Penile prosthesis:Patient satisfaction,use and preference for malleable vs inflatable

摘要

AIM:To evaluate and compare long-term patient satisfaction and use after either malleable penile prosthesis(MPP)or inflatable penile prosthesis(IPP)implantation.METHODS:we present a retrospective unicenter study of 108 patients implanted with either 2 or 3-piece American Medical System^TM(AMS^TM)or Coloplast^TMinflatable penile prosthesis(AMS 700CX^TM,AMS 700CXR^TM,AMS Ambicor?or Coloplast TITAN^TM)or malleable(AMS Spectra^TM or Coloplast Genesis^TM)in our Centre between 1993 and 2011.We collected data from the medical record including follow-up,age and type of prosthesis.We used a four-question telephone survey designed ad hoc by urologist in our Department,with three multiple choice questions and a grading answer.After verbal consent was obtained,proposed questions concerned global satisfaction regarding to the procedure,quality of sexual intercourses graded from 0 to 10,frequency of sexual intercourse and about undergoing the same procedure again.SPSS^TM version 20.0 was used for the descriptive analysis of the data.RESULTS:Sixty seven(64%)patients underwent a MPP and 41(36%)an IPP.The mean age was 52.6±3.6 years in the MPP group and 57.2±2.8 years in the IPP group(P=0.02).Total respond rate was 55.5%(60/108).Twenty six out of 33 MPP patients(78.9%)and 19 of the 27 IPP subjects(70.3%)were satisfied or very satisfied with the procedure.The quality of sexual intercourse was rated 7.13±0.39 points in the MPP group and 6.16±0.47 points in the IPP group.Frequency of sexual intercourse was 1 or more times per week in 15(46.9%)patients with MPP and in 12(46.1%)of the IPP patients.Twenty-eight(84.9%)patients who received a MPP would undergo the procedure for the same device again as well as 24(88.9%)of the IPP group.There were no statistical differences between groups regarding the four items in the survey.CONCLUSION:Patients show high satisfaction rate and no statistical differences exist regarding to global satisfaction,use of the device and quality of sexual intercourse depending on the type of penile prosthesis.