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

• Authors: Piotr Paweł Świniarski , Tomasz Purwin , Paweł Jędrzejczyk , Marta Drążkiewicz , Aleksander Łapuć , Jacek Wilamowski , Tomasz Drewa

Title variants

PL

Jak poprawić satysfakcję pacjenta i jakość życia seksualnego po implantacji protezy prącia

Abstracts

PL

Pomimo że długookresowy poziom satysfakcji pacjenta po implantacji protezy prącia (IPP) jest wysoki, wciąż istnieje szeroka grupa pacjentów niezadowolonych z implantu. Praca analizuje czynniki wpływające na końcową satysfakcję pacjenta i jego partnerki/partnera oraz ich jakość życia seksualnego (JŻS). Przeszukano bazę PubMed za okres styczeń 2000 – listopad 2021 w poszukiwaniu publikacji dotyczących implantacji protez prącia i ich wyników. Istnieje wiele przed-, śród- i pooperacyjnych czynników wpływających na satysfakcję pacjenta i JŻS pary. Czynnikami przedoperacyjnymi są właściwa selekcja pacjentów i wybór implantu. Wykonanie zabiegu przez doświadczonego chirurga w ośrodku referencyjnym z zastosowaniem modelu GIRFT zmniejsza ryzyko poważnych powikłań. Psychoseksuolog powinien współpracować z chirurgiem w wyborze pacjentów, uspokojeniu i edukacji seksualnej par oraz rozpoznaniu innych niż zaburzenia erekcji przyczyn niezadowolenia z życia seksualnego. Po implantacji terapeuta powinien być zaangażowany w edukację pary odnośnie tego, jak sobie poradzić w nowej sytuacji. Satysfakcja pacjentów po IPP jest osiągalna poprzez odpowiednią kwalifikację pacjentów, niepowikłane zabiegi oraz bliską współpracę chirurga i psychoseksuologa.

EN

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.

Keywords

EN

penile prosthesis implantation; sexual quality of life; surgery improvement

PL

implantacja protezy prącia; jakość życia seksualnego; udoskonalenie operacji chirurgicznych

• Publisher: Krakowska Akademia im. Andrzeja Frycza Modrzewskiego
• Journal: Państwo i Społeczeństwo
• Year: 2022
• Issue: 1
• Pages: 157-166

Dates

published

2022

Contributors

author

Piotr Paweł Świniarski

• Ludwik Rydygier Collegium Medicum in Bydgoszcz of the Nicolaus Copernicus University in Toruń, Faculty of Medicine, Department of Urology and Andrology, Bydgoszcz, Poland

author

Tomasz Purwin

• Ludwik Rydygier Collegium Medicum in Bydgoszcz of the Nicolaus Copernicus University in Toruń, Faculty of Medicine, Department of Urology and Andrology, Bydgoszcz, Poland

author

Paweł Jędrzejczyk

• Military Institute of Medicine, General, Functional and Oncological Urology Clinic, Warsaw, Poland

author

Marta Drążkiewicz

• Professor W. Orłowski Independent Public Clinical Hospital, Centre of Postgraduate Medical Education, Department of Urology, Urology Clinic, Warsaw, Poland

author

Aleksander Łapuć

• Ludwik Rydygier Collegium Medicum in Bydgoszcz of the Nicolaus Copernicus University in Toruń, Faculty of Medicine, Department of Urology and Andrology, Bydgoszcz, Poland

author

Jacek Wilamowski

• Ludwik Rydygier Collegium Medicum in Bydgoszcz of the Nicolaus Copernicus University in Toruń, Faculty of Medicine, Department of Urology and Andrology, Bydgoszcz, Poland

author

Tomasz Drewa

• Ludwik Rydygier Collegium Medicum in Bydgoszcz of the Nicolaus Copernicus University in Toruń, Faculty of Medicine, Department of Urology and Andrology, Bydgoszcz, Poland

