Long-term penile prosthesis couple's satisfaction: A systematic review and meta-analysis.

Andrea Cocci, Carlo Bettocchi, Yacov Reisman, Daniele Santi, Suks Minhas, Alessandro Pizzocaro, Walter Vena, Andrea M Isidori, Giovanni Corona, Rosario Pivonello, Andrea Salonia, Mario Maggi, Linda Vignozzi

Journal: Andrology 2025;13(3):610-623

PMID: 39010798

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Abstract

CONTEXT

Data supporting successful and satisfactory penile prosthesis (PP) implantation outcomes are mainly based on subjective, rather than objective, analysis.

OBJECTIVE

To systematically review and objectively analyze, all available data related to patient and partner PP satisfaction.

EVIDENCE ACQUISITION

An extensive search was performed, including the following key-words: ("penile prosthesis" and "satisfaction"). The search, which accrued data from January 1, 1969, up to July 31, 2023, was restricted to English-language articles including human participants.

EVIDENCE SYNTHESIS

Out of 663 retrieved articles, 83 were considered including, 12,132 subjects with a mean age and mean follow-up of 58.6 [range 20; 77.1] years and 47.6 [range 6; 374] months, respectively. Overall, a high patient satisfaction rate was observed 83[80; 86]%. The satisfaction rate increased in subjects with three-piece PP and in those with a higher rate of cardiovascular or neurological diseases and was independent of the patient's age. Partner's satisfaction rate was lower when compared to that observed in men and it increased according to the use of inflatable devices and the presence of patient Peyronie's disease. The long-term complication rate was limited ranging from 3% for erosion to 4.6% when mechanical failure was considered.

CONCLUSIONS

Patient and partner satisfaction is excellent and increases with time. The number of complications is limited and is strongly associated with the presence of diabetes mellitus.

PATIENT SUMMARY

We found a high couple satisfaction score that was higher when reported by males compared to females. Patient satisfaction increased with time, and it was independent of age.

Address: Endocrinology Unit, Azienda AUSL Bologna, Ospedale Maggiore, Bologna, Italy.; Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Unit of Endocrinology, Department of Medical Specialties, Azienda Ospedaliero-Universitaria of Modena, Modena, Italy.; Department of Urology, University of Florence, Florence, Italy.; Endocrinology, Humanitas Gavazzeni-Castelli, Bergamo, Italy.; Department of Biomedical Sciences, Humanitas University, Milan, Italy.; Unit of Endocrinology, Diabetology and Medical Andrology, IRCSS, Humanitas Research Hospital, Rozzano, Milan, Italy.; Andrology, Women's Endocrinology and Gender Incongruence Unit, Mario Serio "Department of Experimental and Clinical Biomedical Sciences, University of Florence, Florence, Italy.; Department of Experimental Medicine, "Sapienza" University of Rome, Policlinico Umberto I Hospital, Rome, Italy.; Dipartimento di Medicina Clinica e Chirurgia, Sezione di Endocrinologia, Diabetologia, Andrologia e Nutrizione, Unità di Andrologia e Medicina della Riproduzione, Sessualità e Affermazione di Genere, Università Federico II di Napoli, Naples, Italy.; Staff of UNESCO Chair for Health Education and Sustainable Development, Federico II University, Naples, Italy.; Division of Experimental Oncology/Unit of Urology, URI, IRCCS Ospedale San Raffaele, Milan, Italy.; University Vita-Salute San Raffaele, Milan, Italy.; Department of Urology, Imperial College NHS Healthcare, London, UK.; Andrology and Male Genitalia Reconstructive Surgery Unit, University of Foggia, Foggia, Italy.; Sexual Medicine, Flare-Health, Amsterdam, the Netherlands.; Endocrinology Unit, Mario Serio" Department of Experimental and Clinical Biomedical Sciences, University of Florence, Florence, Italy.

DOI: 10.1111/andr.13696

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MeSH Terms: Aged, Female, Humans, Male, Middle Aged, Erectile Dysfunction, Patient Satisfaction, Penile Implantation, Penile Prosthesis, Sexual Partners, Adult