson, “Penile prosthesis implantation: surgical implants in the era of oral medication,” Urologic Clinics of North America, vol. 32, no. 4, pp. 503–509, 2005.
[4]  W. J. Hellstrom, D. K. Montague, I. Moncada et al., “Implants, mechanical devices, and vascular surgery for erectile dysfunction,” Journal of Sexual Medicine, vol. 7, no. 1, part 2, pp. 501–523, 2010.
[5]  M. L. Slevin, H. Plant, D. Lynch, J. Drinkwater, and W. M. Gregory, “Who should measure quality of life, the doctor or the patient?” British Journal of Cancer, vol. 57, no. 1, pp. 109–112, 1988.
[6]  S. K. Wilson, M. Cleves, and J. R. Delk II, “Long-term results with hydroflex and dynaflex penile prostheses: device survival comparison to multicomponent inflatables,” Journal of Urology, vol. 155, no. 5, pp. 1621–1623, 1996.
[7]  C. Bettocchi, F. Palumbo, M. Spilotros et al., “Patient and partner satisfaction after AMS inflatable penile prosthesis implant,” Journal of Sexual Medicine, vol. 7, no. 1, part 1, pp. 304–309, 2010.
[8]  A. Natali, R. Olianas, and M. Fisch, “Penile implantation in Europe: successes and complications with 253 implants in Italy and Germany,” Journal of Sexual Medicine, vol. 5, no. 6, pp. 1503–1512, 2008.
[9]  M. J. Brinkman, G. D. Henry, S. K. Wilson et al., “A survey of patients with inflatable penile prostheses for satisfaction,” Journal of Urology, vol. 174, no. 1, pp. 253–257, 2005.
[10]  C. C. Carson, J. J. Mulcahy, and F. E. Govier, “Efficacy, safety and patient satisfaction outcomes of the AMS 700CX inflatable penile prosthesis: results of a long-term multicenter study,” Journal of Urology, vol. 164, no. 2, pp. 376–380, 2000.
[11]  F. Montorsi, P. Rigatti, G. Carmignani et al., “AMS three-piece inflatable implants for erectile dysfunction: a long-term multi-institutional study in 200 consecutive patients,” European Urology, vol. 37, no. 1, pp. 50–55, 2000.
[12]  F. B. Holloway and R. N. Farah, “Intermediate term assessment of the reliability, function and patient satisfaction with the AMS700 ultrex penile prosthesis,” Journal of Urology, vol. 157, no. 5, pp. 1687–1691, 1997.
[13]  I. Goldstein, L. Newman, N. Baum et al., “Safety and efficacy outcome of mentor alpha-1 inflatable penile prosthesis implantation for impotence treatment,” Journal of Urology, vol. 157, no. 3, pp. 833–839, 1997.
[14]  B. B. Garber, “Mentor alpha 1 inflatable penile prosthesis: patient satisfaction and device reliability,” Urology, vol. 43, no. 2, pp. 214–217, 1994.
[15]  I. Goldstein, E. B. Bertero, J. M. Kaufman et al., “Early experience with the first pre-connected 3-piece inflatable penile prosthesis: the mentor alpha-1,” Journal of Urology, vol. 150, no. 6, pp. 1814–1818, 1993.
[16]  S. E. Althof, E. W. Corty, S. B. Levine et al., “EDITS: development of questionnaires for evaluating satisfaction with treatments for erectile dysfunction,” Urology, vol. 53, no. 4, pp. 793–799, 1999.
[17]  P. Gittens, D. J. Moskovic, D. Avila Jr., A. Chandrashekar, M. Khera, and L. I. Lipshultz, “Favorable female sexual function is associated with patient satisfaction after inflatable penile prosthesis implantation,” Journal of Sexual Medicine, vol. 8, no. 7, pp. 1996–2001, 2011.
[18]  A. C. Kramer and A. Schweber, “Patient expectations prior to coloplast titan penile prosthesis implant predicts postoperative satisfaction,” Journal of Sexual Medicine, vol. 7, no. 6, pp. 2261–2266, 2010.
[19]  L. A. Levine and J. Rybak, “Traction therapy for men with shortened penis prior to penile prosthesis implantation: a pilot study,” Journal of Sexual Medicine, vol. 8, no. 7, pp. 2112–2117, 2011.
[20]  M. Porena, L. Mearini, E. Mearini, M. Marzi, and A. Zucchi, “Penile prosthesis implantation and couple's satisfaction,” Urologia Internationalis, vol. 63, no. 3, pp. 185–187, 2000.
[21]  D. D. Thiel, G. A. Broderick, and M. Bridges, “Utility of magnetic resonance imaging in evaluating inflatable penile prosthesis malfunction and complaints,” International Journal of Impotence Research, vol. 15, supplement 5, pp. S155–S161, 2003.
[22]  K. Anafarta, ?. Yaman, and K. Aydos, “Clinical experience with dynaflex penile prostheses in 120 patients,” Urology, vol. 52, no. 6, pp. 1098–1100, 1998.
[23]  A. Minervini, D. J. Ralph, and J. P. Pryor, “Outcome of penile prosthesis implantation for treating erectile dysfunction: experience with 504 procedures,” British Journal of Urology International, vol. 97, no. 1, pp. 129–133, 2006.
[24]  S. K. Wilson, J. R. Delk, E. A. Salem, and M. A. Cleves, “Long-term survival of inflatable penile prostheses: single surgical group experience with 2,384 first-time implants spanning two decades,” Journal of Sexual Medicine, vol. 4, no. 4, part 1, pp. 1074–1079, 2007.
[25]  G. Henry, L. Houghton, D. Culkin, J. Otheguy, R. Shabsigh, and D. A. Ohl, “Comparison of a new length measurement technique for inflatable penile prosthesis implantation to standard techniques: outcomes and patient satisfaction,” Journal of Sexual Medicine, vol. 8, no. 9, pp. 2640–4646, 2011.
[26]  A. Miranda-Sousa, M. Keating, S. Moreira, M. Baker, and R. Carrion, “Concomitant ventral phalloplasty during penile implant surgery: a novel procedure that optimizes patient satisfaction and their perception of phallic length after penile implant surgery,” Journal of Sexual Medicine, vol. 4, no. 5, pp. 1494–1499, 2007.
[27]  J. P. Mulhall, A. Jahoda, N. Aviv, R. Valenzuela, and M. Parker, “The impact of sildenafil citrate on sexual satisfaction profiles in men with a penile prosthesis in situ,” British Journal of Urology International, vol. 93, no. 1, pp. 97–99, 2004.
[28]  D. W. Soderdahl, R. A. Petroski, D. Mode, B. F. Schwartz, and J. B. Thrasher, “The use of an external vacuum device to augment a penile prosthesis,” Techniques in Urology, vol. 3, no. 2, pp. 100–102, 1997.
[29]  L. R. Schover, “Sex therapy for the penile prosthesis recipient,” Urologic Clinics of North America, vol. 16, no. 1, pp. 91–98, 1989.

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