References

• Wang W, Fan J, Huang G, Zhu X, Tian Y, Tan H, Su L. Meta-Analysis of Prevalence of Erectile Dysfunction in Mainland China: Evidence Based on Epidemiological Surveys. Sex Med. 2017; 5(1): e19-e30. doi: 10.1016/j.esxm.2016.10.001.
• Yafi FA, Jenkins L, Albersen M, Corona G, Isidori AM, Goldfarb S, Maggi M, Nelson CJ, Parish S, Salonia A, Tan R, Mulhall JP, Hellstrom WJ. Erectile dysfunction. Nat Rev Dis Primers. 2016; 2: 16003. doi: 10.1038/nrdp.2016.3.
• Bajic P, Mahon J, Faraday M, Sadeghi-Nejad H, Hakim L, McVary KT. Etiology of Erectile Dysfunction and Duration of Symptoms in Patients Undergoing Penile Prosthesis: A Systematic Review. Sex Med Rev. 2020; 8(2): 333–337. doi:10.1016/j.sxmr.2019.05.003.
• Welliver C. Optimizing Outcomes in the Virgin Penile Implant Patient. Curr Urol Rep. 2019; 20(3): 14. doi: 10.1007/s11934-019-0876-6.
• Manfredi C, Fortier É, Faix A, Martínez-Salamanca JI. Penile Implant Surgery Satisfaction Assessment. J Sex Med. 2021; 18(5): 868–874. doi: 10.1016/j.jsxm.2021.03.007.
• Narang GL, Figler BD, Coward RM. Preoperative counseling and expectation management for inflatable penile prosthesis implantation. Transl Androl Urol. 2017; 6(Suppl 5): S869–S880. doi: 10.21037/tau.2017.07.04.
• Barton GJ, Carlos EC, Lentz AC. Sexual Quality of Life and Satisfaction With Penile Prostheses. Sex Med Rev. 2019; 7(1): 178–188. doi: 10.1016/j.sxmr.2018.10.003.
• Bennett N, Huang IS. Inflatable penile prosthesis in the radical prostatectomy patient: a review. F1000Res. 2018; 7: 770. doi: 10.12688/f1000research.15241.1.
• Masterson TA, Palmer J, Dubin J, Ramasamy R. Medical pre-operative considerations for patients undergoing penile implantation. Transl Androl Urol. 2017; 6(Suppl 5): S824–S829. doi: 10.21037/tau.2017.03.85.
• Dos Reis MMF, Barros EAC, Pollone M, Molina MBG, Westin CPV, Glina S. Preoperative Psychological Evaluation for Patients Referred for Penile Prosthesis Implantation. Sex Med. 2021; 9(2): 100311. doi: 10.1016/j.esxm.2020.100311.
• Carvalheira A, Santana R, Pereira NM. Why Are Men Satisfied or Dissatisfied with Penile Implants? A Mixed Method Study on Satisfaction with Penile Prosthesis Implantation. J Sex Med. 2015; 12(12): 2474–2480. doi: 10.1111/jsm.13054.
• Capogrosso P, Pescatori E, Caraceni E, Mondaini N, Utizi L, Cai T, Salonia A, Palmieri A, Deho’ F. Satisfaction rate at 1-year follow-up in patients treated with penile implants: data from the multicentre prospective registry INSIST-ED. BJU Int. 2019; 123(2): 360–366. doi: 10.1111/bju.14462.
• Fernandez-Crespo RE, Buscaino K, Carrion R. Optimizing Outcomes in Penile Implant Surgery. Urol Clin North Am. 2021; 48(4): 527–542. doi: 10.1016/j.ucl.2021.06.010.
• Cui T, Terlecki R, Mirzazadeh M. Infrequent Reservoir-Related Complications of Urologic Prosthetics: A Case Series and Literature Review. Sex Med. 2015; 3(4): 334–338. doi: 10.1002/sm2.85.
