Howell Skyler, Palasi Stephen, Green Travis, Kannady Christopher, Panuganti Sravan, Slaughter Kris, Blum Kyle, Yang Baibing, Saavedra-Belaunde Jose A, Wang Run
Department of Surgery, Division of Urology, University of Texas McGovern Medical School at Houston, Houston, TX, USA.
Department of Surgery, Division of Urology, University of Texas McGovern Medical School at Houston, Houston, TX, USA; MD Anderson Cancer Center, Houston, TX, USA.
Sex Med. 2021 Feb;9(1):100300. doi: 10.1016/j.esxm.2020.100300. Epub 2021 Jan 8.
Penile prosthesis implantation is a widely used treatment option for erectile dysfunction. Data is limited with regard to patient satisfaction with a penile prosthesis following radical prostatectomy/cystoprostatectomy vs patients with erectile dysfunction of other etiologies.
To examine patient satisfaction with penile prosthesis implantation and determine if a difference in satisfaction exists in post-prostatectomy/cystoprostatectomy patients vs patients with erectile dysfunction of other etiologies. We hypothesize that etiology does not affect satisfaction.
A total of 164 patients underwent penile prosthesis implantation at our institution between August 2017 and December 2019, with 102 patients completing a validated 14 item questionnaire, Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS), at 6 months postoperation. Demographics, surgical characteristics, and erectile dysfunction etiology were recorded. Patients were assigned to one of 2 groups: postprostatectomy/postcystoprostatectomy erectile dysfunction or other etiologies. The study group was further analyzed between radical prostatectomy or radical cystoprostatectomy.
Satisfaction based on key EDITS questions with postradical prostatectomy/cystoprostatectomy vs patients with erectile dysfunction of other etiologies.
Responses to 3 questions were analyzed: overall satisfaction, expectations met in the past 4 weeks, and confidence in the ability to participate in sexual activity. Chi-square analysis was performed to determine the difference in responses. No difference was seen in overall satisfaction (P = .96), expectations (P = .78), or confidence (P = .78) between groups. On subgroup analysis, there was no difference in reported overall satisfaction (P = .47) or confidence (P = .080) between postprostatectomy and postcystoprostatectomy patients. Postprostatectomy and postcystoprostatectomy patients differed in whether the penile prosthesis implantation met expectations (P = .033). Postprostatectomy patients reported a mean score of 3.5/4 compared to postcystoprostatectomy patients, who reported a mean of 3.0/4.
Our analysis suggests that key erectile function scores are not significantly different between postprostatectomy/postcystoprostatectomy patients compared to other etiologies. The difference in measures between postprostatectomy and postcystoprostatectomy patients is not significant or of unclear significance. Registration # of clinical trial: HSC-MS-19-0320 Howell S, Palasi S, Green T, et al. Comparison of Satisfaction With Penile Prosthesis Implantation in Patients With Radical Prostatectomy or Radical Cystoprostatectomy to the General Population. Sex Med 2021;9:100300.
阴茎假体植入是治疗勃起功能障碍的一种广泛应用的方法。关于前列腺癌根治术/膀胱前列腺切除术后阴茎假体患者与其他病因导致勃起功能障碍患者的满意度数据有限。
研究阴茎假体植入患者的满意度，并确定前列腺癌根治术/膀胱前列腺切除术后患者与其他病因导致勃起功能障碍患者在满意度上是否存在差异。我们假设病因不影响满意度。
2017年8月至2019年12月期间，共有164例患者在我院接受阴茎假体植入，其中102例患者在术后6个月完成了一份经过验证的14项问卷，即治疗满意度勃起功能障碍量表（EDITS）。记录人口统计学、手术特征和勃起功能障碍病因。患者被分为两组：前列腺癌根治术/膀胱前列腺切除术后勃起功能障碍组或其他病因组。研究组进一步按前列腺癌根治术或膀胱前列腺根治术进行分析。
基于EDITS关键问题的前列腺癌根治术/膀胱前列腺切除术后患者与其他病因导致勃起功能障碍患者的满意度。
分析了对3个问题的回答：总体满意度、过去4周内期望是否达成以及参与性活动能力的信心。进行卡方分析以确定回答的差异。两组在总体满意度（P = 0.96）、期望（P = 0.78）或信心（P = 0.78）方面均无差异。亚组分析显示，前列腺癌根治术后和膀胱前列腺切除术后患者报告的总体满意度（P = 0.47）或信心（P = 0.080）无差异。前列腺癌根治术后和膀胱前列腺切除术后患者在阴茎假体植入是否符合期望方面存在差异（P = 0.033）。前列腺癌根治术后患者报告的平均得分为3.5/4，而膀胱前列腺切除术后患者报告的平均得分为3.0/4。
我们的分析表明，前列腺癌根治术/膀胱前列腺切除术后患者与其他病因患者的关键勃起功能评分无显著差异。前列腺癌根治术后和膀胱前列腺切除术后患者在测量指标上的差异不显著或意义不明确。临床试验注册号：HSC-MS-19-0320 豪厄尔S、帕拉西S、格林T等。前列腺癌根治术或膀胱前列腺根治术患者与普通人群阴茎假体植入满意度的比较。性医学2021；9：100300。
