How to improve patient satisfaction and sexual quality of life after penile prosthesis implantation
How to improve patient satisfaction and sexual quality of life after penile prosthesis implantation

Summary/Abstract: Although the long-term patient satisfaction rate after implantation of penile prosthesis (IPP) is high, there is still a large number of patients who are not satisfied. This review analyzes factors influencing areas that affect final patient and partner satisfaction and their sexual quality of life (SQoL). The PubMed database was searched between 01.2000 and 11.2021 for papers concerning penile implant surgery and its outcomes. There are multiple pre-, intra- and post-operative factors that influence patient satisfaction and couples’ SQoL. The pre-operative factors are proper patient and prosthesis selection. If the procedure is performed by a high-volume surgeon in a high-volume center according to the GIRFT model, then the risk of serious complications is diminished. A psychosexual therapist should collaborate with the surgeon in patient selection, the sexual education of the couple, reassuring them and recognizing that there are causes of sexual life dissatisfaction other than erectile dysfunction (ED). After IPP a therapist is closely involved in educating the couple about coping with the new situation. Patient satisfaction after IPP is attainable if patients are properly selected, the surgery proceeds without complications and there is close cooperation between the surgeon and psychosexual therapist.

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