J Korean Androl Soc.  1993 Dec;11(2):79-91.

Patient and partner satisfaction after penile prosthesis implantation

• Cho IR
• Choi HK
• Xin ZC

Abstract

Follow-up questionnaires with 60 questions were sent to 212 patients with valid addresses in whom some type of penile prosthesis had been implanted between December 1983 and February 1993;79(37.2%) of the questionnaires were returned. The types of prosthesis and mean follow-up periods were: [No. Pts. Months of follow-up ] [Malleable AMS 30, Jonas 13 31] [Self-inflatable(Dynaflex) 15 24] [3-piece inflatable(AMS 700 CXM) 20 10] [Uniflate-1000 1] The mean postoperative recovery times were: to resume sexual intercourse 2 months; to return to regular daily activities 3 months; and until intercourse was no longer painful 4 months. Increased desire for intercourse was reported by 44.4% of the patients, an increase in sexual ability by 55.5%, and an increase in self-confidence by 72.2%. Premature ejaculation was significantly decreased from 67.7% to 40.3% postoperatively(p<0.01), but the problem itself was not completely resolved. The patients and partner satisfaction rates were: [Patient Partner] [Total series 64.9%(50/77) 59.4%(38/64)] [Malleable 81.4% 70.6%] [Self-inflatable 40.0% 38.5%] [3-piece inflatable 47.4% 52.9%] In a society where Confucian philosophy has historically been the framework of daily life, sexual problems have been regarded as taboo and traditionally accepted as a normal aging process. Patient life satisfaction increased significantly(p<0.05) after implantation of the malleable types of prosthesis, probably because of low expectations. Contrary to our expectations, the satisfaction rate with the 3-piece inflatable device was lower than that of the malleable one, probably because of either the short follow-up or unrealistic expectations. Thorough preoperative understanding of the prospects for satisfaction and the necessary physical adjustment on the part of patients and partners is necessary to reduce unrealistic expectations of the outcome of the operation.

MeSH Terms

Aging
Coitus
Follow-Up Studies
Humans
Penile Implantation*
Penile Prosthesis*
Philosophy
Premature Ejaculation
Prostheses and Implants
Surveys and Questionnaires
Taboo