Patient satisfaction after penile prosthesis: a statistical comparison of the malleable, infantable and hydroflex prosthesis

Seo, Kyeng Keun; Kim, Sae Chul

Abstract

To assess the sexual activity, physical adjustment. quality of erection and sexual satisfaction after penile prosthesis, 50-item questions were made up by mailing or interview. Out of 140 patients, 61(40 malleable, 10 inflatable, 11 hydroflex) replied to the questionnaire. Partner`s attitude frequency of intercourse and premature ejaculation were significantly improved postoperatively. More than half of the patients complained of reduced penile size, whereas 72% of the patients got increased rigidity postoperatively. For the penile size and rigidity, inflatable prostheses took the first place, and next came the malleable and then hydroflex prostheses. Concealment problems of the malleable, inflatable and hydroflex prostheses were 85%, 20%, and 46%. respectively. Satisfaction rate of the malleable, inflatable and hydroflex prostheses was 70%. 50%, and 46%, respectively. Over all satisfaction rate was 62% and dissatisfaction rate was 13%. The satisfaction rate of the unmarried young or traumatic impotent patients was particularly lower. There was no relationship between satisfaction rate and duration of impotence. In conclusion, postoperative quality of erection, concealment problems and physical adjustment should be explained and informed to patients to avoid unrealistic expectations before implantation.