Predictors of satisfaction in men after penile implant surgery Journal Article
| Authors: | 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, J. P. |
| Article Title: | Predictors of satisfaction in men after penile implant surgery |
| Abstract: | Introduction: Despite the high satisfaction with penile implant (PI) surgery reported in the literature, a significant proportion of patients remain dissatisfied. Aim: To evaluate satisfaction after PI surgery, using a single question and a scoring system. Furthermore, we attempted to define factors that predicted high patient satisfaction. Methods: The study population consisted of all patients undergoing PI surgery between 2009 and 2015. Comorbidity, demographic, and implant information were recorded. Complications recorded included: minor (requiring no re-operation) such as penile or scrotal hematoma, superficial wound breakdown; major (requiring hospitalization or re-operation) such as device infection, erosion, and mechanical malfunction. Patient satisfaction was defined using a single question posed to the patient 6 months after surgery using a 5-point Likert scale (5 being the most satisfied). Descriptive statistics were used to define complication rates and multivariable analysis (MVA) was performed to define predictors of high satisfaction (score ≥ 4), including presence and degree of complications, Peyronie's disease (PD), diabetes mellitus (DM), number of vascular comorbidities, body mass index (BMI) > 30, and patient age. Main Outcome Measure: Patients with a major complication, with or without an additional minor complication, had a higher likelihood of being dissatisfied (25%) compared to patients with no complication or only minor complication 1.9% (no complications) and 3.7% (only minor complications), P <.001. Results: 902 patients were analysed. Mean age was 56.6 ± 10.6 years. Mean BMI was 30 ± 5. Comorbidity profile was diabetes 75%, dyslipidaemia 44%, hypertension 33%, cigarette smoking 32%, and PD 34%. 76% had a malleable implant (MPP) and 24% an inflatable implant (IPP). 31% had a minor complication and 9% a major complication. 93% had high satisfaction (score ≥4). Patients with any complication had a reduced rate of high satisfaction (97.5% vs 87.7%; P <.001) and even more pronounced with a major complication (96.7% vs 64.2%; P <.001). On MVA, only the absence of a major complication was a significant predictor of high satisfaction (OR 20, 95% CI 9-50, P <.001). Conclusion: A high percentage of men are satisfied after penile implant surgery. Only the presence of a major complication is linked to a lower likelihood of achieving high satisfaction. Habous M, Tal R, Tealab A, et al. Predictors of Satisfaction in Men After Penile Implant Surgery. J Sex Med 2018;15:1180–1186. © 2018 International Society for Sexual Medicine |
| Keywords: | adult; patient satisfaction; major clinical study; cigarette smoking; hypertension; demography; age; postoperative complication; body mass; diabetes mellitus; comorbidity; complications; satisfaction; dyslipidemia; hematoma; wound dehiscence; vascular disease; peyronie disease; predictors; penis disease; prosthesis infection; scrotum disorder; medical device complication; human; male; priority journal; article; likert scale; penile implants; penile hematoma; penile prosthesis implantation; scrotal hematoma |
| Journal Title: | Journal of Sexual Medicine |
| Volume: | 15 |
| Issue: | 8 |
| ISSN: | 1743-6095 |
| Publisher: | Elsevier Inc. |
| Date Published: | 2018-08-01 |
| Start Page: | 1180 |
| End Page: | 1186 |
| Language: | English |
| DOI: | 10.1016/j.jsxm.2018.05.011 |
| PROVIDER: | scopus |
| PUBMED: | 30017718 |
| PMCID: | PMC8519171 |
| DOI/URL: | |
| Notes: | Article -- Export Date: 4 September 2018 -- Source: Scopus |
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