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阴茎假体植入术后伴侣间的性体验:谁更满意?

Sexual experiences between partners after penile prosthesis: Who is more satisfied?

作者信息

Özbay Engin, Aydın Arif, Salar Remzi, Durmuş Emrullah, Karlıdağ İsmail, Öncel Halil Ferat, Sönmez Mehmet Giray

机构信息

Department of Urology, Şanlıurfa M. Akif İnan Training and Research Hospital, Şanlıurfa, Turkey.

Department of Urology, NEÜ Meram Medicine Faculty, Konya, Turkey.

出版信息

Andrologia. 2020 Mar;52(2):e13461. doi: 10.1111/and.13461. Epub 2019 Nov 6.

Abstract

Penile prosthesis implantation (PPI) is the final stage treatment in erectile dysfunction (ED). In this study, we planned to investigate the effect of PPI application on sexual functionality in the patients and their partners. After taking permission and consent for the study, from 20 male patients who were applied penile prosthesis due to ED between March 2013 and June 2018 and their partners, the couples were included in the study. Patients and partners filled in Arizona Sexual Experiences Scale (ASEX) form before PPI. After starting to use prosthesis, 20 patients and 19 partners were asked to fill in modified EDITS and ASEX form in the follow-ups in the sixth month. Average age was 54.35 years for the patients and 43.84 for the partners. Although post-PPI sexual satisfaction ratio was detected higher in female partners compared with the male patients, this difference was not statistically significant (p = .71). A significant recovery was also observed in total scale score, physiological stimulation, orgasm capacity and satisfaction scores in both groups after PPI. Penile prosthesis implantation is an operation providing high satisfaction for both the partner and the patient and is still one of the best options of ED.

摘要

阴茎假体植入术(PPI)是勃起功能障碍(ED)的最终阶段治疗方法。在本研究中,我们计划调查PPI应用对患者及其伴侣性功能的影响。在获得研究许可和同意后,选取了2013年3月至2018年6月期间因ED接受阴茎假体植入的20名男性患者及其伴侣纳入研究。患者和伴侣在PPI术前填写亚利桑那性体验量表(ASEX)表格。开始使用假体后,在第六个月的随访中,要求20名患者和19名伴侣填写改良版勃起功能障碍影响问卷(EDITS)和ASEX表格。患者的平均年龄为54.35岁,伴侣的平均年龄为43.84岁。尽管与男性患者相比,女性伴侣在PPI术后的性满意度比率更高,但这种差异无统计学意义(p = 0.71)。PPI术后两组的总量表评分、生理刺激、性高潮能力和满意度评分也均有显著改善。阴茎假体植入术是一种能为伴侣和患者都带来高度满意度的手术,仍是ED的最佳选择之一。

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