Critical Analysis of Satisfaction Assessment After Penile Prosthesis Surgery

Abstract

Introduction: Penile prosthesis implantation is believed to provide a high level of patient satisfaction. The International Index of Erectile Function and the Erectile Dysfunction Inventory of Treatment Satisfaction are two validated questionnaires that have been used to assess this outcome. The lack of a tool specifically validated for patients undergoing penile prosthesis surgery has led to the use of heterogeneous methods to assess patient satisfaction.

Aim: To review the assessment of patient satisfaction with penile prosthesis surgery according to several factors.

Methods: A literature review was performed through PubMed from January 2000 through February 2016 addressing patient satisfaction after penile prosthesis surgery.

Main outcome measures: Patient satisfaction according to the characteristics of penile prosthesis devices and different clinical contexts.

Results: Forty-eight articles were selected. Of these, 66.2% used non-validated questionnaires to assess patient satisfaction. Device characteristics, patient comorbidities, and partner profile are potential factors that can determine patient satisfaction.

Conclusion: Patient satisfaction is a meaningful outcome of penile prosthesis surgery modulated by different conditions. The rigor of this assessment in the literature is limited. The validation of a scale designed for patients with penile prosthesis surgery is needed to optimize clinical practice. Akakpo W, Pineda MA, Burnett AL. Critical Analysis of Satisfaction Assessment After Penile Prosthesis Surgery. Sex Med Rev 2017;5:244-251.

Keywords: Erectile Dysfunction; Patient Outcomes Assessment; Patient Satisfaction; Penile Implant Surgery; Quality of Life.