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Comparison of patient-reported outcomes after penile prosthesis placement in men with and without Peyronie’s disease

Abstract

We evaluated outcomes in patients undergoing penile prothesis (PP) implantation for erectile dysfunction (ED) and concurrent Peyronie’s Disease (PD). A clinician-developed survey to assess satisfaction was sent to 354 patients who underwent PP placement from 2012–2018 by a single-surgeon. Results were compared based on the presence or absence of concurrent PD. 79 patients completed the survey (response rate 22%), including 38 patients (48%) with concurrent ED and PD (ED/PD). Mean follow-up was 31 months (standard deviation 19). 87% felt their condition was “very much” or “much” improved. There was no significant difference in patient-reported overall satisfaction with their PP or satisfaction with current penile length/girth based on the presence or absence of PD. 87% of patients with PD were satisfied with their degree of penile straightening after PP plus or minus concurrent straightening maneuvers such as modeling, plication, or incision/grafting. Sub-group analyses were performed to evaluate outcomes in those with concurrent PD/ED who required plaque incision/grafting at the time of PP placement for more severe deformity (n = 19). 47% of these patients were dissatisfied with their current penile length, compared with only 16% of those patients with PD/ED who did not require grafting (p = 0.05). In conclusion, the presence of PD alone may not impact PP satisfaction, but patients with more severe baseline deformity who require incision/grafting may be less satisfied with outcomes including penile length.

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Fig. 1: Frequency of prosthesis use for sexual activity.
Fig. 2: Comparing survey responses.
Fig. 3: Survey responses.
Fig. 4

Data availability

Additional study data are available from the corresponding author on reasonable request.

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Funding

This project was funded by an investigator-initiated grant from Coloplast Corporation.

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Conceived and/or designed the work that led to the submission, acquired data, and/or played an important role in interpreting the results: MJZ, WAL, PB, LAL. Drafted or revised the manuscript: MJZ, WAL, PB, LAL. Approved the final version: MJZ, WAL, PB, LAL. Agreed to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved: MJZ, WAL, PB, LAL.

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Correspondence to Matthew J. Ziegelmann.

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Competing interests

Laurence Levine is a consultant for Boston Scientific corporation. Matthew Ziegelmann is a consultant for Endo Pharmaceuticals, Inc.

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Ziegelmann, M.J., Langbo, W.A., Bajic, P. et al. Comparison of patient-reported outcomes after penile prosthesis placement in men with and without Peyronie’s disease. Int J Impot Res (2022). https://doi.org/10.1038/s41443-022-00600-5

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