Abstract
Until 2019, the European Association of Urology guidelines recommended the implantation of a penile prosthesis as a third-line therapy, which has since then changed to “if other treatments fail or depending on the patient’s preference”. Primary endpoint was to assess whether patients with a penile prosthesis and their partner would have preferred earlier implantation. Secondary endpoints were the reason why patient and partner wanted earlier implantation, how much earlier they wanted it, satisfaction of patient and partner and if patient and partner would have recommended the intervention. We selected patients with a virgin inflatable penile prosthesis operated between April 2013 and December 2019. We included 155 patients and 65 partners. Telephonic interview was conducted in a structured manner. Further data were collected retrospectively. The preference for earlier implantation was reported in 59.4% of patients and 46.2% of partners. Of them, respectively 53.2% and 46.6% would have wanted the prosthesis more than 5 years earlier. Satisfaction was seen in 83.2% of patients and 73.8% of partners. Respectively 82.6% and 78.4% of patients and partners would recommend the procedure. Our results indicate that a more patient-oriented approach with good counseling is desirable and that the “three-level” concept must be abandoned.
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References
Salonia A, Bettocchi C, Boeri L, Capogrosso P, Carvalho J, Cilesiz NC, et al. European Association of Urology Guidelines on sexual and reproductive health-2021 update: male sexual dysfunction. Eur Urol. 2021;80:333–57.
Feldman HA, Goldstein I, Hatzichristou DG, Krane RJ, McKinlay JB. Impotence and its medical and psychosocial correlates: results of the Massachusetts Male Aging Study. J Urol. 1994;151:54–61.
Tanaka Y, Bundy JD, Allen NB, Uddin SMI, Feldman DI, Michos ED, et al. Association of Erectile Dysfunction with incident atrial fibrillation: the Multi-Ethnic Study of Atherosclerosis (MESA). Am J Med. 2020;133:613–620.e611.
Zhao B, Hong Z, Wei Y, Yu D, Xu J, Zhang W. Erectile dysfunction predicts cardiovascular events as an independent risk factor: a systematic review and meta-analysis. J Sex Med. 2019;16:1005–17.
Liu Q, Zhang Y, Wang J, Li S, Cheng Y, Guo J, et al. Erectile dysfunction and depression: a systematic review and meta-analysis. J Sex Med. 2018;15:1073–82.
Esposito K, Giugliano F, Di Palo C, Giugliano G, Marfella R, D’Andrea F, et al. Effect of lifestyle changes on erectile dysfunction in obese men: a randomized controlled trial. JAMA. 2004;291:2978–84.
Baas W, O’Connor B, Welliver C, Stahl PJ, Stember DS, Wilson SK, et al. Worldwide trends in penile implantation surgery: data from over 63,000 implants. Transl Androl Urol. 2020;9:31–37.
Burnett AL, Nehra A, Breau RH, Culkin DJ, Faraday MM, Hakim LS, et al. Erectile dysfunction: AUA guideline. J Urol. 2018;200:633–41.
Bajic P, Mahon J, Faraday M, Sadeghi-Nejad H, Hakim L, McVary KT. Etiology of erectile dysfunction and duration of symptoms in patients undergoing penile prosthesis: a systematic review. Sex Med Rev. 2020;8:333–7.
Porst H, Burnett A, Brock G, Ghanem H, Giuliano F, Glina S, et al. SOP conservative (medical and mechanical) treatment of erectile dysfunction. J Sex Med. 2013;10:130–71.
Eardley I, Donatucci C, Corbin J, El-Meliegy A, Hatzimouratidis K, McVary K, et al. Pharmacotherapy for erectile dysfunction. J Sex Med. 2010;7:524–40.
Jorissen C, De Bruyna H, Baten E, Van Renterghem K. Clinical outcome: patient and partner satisfaction after penile implant surgery. Curr Urol. 2019;13:94–100.
Lauwers NL, Van Renterghem K, Osmonov D, Suarez-Sarmiento A, Perito P, Park S, et al. Analysis of the effects of different surgical approaches on corporotomy localization in inflatable penile implant surgery performed by expert implant surgeons. Int J Impot Res. 2022. https://doi.org/10.1038/s41443-022-00593-1. Epub ahead of print.
Mahon J, Dornbier R, Wegrzyn G, Faraday MM, Sadeghi-Nejad H, Hakim L, et al. Infectious adverse events following the placement of a penile prosthesis: a systematic review. Sex Med Rev. 2020;8:348–54.
Mottet N, van den Bergh RCN, Briers E, Van den Broeck T, Cumberbatch MG, De Santis M, et al. EAU-EANM-ESTRO-ESUR-SIOG guidelines on prostate cancer-2020 update. part 1: screening, diagnosis, and local treatment with curative intent. Eur Urol. 2021;79:243–62.
Vakalopoulos I, Kampantais S, Ioannidis S, Laskaridis L, Dimopoulos P, Toutziaris C, et al. High patient satisfaction after inflatable penile prostheses implantation correlates with female partner satisfaction. J Sex Med. 2013;10:2774–81.
Lee KC, Brock GB. Strategies for maintaining penile size following penile implant. Transl Androl Urol. 2013;2:67–73.
Pescatori E, Alei G, Antonini G, Avolio A, Bettocchi C, Bitelli M, et al. INSIST-ED: Italian Society of Andrology registry on penile prosthesis surgery. First data analysis. Arch Ital Urol Androl. 2016;88:122–7.
Henry GD, Karpman E, Brant W, Christine B, Kansas BT, Khera M, et al. The who, how and what of real-world penile implantation in 2015: the PROPPER Registry Baseline Data. J Urol. 2016;195:427–33.
van Renterghem K, Deho F Perspective on the PHOENIX trial: prospective registry for patients undergoing penile prosthesis implantation for male erectile dysfunction in multiple European centers. Int J Impot Res. 2022. https://doi.org/10.1038/s41443-022-00547-7. Epub ahead of print.
Acknowledgements
All contributors to the article are mentioned in the author list. We would like to thank our surgical team for their great work resulting in our high quality of care.
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KVR was responsible for research conceptualization. AVH and JM were responsible for data collection. AVH, JM, and KVR were responsible for data analysis and interpretation. AVH and KVR were responsible for writing the original draft. AVH was responsible for creating graphical representations. AVH, EC, and KVR were responsible for final review and editing. KVR was responsible for supervision of the project.
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This study was approved by the local ethics committee (f/2021/043).
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Van Huele, A., Mennes, J., Chung, E. et al. Majority of erectile dysfunction patients would have preferred earlier implantation of their penile prosthesis: validation of the recently changed EAU guidelines. Int J Impot Res 35, 731–735 (2023). https://doi.org/10.1038/s41443-022-00620-1
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DOI: https://doi.org/10.1038/s41443-022-00620-1
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