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Long term patient satisfaction and quality of life with AMS700CX inflatable penile prosthesis

Antonio Vitarelli, Lucia Divenuto, Francesca Fortunato, Antonio Falco, Vincenzo Pagliarulo, Gabriele Antonini, Vincenzo Gentile, Alessandro Sciarra, Stefano Salciccia, Salvatore Sansalone, Maria Rosaria Di Placido, Giulio Garaffa, Arcangelo Pagliarulo
  • Antonio Vitarelli
    “Urologia II Universitaria”, Department of Emergency and Transplant, Section of Urology and Andrology, University Hospital “Azienda Ospedaliera Policlinico”, Bari, Italy
  • Lucia Divenuto
    “Urologia II Universitaria”, Department of Emergency and Transplant, Section of Urology and Andrology, University Hospital “Azienda Ospedaliera Policlinico”, Bari, Italy
  • Francesca Fortunato
    Department of Medical Sciences and Occupational Medicine, Section of Hygiene, University of Foggia, Foggia, Italy
  • Antonio Falco
    Epidemiologic Observatory of Puglia, Foggia, Italy
  • Vincenzo Pagliarulo
    “Urologia II Universitaria”, Department of Emergency and Transplant, Section of Urology and Andrology, University Hospital “Azienda Ospedaliera Policlinico”, Bari, Italy
  • Gabriele Antonini
    Department of Urology, University “La Sapienza”, Rome, Italy
  • Vincenzo Gentile
    Department of Urology, University “La Sapienza”, Rome, Italy
  • Alessandro Sciarra
    Department of Urology, University “La Sapienza”, Rome, Italy
  • Salvatore Sansalone
    Department of Urology, “Tor Vergata” University, Rome, Italy
  • Maria Rosaria Di Placido
    Department of Urology, University “La Sapienza”, Rome, Italy
  • Giulio Garaffa
    St. Peter’s Andrology and the Urology Centre, Broomfield Hospital, Chelmsford, United Kingdom
  • Arcangelo Pagliarulo
    “Urologia II Universitaria”, Department of Emergency and Transplant, Section of Urology and Andrology, University Hospital “Azienda Ospedaliera Policlinico”, Bari, Italy

Abstract

Objective: Penile prosthesis implantation is the solution of choice in patients who have failed or present contraindication to the use of all conservative treatment for erectile dysfunction (ED). Overall, satisfaction rates are high, with more than 80% of patients and partners fully satisfied with cosmetic and functional result of surgery. Chronic postoperative pain, penile shortening, soft or hyposensitive glans, pencil like penis syndrome and difficulty to cycle the device represent the most common causes of patient’s dissatisfaction. Satisfaction rates are better assessed with the use of validated questionnaires such as the International Index of Erectile Function (IIEF) and the Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) The aim of our study was to analyze the long-term mechanical reliability of the AMS 700CX/CXM inflatable penile prosthesis and the patient’s satisfaction rate using IIEF and EDITS questionaire as standard reference. Materials and methods: A retrospective case notes review of all patients who have undergone implantation of a three pieces inflatable penile prosthesis AMS 700 CX and CXR between October 1997 and December 2010. Overall, 80 patients have undergone implantation of 3 pieces inflatable penile prosthesis AMS 700 CX InhibiZone. Patients have been administered the IIEF-5 and EDITS questionnaires in combination with a non validated 9 domain questionnaire that assesses penile rigidity, sensation, orgasmic function, frequency of intercourse, impact of surgery on the quality of life, satisfaction rate. Results: Overall 10 years survival estimate according to the Kaplan Meier method of AMS 700 CX touch pump and AMS 700 CX momentary squeeze pump are respectively 77.6% and 82.5%. The median postoperative IIEF5 and EDITS score were respectively 21.46 and 73.11, which show a high level of satisfaction. 59 patients (90.8%) were able to cycle the device and were engaging in penetrative sexual intercourse. Conclusions: Penile prosthesis implantation yields excellent results in terms of cosmetic and functional outcome and therefore has a significant impact on patients’ satisfaction, sex life and overall quality of life. Overall, long term reliability has been significantly improved and complication rates are low in the hands of experienced surgeons.

Keywords

Penile prosthesis; Erctile disfunction; Impotence; Questionnaires

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Submitted: 2013-09-26 12:52:35
Published: 2013-09-26 00:00:00
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Copyright (c) 2013 Antonio Vitarelli, Lucia Divenuto, Francesca Fortunato, Antonio Falco, Vincenzo Pagliarulo, Gabriele Antonini, Vincenzo Gentile, Alessandro Sciarra, Stefano Salciccia, Salvatore Sansalone, Maria Rosaria Di Placido, Giulio Garaffa, Arcangelo Pagliarulo

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