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Howell S, Palasi S, Green T, et al. Comparison of Satisfaction With Penile Prosthesis Implantation in Patients With Radical Prostatectomy or Radical Cystoprostatectomy to the General Population. Sex Med. 2021;9(1):100300doi: 10.1016/j.esxm.2020.100300.
Howell, S., Palasi, S., Green, T., Kannady, C., Panuganti, S., Slaughter, K., Blum, K., Yang, B., Saavedra-Belaunde, J. A., & Wang, R. (2021). Comparison of Satisfaction With Penile Prosthesis Implantation in Patients With Radical Prostatectomy or Radical Cystoprostatectomy to the General Population. Sexual medicine, 9(1), 100300. https://doi.org/10.1016/j.esxm.2020.100300
Howell, Skyler, et al. "Comparison of Satisfaction With Penile Prosthesis Implantation in Patients With Radical Prostatectomy or Radical Cystoprostatectomy to the General Population." Sexual medicine vol. 9,1 (2021): 100300. doi: https://doi.org/10.1016/j.esxm.2020.100300
Howell S, Palasi S, Green T, Kannady C, Panuganti S, Slaughter K, Blum K, Yang B, Saavedra-Belaunde JA, Wang R. Comparison of Satisfaction With Penile Prosthesis Implantation in Patients With Radical Prostatectomy or Radical Cystoprostatectomy to the General Population. Sex Med. 2021 Feb;9(1):100300. doi: 10.1016/j.esxm.2020.100300. Epub 2021 Jan 08. PMID: 33429244; PMCID: PMC7930877.
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Sex Med. 2021 Feb;9(1):100300. doi: 10.1016/j.esxm.2020.100300. Epub 2021 Jan 08.

Comparison of Satisfaction With Penile Prosthesis Implantation in Patients With Radical Prostatectomy or Radical Cystoprostatectomy to the General Population.

Sexual medicine

Skyler Howell, Stephen Palasi, Travis Green, Christopher Kannady, Sravan Panuganti, Kris Slaughter, Kyle Blum, Baibing Yang, Jose A Saavedra-Belaunde, Run Wang

Affiliations

  1. Department of Surgery, Division of Urology, University of Texas McGovern Medical School at Houston, Houston, TX, USA.
  2. Department of Surgery, Division of Urology, University of Texas McGovern Medical School at Houston, Houston, TX, USA; MD Anderson Cancer Center, Houston, TX, USA.
  3. Ashford Presbyterian Hospital, San Juan, PR, USA.
  4. Department of Surgery, Division of Urology, University of Texas McGovern Medical School at Houston, Houston, TX, USA; MD Anderson Cancer Center, Houston, TX, USA. Electronic address: [email protected].

PMID: 33429244 PMCID: PMC7930877 DOI: 10.1016/j.esxm.2020.100300

Abstract

INTRODUCTION: Penile prosthesis implantation is a widely used treatment option for erectile dysfunction. Data is limited with regard to patient satisfaction with a penile prosthesis following radical prostatectomy/cystoprostatectomy vs patients with erectile dysfunction of other etiologies.

AIM: To examine patient satisfaction with penile prosthesis implantation and determine if a difference in satisfaction exists in post-prostatectomy/cystoprostatectomy patients vs patients with erectile dysfunction of other etiologies. We hypothesize that etiology does not affect satisfaction.

METHODS: A total of 164 patients underwent penile prosthesis implantation at our institution between August 2017 and December 2019, with 102 patients completing a validated 14 item questionnaire, Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS), at 6 months postoperation. Demographics, surgical characteristics, and erectile dysfunction etiology were recorded. Patients were assigned to one of 2 groups: postprostatectomy/postcystoprostatectomy erectile dysfunction or other etiologies. The study group was further analyzed between radical prostatectomy or radical cystoprostatectomy.

MAIN OUTCOME MEASURES: Satisfaction based on key EDITS questions with postradical prostatectomy/cystoprostatectomy vs patients with erectile dysfunction of other etiologies.

RESULTS: Responses to 3 questions were analyzed: overall satisfaction, expectations met in the past 4 weeks, and confidence in the ability to participate in sexual activity. Chi-square analysis was performed to determine the difference in responses. No difference was seen in overall satisfaction (P = .96), expectations (P = .78), or confidence (P = .78) between groups. On subgroup analysis, there was no difference in reported overall satisfaction (P = .47) or confidence (P = .080) between postprostatectomy and postcystoprostatectomy patients. Postprostatectomy and postcystoprostatectomy patients differed in whether the penile prosthesis implantation met expectations (P = .033). Postprostatectomy patients reported a mean score of 3.5/4 compared to postcystoprostatectomy patients, who reported a mean of 3.0/4.

CONCLUSIONS: Our analysis suggests that key erectile function scores are not significantly different between postprostatectomy/postcystoprostatectomy patients compared to other etiologies. The difference in measures between postprostatectomy and postcystoprostatectomy patients is not significant or of unclear significance. Registration # of clinical trial: HSC-MS-19-0320 Howell S, Palasi S, Green T, et al. Comparison of Satisfaction With Penile Prosthesis Implantation in Patients With Radical Prostatectomy or Radical Cystoprostatectomy to the General Population. Sex Med 2021;9:100300.

Copyright © 2020 The Authors. Published by Elsevier Inc. All rights reserved.

Keywords: Erectile Dysfunction; Patient Satisfaction; Penile Implantation; Penile Prosthesis; Prostatectomy

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