Meisler A W, Carey M P, Krauss D J, Lantinga L J
Department of Psychology, Syracuse University, NY 13244-2340.
J Sex Marital Ther. 1988 Summer;14(2):108-19. doi: 10.1080/00926238808403911.
Two cases, carefully selected from a longitudinal, prospective investigation of the relationship between psychosocial variables and postsurgical adjustment to a penile prosthesis implantation, were studied intensively. In both cases, the patient and sexual partner were assessed, presurgically, on a number of psychological, marital, and sexual functioning variables; their subsequent satisfaction with the prosthesis, and their psychological, marital, and sexual adjustment were measured at 6 and 12 months postsurgery. Despite many similarities in medical aspects of the surgery, for one couple a successful outcome was evidenced, whereas the other couple demonstrated a therapeutic failure despite the technical success of the surgery. Psychosocial differences between the couples were identified as they may relate to the discordant outcomes observed. Clinical implications of these results are discussed, as are the strengths and weaknesses of our methodological approach.
从一项关于社会心理变量与阴茎假体植入术后调整之间关系的纵向前瞻性调查中精心挑选了两个案例进行深入研究。在这两个案例中，术前对患者及其性伴侣在一些心理、婚姻和性功能变量方面进行了评估；术后6个月和12个月测量了他们对假体的后续满意度以及他们的心理、婚姻和性调整情况。尽管手术的医学方面有许多相似之处，但一对夫妇取得了成功的结果，而另一对夫妇尽管手术技术上成功，却显示出治疗失败。确定了夫妇之间的社会心理差异，因为这些差异可能与观察到的不一致结果有关。讨论了这些结果的临床意义以及我们方法学方法的优缺点。
