Comparison of Satisfaction With Penile Prosthesis Implantation in Patients With Radical Prostatectomy or Radical Cystoprostatectomy to the General Population

Skyler Howell, BS; Stephen Palasi, BS; Travis Green, MD; Christopher Kannady, MD; Sravan Panuganti, DO; Kris Slaughter, MD; Kyle Blum, MD; Baibing Yang, BS; Jose A. Saavedra-Belaunde, MD; Run Wang, MD

Sexual Medicine (Feb 2021)

Comparison of Satisfaction With Penile Prosthesis Implantation in Patients With Radical Prostatectomy or Radical Cystoprostatectomy to the General Population

Skyler Howell, BS,
Stephen Palasi, BS,
Travis Green, MD,
Christopher Kannady, MD,
Sravan Panuganti, DO,
Kris Slaughter, MD,
Kyle Blum, MD,
Baibing Yang, BS,
Jose A. Saavedra-Belaunde, MD,
Run Wang, MD

Affiliations

Skyler Howell, BS: Department of Surgery, Division of Urology, University of Texas McGovern Medical School at Houston, Houston, TX, USA
Stephen Palasi, BS: Department of Surgery, Division of Urology, University of Texas McGovern Medical School at Houston, Houston, TX, USA
Travis Green, MD: Department of Surgery, Division of Urology, University of Texas McGovern Medical School at Houston, Houston, TX, USA; MD Anderson Cancer Center, Houston, TX, USA
Christopher Kannady, MD: Department of Surgery, Division of Urology, University of Texas McGovern Medical School at Houston, Houston, TX, USA; MD Anderson Cancer Center, Houston, TX, USA
Sravan Panuganti, DO: Department of Surgery, Division of Urology, University of Texas McGovern Medical School at Houston, Houston, TX, USA; MD Anderson Cancer Center, Houston, TX, USA
Kris Slaughter, MD: Department of Surgery, Division of Urology, University of Texas McGovern Medical School at Houston, Houston, TX, USA; MD Anderson Cancer Center, Houston, TX, USA
Kyle Blum, MD: Department of Surgery, Division of Urology, University of Texas McGovern Medical School at Houston, Houston, TX, USA; MD Anderson Cancer Center, Houston, TX, USA
Baibing Yang, BS: Department of Surgery, Division of Urology, University of Texas McGovern Medical School at Houston, Houston, TX, USA
Jose A. Saavedra-Belaunde, MD: Ashford Presbyterian Hospital, San Juan, PR, USA
Run Wang, MD: Department of Surgery, Division of Urology, University of Texas McGovern Medical School at Houston, Houston, TX, USA; MD Anderson Cancer Center, Houston, TX, USA; Corresponding Author: Run Wang, MD, 6400 Fannin St. Suite 2300 Houston, TX 77030, USA. Tel: 832-325-7280; Fax: 713-512-7104

Journal volume & issue: Vol. 9, no. 1
p. 100300

Abstract

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Introduction: 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. Aim: 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. Methods: 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. Main Outcome Measures: Satisfaction based on key EDITS questions with postradical prostatectomy/cystoprostatectomy vs patients with erectile dysfunction of other etiologies. Results: 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. Conclusions: 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-19-0320Howell 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.

Published in Sexual Medicine

ISSN: 2050-1161 (Online)
Publisher: Oxford University Press
Country of publisher: United Kingdom
LCC subjects: Medicine
Website: https://academic.oup.com/smoa

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