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Introduction: The potential association of patient characteristics
and satisfaction rates after penile prosthesis implantation (PPI) has not been fully elucidated. We hypothesized that particular variables may correlate with satisfaction rates.
Materials & Methods: Ninety patients with a PPI who were evaluated in our clinic between January 2012 and December 2013 were contacted by telephone and/or email. Patients completed the Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS), International Index of Erectile Function (IIEF), and Centers for Disease Control and Prevention (CDC) Health-Related Quality of Life (HRQOL) questionnaires. Patient characteristics were tabulated, including: demographics, age of onset and duration of erectile dysfunction, medical and urological comorbidities, and social history. Satisfaction with PPI was assessed using EDITS, IIEF Overall Satisfaction (OS) and Intercourse Satisfaction (IS) domain scores. Nonparametric (Spearman) correlation analysis was performed.
Results: Sixty-six of 90 patients (73%) completed the survey. IIEF-OS correlated with 3 of the 4 CDC-HRQOL question scores: question #1, which assesses the patient’s perception of his general health (p=0.02, r=-0.29); question #3, which assesses the perception of his mental health (p=0.01, r=-0.30); and question #4, which assesses the impact of his health on usual activities (p=0.03, r=-0.27). IIEF-OS also correlated with the presence of depression (p=0.02, r=-0.29) and a diagnosis of hypogonadism (p=0.04, r=-0.25). IIEF-IS scores correlated with the presence of depression (p=0.02, r=-0.28).
Conclusions: Certain patient characteristics correlate with lower
satisfaction after PPI. Patients may be counseled that the presence of depression, hypogonadism, and a lower health-related quality of life may impact their PPI satisfaction.