Brinkman Mary Jo, Henry Gerard D, Wilson Steven K, Delk John R, Denny George A, Young Michael, Cleves Mario A
University of Arkansas, Fayetteville, USA.
J Urol. 2005 Jul;174(1):253-7. doi: 10.1097/01.ju.0000161608.21337.8d.
We assessed patient satisfaction with 3 types of penile prostheses, namely the AMS 700 Series(R), Mentor Alpha 1(R) and Mentor Alpha NB(R).
The subjects consisted of 330 patients selected by stratified, systematic random sampling from among 1,298 subjects undergoing virgin 3-piece inflatable penile implant surgeries performed by the same surgical team at 1 hospital between January 1992 and December 1998. Data were collected by computer assisted telephone interviewing with a survey developed by the authors. The survey consisted of 37 questions in 7 sections, including 1 demographic section and 6 patient satisfaction sections.
Of the 330 patients selected 248 (75%) could be contacted. Of these, 199 (80%) responded to the full survey and the remaining 49 (20%) agreed to respond only to the question, "How satisfied are you with the prosthesis?" Of the 199 full responders 12 (6%) had AMS implants and 187 (94%) had Mentor implants. Of the 49 single question responders 5 (10%) had AMS implants and 44 (90%) had Mentor implants. Of the 248 patients the overall satisfaction rate was 69%. Although there was no significant difference at the 5% level in patient satisfaction by implant type, responses tended to favor the Alpha IPPs in terms of overall sexual satisfaction (p =0.058), natural feeling of the prosthesis (p =0.061), flaccid appearance of the penis when deflated (p =0.054), and education with demonstration of inflation and deflation (p =0.075).
There was a high degree of overall patient satisfaction across implant types.
我们评估了患者对3种阴茎假体的满意度，即美国医药系统公司（AMS）700系列、曼托阿尔法1型和曼托阿尔法NB型。
研究对象包括1992年1月至1998年12月期间在同一家医院由同一手术团队进行初次三件套可膨胀阴茎植入手术的1298名受试者中，通过分层系统随机抽样选取的330名患者。数据通过计算机辅助电话访谈收集，采用作者编制的调查问卷。该问卷包括7个部分的37个问题，其中包括1个人口统计学部分和6个患者满意度部分。
在选取的330名患者中，248名（75%）能够取得联系。其中，199名（80%）完成了全部调查，其余49名（20%）仅同意回答“你对假体的满意度如何？”这一问题。在199名完成全部调查的患者中，12名（6%）植入了AMS假体，187名（94%）植入了曼托假体。在49名仅回答一个问题的患者中，5名（10%）植入了AMS假体，44名（90%）植入了曼托假体。在这248名患者中，总体满意度为69%。尽管按植入类型划分的患者满意度在5%的水平上没有显著差异，但在总体性满意度（p = 0.058）、假体的自然感觉（p = 0.061）、阴茎放气时的疲软外观（p = 0.054）以及充气和放气演示的教育效果（p = 0.075）方面，反馈倾向于支持阿尔法可膨胀阴茎假体（Alpha IPPs）。
各类植入假体的患者总体满意度较高。
