Wong Julie, Witherspoon Luke, Flannigan Ryan K
Department of Urologic Sciences, University of British Columbia, Vancouver, BC, Canada.
Department of Urology, The Ottawa Hospital, Ottawa, ON, Canada.
Can Urol Assoc J. 2022 Aug;16(8):294-300. doi: 10.5489/cuaj.7720.
Surgical management via penile prosthesis is an option for patients who have failed medical management. There is a paucity of literature surrounding factors contributing to patient satisfaction after implant surgery. The objective of this study was to characterize patients' and surgeons' attitudes toward factors affecting satisfaction with this procedure.
Two patient cohorts were identified and contacted via email: a medical management of erectile dysfunction (ED) cohort and a penile implant patient cohort. A third cohort, Canadian urologists who perform penile implant surgeries, was also contacted. The surveys consisted of 5-7 questions, including a rating question regarding the importance of various penile implant factors.
Forty-six ED patients, 45 post-implant patients, and 12 urologists completed the survey. The mean overall satisfaction on a 10-point scale was 6.49 (standard deviation [SD] 2.92). Most (67%) urologists selected patient satisfaction as one of their least favorite aspects of penile implant surgery. Compared to postimplant patients, ED patients reported greater importance in the areas of appearance (p=0.035), soft glans (p=0.040), and concealment of implant (p=0.007). Urologists ranked natural feel (p=0.019) and generating a discrete erection (p=0.022) as less important than patients.
This is the first study that examines which specific variables of penile implant surgery are associated with satisfaction while comparing surgeons' understanding of what patients desire from this surgery. This study identifies several factors deemed important by patients but under-recognized by urologists. This knowledge can aid urologists in optimizing preoperative counselling and improving patient satisfaction.
对于药物治疗失败的患者，阴茎假体植入手术是一种治疗选择。目前关于植入手术后影响患者满意度因素的文献较少。本研究的目的是描述患者和外科医生对影响该手术满意度因素的态度。
通过电子邮件确定并联系了两个患者队列：勃起功能障碍（ED）药物治疗队列和阴茎植入患者队列。还联系了第三个队列，即进行阴茎植入手术的加拿大泌尿科医生。调查问卷包括5 - 7个问题，其中包括一个关于各种阴茎植入因素重要性的评分问题。
46名ED患者、45名植入后患者和12名泌尿科医生完成了调查。10分制的平均总体满意度为6.49（标准差[SD] 2.92）。大多数（67%）泌尿科医生将患者满意度列为阴茎植入手术中他们最不喜欢的方面之一。与植入后患者相比，ED患者在外观（p = 0.035）、软龟头（p = 0.040）和植入物隐蔽性（p = 0.007）方面报告的重要性更高。泌尿科医生将自然感觉（p = 0.019）和产生离散勃起（p = 0.022）列为不如患者认为重要的因素。
这是第一项在比较外科医生对患者期望的理解的同时，研究阴茎植入手术哪些特定变量与满意度相关的研究。本研究确定了几个患者认为重要但泌尿科医生认识不足的因素。这些知识有助于泌尿科医生优化术前咨询并提高患者满意度。
