A' Urologic Department, Aristotle University of Thessaloniki, Greece.
J Sex Med. 2013 Nov;10(11):2774-81. doi: 10.1111/jsm.12311. Epub 2013 Sep 12.
Patient and female partner satisfaction after implantation of an inflatable penile prosthesis (IPP) assessed by objective means, and the correlation between the partners, is important for determining postoperative sexual life.
The primary goal was to evaluate patients' erectile function and patients' and their partners' satisfaction after IPP implantation. A secondary aim was to investigate potential determinative factors of satisfaction according to device characteristics, demographics, and cause of erectile dysfunction (ED).
Ninety patients, who underwent IPP implantation as an alternative to refractory or undesirable medical treatment for ED, were evaluated. Patients who could not or refused to participate, or were out of a relationship, were excluded. The 69 remaining patients were evaluated for their pre- and postoperative erectile function and posttreatment satisfaction for themselves and their partners.
Preoperative and postoperative scores on the International Index of Erectile Function Questionnaire-five items (IIEF-5) were compared. The Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) was given to males and their female partners. Patient demographics, etiology of ED, and implant characteristics were correlated also with patients' EDITS scores.
Mean IIEF-5 scores demonstrated a significant improvement after IPP implantation: from 8.88±3.75 to 20.97±4.37 (P<0.001). The mean patients' EDITS score was 75.48±20.54, whereas mean female partners' score was 70.00±22.92, highlighting high posttreatment satisfaction for both. Regression analysis suggested a direct linear correlation of satisfaction between the sexual partners as a degree of satisfaction. There were no statistically significant differences according to level of education or implant characteristics. Concerning the etiology of ED, no conclusions could be made.
Overcoming previous limitations in determining post-IPP implantation satisfaction, our study reiterates high rates of patient and partner satisfaction. Of particular note, patient satisfaction appears independent of prosthesis type and cylinder length.
通过客观手段评估植入可膨胀阴茎假体（IPP）后患者和女性伴侣的满意度，以及伴侣之间的相关性，对于确定术后性生活至关重要。
主要目标是评估患者的勃起功能以及 IPP 植入后的患者和他们的伴侣的满意度。次要目标是根据器械特征、人口统计学和勃起功能障碍（ED）的原因，调查满意度的潜在决定性因素。
对 90 名因 ED 而接受难治性或不适当药物治疗的患者进行了 IPP 植入。排除无法或拒绝参与或处于关系之外的患者。对 69 名剩余患者进行了术前和术后勃起功能以及治疗后自身和伴侣满意度的评估。
比较国际勃起功能指数问卷-五分量表（IIEF-5）的术前和术后评分。男性及其女性伴侣均接受了治疗满意度勃起功能障碍问卷（EDITS）。患者人口统计学、ED 病因和植入物特征也与患者 EDITS 评分相关。
IPP 植入后，平均 IIEF-5 评分显著提高：从 8.88±3.75 提高至 20.97±4.37（P<0.001）。平均患者 EDITS 评分为 75.48±20.54，而平均女性伴侣评分则为 70.00±22.92，这表明双方对治疗后都非常满意。回归分析表明，性伴侣之间的满意度呈直接线性相关。根据教育程度或植入物特征，没有发现统计学上的显著差异。关于 ED 的病因，没有得出结论。
本研究克服了先前在确定 IPP 植入后满意度方面的局限性，再次强调了患者和伴侣的高满意度。值得注意的是，患者满意度似乎与假体类型和圆柱长度无关。
