Pritzker School of Medicine, University of Chicago, Chicago, IL, USA.
Department of Surgery, Section of Urology, University of Chicago Medicine, Chicago, IL, USA.
Curr Urol Rep. 2023 Feb;24(2):105-115. doi: 10.1007/s11934-022-01126-5. Epub 2023 Jan 21.
Despite the current surgical advances and patients' satisfactions after penile prosthesis (PP) implantation, there has been paucity of data on reported partner satisfaction and their quality-of-life (QoL). Our objective was to summarize the current literature on partner satisfaction for both heterosexual and non-heterosexual populations, respectively. We specifically conducted a systematic review according to the Cochrane and Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) standards, and stratified studies into three tiers by methodological rigor.
After an initial search of 172 articles, 33 studies met the inclusion criteria for the final review: 30 for heterosexual partner satisfaction, and 3 for LGBTQ patient satisfaction were included due to lack of published literature on partner satisfaction for LGBTQ patients. For heterosexual partner satisfaction, 10 studies were classified as Tier 1, 11 studies were classified as Tier 2, and 9 studies were classified as Tier 3. From an initial search of 13 records, three studies consisting of 272 patients met the inclusion criteria for our LGBTQ review. Across all the tiers, studies noted satisfaction rates between 50 and 90% and improved satisfaction and sexual QoL metrics compared to pre-surgery rates. That said, partner satisfaction rates were also consistently lower than patient satisfaction rates. Although the range of evidence quality varies, the available literature suggests significant improvements in and relatively high rates of partner satisfaction after PP implantation. Given the diversity of study designs and widespread use of non-validated or non-specific questionnaires in the current literature, future research should focus on prospective studies and/or data collection using validated, PP-specific questionnaires.
尽管目前阴茎假体（PP）植入术后手术技术取得了进步，患者满意度也较高，但有关报告中伴侣满意度及其生活质量（QoL）的数据却很少。我们的目的是分别总结异性恋和非异性恋人群中伴侣满意度的现有文献。我们根据 Cochrane 和系统评价和荟萃分析的首选报告项目（PRISMA）标准进行了系统综述，并根据方法学严谨性将研究分为三个层次。
经过初步搜索 172 篇文章，33 项研究符合最终综述的纳入标准：30 项为异性恋伴侣满意度研究，3 项为 LGBTQ 患者满意度研究，因为缺乏 LGBTQ 患者伴侣满意度的已发表文献。对于异性恋伴侣满意度，10 项研究被归类为 1 级，11 项研究被归类为 2 级，9 项研究被归类为 3 级。从最初搜索的 13 份记录中，有 3 项研究包括 272 名患者，符合我们的 LGBTQ 综述纳入标准。在所有层次中，研究报告的满意度率在 50%至 90%之间，与术前相比，满意度和性 QoL 指标有所提高。也就是说，伴侣满意度也始终低于患者满意度。尽管证据质量的范围有所不同，但现有文献表明，PP 植入后伴侣满意度显著提高，且相对较高。鉴于研究设计的多样性以及当前文献中广泛使用非验证或非特定的问卷，未来的研究应侧重于前瞻性研究和/或使用经过验证的、特定于 PP 的问卷进行数据收集。