• Natali A, Grisanti Caroassai S, Tasso G, Cito G, Gemma L, Cocci A, Sessa F, Verrienti P, Serni S, Carini M, Delle Rose A. Intra-peritoneal versus retropubic implantation of three-piece inflatable penile prosthesis: Patient-reported outcomes and complications. Urologia. 2021; 88(4): 326–331. doi:10.1177/0391560320967876.
• Ziegelmann MJ, Viers BR, Lomas DJ, Westerman ME, Trost LW. Ectopic Penile Prosthesis Reservoir Placement: An Anatomic Cadaver Model of the High Submuscular Technique. J Sex Med. 2016; 13(9): 1425–1431. doi: 10.1016/j. jsxm.2016.06.012.
• O’Rourke TK Jr, Erbella A, Zhang Y, Wosnitzer MS. Prevention, identification, and management of post-operative penile implant complications of infection, hematoma, and device malfunction. Transl Androl Urol. 2017; 6(Suppl 5): S832–S848. doi: 10.21037/tau.2017.06.07.
• Sadeghi-Nejad H, Ilbeigi P, Wilson SK, Delk JR, Siegel A, Seftel AD, Shannon L, Jung H. Multi-institutional outcome study on the efficacy of closed-suction drainage of the scrotum in three-piece inflatable penile prosthesis surgery. Int J Impot Res. 2005; 17(6): 535–538. doi: 10.1038/sj.ijir.3901354.
• Habous M, Tal R, Tealab A, Aziz M, Sherif H, Mahmoud S, Abdelwahab O, Nassar M, Kamil U, Abdelrahman Z, Binsaleh S, Giona S, Ralph D, Bettocchi C, Mulhall JP. Predictors of Satisfaction in Men After Penile Implant Surgery. J Sex Med. 2018; 15(8): 1180–1186. doi: 10.1016/j.jsxm.2018.05.011.
• Jorissen C, De Bruyna H, Baten E, Van Renterghem K. Clinical Outcome: Patient and Partner Satisfaction after Penile Implant Surgery. Curr Urol. 2019; 13(2):94–100. doi: 10.1159/000499286.
• Tong CMC, Lucas J, Shah A, Foote C, Simhan J. Novel Multi-Modal Analgesia Protocol Significantly Decreases Opioid Requirements in Inflatable Penile Prosthesis Patients. J Sex Med. 2018; 15(8): 1187–1194. doi: 10.1016/j.jsxm.2018.05.017.
• Mulhall JP, Jahoda A, Aviv N, Valenzuela R, Parker M. The impact of sildenafil citrate on sexual satisfaction profiles in men with a penile prosthesis in situ. BJU Int. 2004; 93(1): 97–99. doi: 10.1111/j.1464-410x.2004.04564.x.
• Chierigo F, Capogrosso P, Dehò F, Pozzi E, Schifano N, Belladelli F, Montorsi F, Salonia A. Long-Term Follow-Up After Penile Prosthesis Implantation-Survival and Quality of Life Outcomes. J Sex Med. 2019; 16(11): 1827–1833. doi:10.1016/j.jsxm.2019.08.001.
• Carlos EC, Nosé BD, Barton GJ, Davis L, Lentz AC. The Absence of a Validated English-Language Survey to Assess Prosthesis Satisfaction: A Prospective Cohort Using the Sexual Quality of Life After Penile Prosthesis. J Sex Med. 2020; 17(11):2307–2310. doi: 10.1016/j.jsxm.2020.07.012.
• Pisano F, Falcone M, Abbona A, Oderda M, Soria F, Peraldo F, Marson F, Barale M, Fiorito C, Gurioli A, Frea B, Gontero P. The importance of psychosexual counselling in the re-establishment of organic and erotic functions after penile prosthesis implantation. Int J Impot Res. 2015; 27(5): 197–200. doi: 10.1038/ijir.2015.17.

Identifiers

DOI

10.48269/2451-0858-pis-2022-1-012

Biblioteka Nauki

2129688