Abstract：
OBJECTIVE: Among the many treatments for erectile dysfunction, implantation of a penile prosthesis has been associated with high patient satisfaction rates. However, patients with coexistent Peyronie\'s disease (PD) and refractory erectile dysfunction and/or severe deformities may show different results. The aim of our study was to assess and to compare the level of satisfaction, with an inflatable penile prosthesis (IPP), in men with/without coexistent PD.
METHODS: A survey study based on a five-item satisfaction questionnaire was submitted to all those live patients implanted in the period 1992-2022 at our center (n=570) and their partners. Ninety-two percent of implants were inflatable devices. Surgeries were mainly performed by two surgeons. The main outcome measure used was the level of patient and partner satisfaction with sexual intercourse after IPP.
RESULTS: Of the 570 eligible patients, 479 (84%) completed the survey (393 Non-PD: GROUP 1; 70 non-complex PD-Group 2; 16 complex PD). Eighty-six per cent of patients in Group 1 reported satisfactory sexual intercourse (very or moderately satisfied). Non-complex PD implanted patients (Group 2) reported a global 81% satisfactory sexual intercourse (very or moderately satisfied) (p>0.05). However, when we evaluated the PD subgroup of patients with severe PD who require incision/excision/grafting at the time of implant (Group 3: n=20), only 61% reported satisfactory sexual intercourse (p<0.01) with predominance of moderately satisfied patients over very satisfied: 78% vs. 22%). Additionally, 84% (Group 1), 80% (Group 2) and 54% (Group 3) of partners reported satisfactory intercourses, respectively (p<0.01). Overall, 84% of Group 1 implants and 79% of Group 2 reported that they would undergo the procedure again if the IPP failed (p>0.05; ns). Only 50% of Group 3 patients would do it again. With regard to cosmetic aspects, 48% of the Group 3 implant reported penile shortness or soft glans as the main causes of their dissatisfaction. Only 2.4% of total PP patients expressed difficulty in manipulating the device.
CONCLUSIONS: The presence of PD alone may not impact PP patient and partner satisfaction, but patients with more severe baseline deformity who require incision/grafting may be less satisfied with outcomes including penile length and glans sensation.
METHODS: A survey study based on a five-item satisfaction questionnaire was submitted to all those live patients implanted in the period 1992-2022 at our center (n=570) and their partners. Ninety-two percent of implants were inflatable devices. Surgeries were mainly performed by two surgeons. The main outcome measure used was the level of patient and partner satisfaction with sexual intercourse after IPP.
RESULTS: Of the 570 eligible patients, 479 (84%) completed the survey (393 Non-PD: GROUP 1; 70 non-complex PD-Group 2; 16 complex PD). Eighty-six per cent of patients in Group 1 reported satisfactory sexual intercourse (very or moderately satisfied). Non-complex PD implanted patients (Group 2) reported a global 81% satisfactory sexual intercourse (very or moderately satisfied) (p>0.05). However, when we evaluated the PD subgroup of patients with severe PD who require incision/excision/grafting at the time of implant (Group 3: n=20), only 61% reported satisfactory sexual intercourse (p<0.01) with predominance of moderately satisfied patients over very satisfied: 78% vs. 22%). Additionally, 84% (Group 1), 80% (Group 2) and 54% (Group 3) of partners reported satisfactory intercourses, respectively (p<0.01). Overall, 84% of Group 1 implants and 79% of Group 2 reported that they would undergo the procedure again if the IPP failed (p>0.05; ns). Only 50% of Group 3 patients would do it again. With regard to cosmetic aspects, 48% of the Group 3 implant reported penile shortness or soft glans as the main causes of their dissatisfaction. Only 2.4% of total PP patients expressed difficulty in manipulating the device.
CONCLUSIONS: The presence of PD alone may not impact PP patient and partner satisfaction, but patients with more severe baseline deformity who require incision/grafting may be less satisfied with outcomes including penile length and glans sensation.
摘要：
目的：在许多治疗勃起功能障碍的方法中，阴茎假体的植入与高患者满意度相关。然而,患有佩罗尼病（PD）和难治性勃起功能障碍和/或严重畸形的患者可能会表现出不同的结果。我们研究的目的是评估和比较满意度，使用充气阴茎假体（IPP），在有/没有PD共存的男性中。
方法：向我们中心1992-2022年期间植入的所有活体患者（n=570）及其伴侣提交了一项基于五项满意度问卷的调查研究。92%的植入物是可充气设备。手术主要由两名外科医生进行。使用的主要结局指标是IPP后患者和伴侣对性交的满意度。
结果：在570名符合条件的患者中，479（84％）完成了调查（393非PD：第1组；70非复杂PD-第2组；16复杂PD）。第1组86％的患者报告性交令人满意（非常或中度满意）。非复杂PD植入患者(第2组)报告总体81%令人满意的性交(非常或中等满意)(p>0.05)。然而,当我们评估在植入时需要切开/切除/移植的重度PD患者的PD亚组时（第3组：n=20），只有61％的人报告性交令人满意（p<0.01），其中中度满意的患者超过非常满意的患者占主导地位：78％vs.22%）。此外,84%（第1组），80%(第2组)和54%(第3组)的合作伙伴报告了令人满意的交往，分别(p<0.01)。总的来说,84%的第1组植入物和79%的第2组植入物报告，如果IPP失败，他们将再次进行手术（P>0.05;ns）。只有50％的第3组患者会再次这样做。关于化妆品方面，第3组植入物中有48％报告阴茎短小或柔软的头是他们不满意的主要原因。只有2.4%的PP患者表示难以操作该装置。
结论：仅PD的存在可能不会影响PP患者和伴侣的满意度，但需要切开/移植的基线畸形较严重的患者可能对包括阴茎长度和龟头感觉在内的结局不太满意.
方法：向我们中心1992-2022年期间植入的所有活体患者（n=570）及其伴侣提交了一项基于五项满意度问卷的调查研究。92%的植入物是可充气设备。手术主要由两名外科医生进行。使用的主要结局指标是IPP后患者和伴侣对性交的满意度。
结果：在570名符合条件的患者中，479（84％）完成了调查（393非PD：第1组；70非复杂PD-第2组；16复杂PD）。第1组86％的患者报告性交令人满意（非常或中度满意）。非复杂PD植入患者(第2组)报告总体81%令人满意的性交(非常或中等满意)(p>0.05)。然而,当我们评估在植入时需要切开/切除/移植的重度PD患者的PD亚组时（第3组：n=20），只有61％的人报告性交令人满意（p<0.01），其中中度满意的患者超过非常满意的患者占主导地位：78％vs.22%）。此外,84%（第1组），80%(第2组)和54%(第3组)的合作伙伴报告了令人满意的交往，分别(p<0.01)。总的来说,84%的第1组植入物和79%的第2组植入物报告，如果IPP失败，他们将再次进行手术（P>0.05;ns）。只有50％的第3组患者会再次这样做。关于化妆品方面，第3组植入物中有48％报告阴茎短小或柔软的头是他们不满意的主要原因。只有2.4%的PP患者表示难以操作该装置。
结论：仅PD的存在可能不会影响PP患者和伴侣的满意度，但需要切开/移植的基线畸形较严重的患者可能对包括阴茎长度和龟头感觉在内的结局不太满意.
