https://doi.org/10.4081/aiua.2021.1.53

The woman and the penile prosthetic implant. Primary or secondary role? Personal experiences on 355 implanted patients

Vol. 93 No. 1 (2021)
Submitted: September 22, 2020
Accepted: November 22, 2020
Published: March 18, 2021
Penile prosthesis, Penile prosthesis implant, Psychosexual factors, Couple
Abstract Views: 1326
PDF: 3538
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Authors

Diego Pozza
diegpo@tin.it
Studio di Andrologia e di Chirurgia Andrologica, Rome, Italy.
Alberto Berardi
U.O. Urologia, S. Sebastiano Hospital, Frascati, Italy.
Mariangela Pozza
Studio di Andrologia e di Chirurgia Andrologica, Rome, Italy.
Augusto Mosca
U.O. Urologia, S. Sebastiano Hospital, Frascati, Italy.
Carlotta Pozza
Department of FPM, Sapienza University, Rome, Italy.

In a group of 355 pts  submitted to Penile Prosthesis Implant (PPI) we recorded data on their relationships with the woman (wife, partner, girlfriend, lover); the aspects of their sexual life; if they were married, divorced or widowed; if they had a lover; if they frequented brothels; if they were satisfied of their actual couple’s life; after operation we recorded data concerning if they had some difficulties utilizing the PPI and their level of satisfaction. After operation most pts (93%) confirmed their satisfaction. Relational aspects:  Unmarried pts: 6 pts (21-30 years old) who weren’t able to penetrate their girlfriends managed to have regular sex with PPI and could marry. 42/46 unmarried pts after PPI decided to marry.  In the group of married pts 3 pts weren’t able to penetrate  their wives; after PPI  they  managed to have regular intercourses and pregnancies. 15 widowers and 23 divorced  pts decided to have a PPI for possible sexual encounters or stable relationships. 96/271 (28,2%) married pts declared a stable extramarital relation that could represent the main reason for having a PPI.  The results of PPI are commonly accepted. Until now PPI may re-establish  penile rigidity and maintenance. In our opinion the simple act of penetrate and ejaculate in vagina, without considering the importance of personal, relational, emotional factors  often well linked to the specific woman, cannot be considered the ideal target of PPI.

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Citations

Crossref
Scopus
Google Scholar
Europe PMC
Wilson SK, Delk JR. Historical advances in penile prostheses. Int J Imp Res. 2000;12:101-7 DOI: https://doi.org/10.1038/sj.ijir.3900586
Chevallier D, Faix A, Bettocchi C, Djinovic R, Ralph D. Penile prosthesis in the treatment of erectile dysfunction: updates in 2020. Rev Med Suisse. 2020;16:525-30
Vakalopoulos I, Kampantais S, Ioannidis S et al. High patient satisfaction after inflatable penile prostheses implantation correlates with female partner satisfaction. J Sex Med. 2013;10:2774-81 DOI: https://doi.org/10.1111/jsm.12311
Carter A, Ford JV, Luetke M, Jane Fu TC et al. ”Fulfilling his needs, not mine”: reasons for not talking about painful sex and association with lack of pleasure in a national representative sample of women in the United States. J Sex Med. 2016;16:1953-61 DOI: https://doi.org/10.1016/j.jsxm.2019.08.016
Beutel ME, Burghardt J, Tibubos AN, Klein EM, Schmutzer G, Brahler E. Declining sexual activity and desire in men-findings from representative German surveys 2005 and 2016. J Sex Med. 2018;15:750-6 DOI: https://doi.org/10.1016/j.jsxm.2018.03.010
Simonelli C, Eleuteri S, Petruccelli F, Rossi R. Female sexual pain disorders: dyspareunia and vaginismus. Curr Opin Psychiatry. 2014;27:406-12 DOI: https://doi.org/10.1097/YCO.0000000000000098
Duffy A, Dawson DL, Das Nair R. Pornography addiction in adults : a systematic review of definitions and reported impact. J Sex Med. 2016;13:760-77 DOI: https://doi.org/10.1016/j.jsxm.2016.03.002
Barton GJ, Carlos EC, Lentz AC. Sexual Quality of Life and Satisfaction With Penile Prostheses. Sex Med Rev. 2019;7:178-88 DOI: https://doi.org/10.1016/j.sxmr.2018.10.003
Pozza D, Marcantonio A, Mosca A, Pozza C. Penile prosthesis and complications: results from 577 implants. Arch Ital Urol Andr. 2020;92:in press DOI: https://doi.org/10.4081/aiua.2020.4.302
Rosen R, Brown C, Heiman J et al. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther. 2000;26:191-208 DOI: https://doi.org/10.1080/009262300278597
Rosen RC , Riley A, Wagner G, Osterloh IH, Kirkpatrick J, Mishra A. The International Index of Erectile Function (IIEF): A Multidimensional Scale for Assessment of Erectile Dysfunction. Urology. 1997;49:822-30 DOI: https://doi.org/10.1016/S0090-4295(97)00238-0
Özbay E, Aydın A, Salar Rm et al. Sexual experiences between partners after penile prosthesis: Who is more satisfied? Andrologia. 2020;52:13461-6 DOI: https://doi.org/10.1111/and.13461
Awwad AA, AboSeif AF, Fattag Farag MA, Gamal El Din SF, Khalil RY. Sexual functions of females married to males with semi-rigid penile Implants: a cross-sectional study. Urologia. 2019;86:197-201 DOI: https://doi.org/10.1177/0391560319854846
Isidori AM, Pozza C, Esposito K et al. Development and Validation of a 6-Item Version of the Female Sexual Function Index (FSFI) as a Diagnostic Tool for Female Sexual Dysfunction. J Sex Med. 2010;7:1139-46 DOI: https://doi.org/10.1111/j.1743-6109.2009.01635.x
Gittens P, Moskovic JD, Desiderio Avila Jr, Chandrashekar A, KheraM, Lipshultz L. Favorable female sexual function is associated with patient satisfaction after inflatable penile prosthesis Implantation. J Sex Med. 2011; 8:1996-2001 DOI: https://doi.org/10.1111/j.1743-6109.2011.02290.x
Portman DJ, Gass MLS. Genitourinary syndrome of menopause: new terminology for vulvo vaginal atrophy from the international society for the study of women’s sexual Health and the North American Menopause Society. J Sex Med. 2014;11:2065-72
Omonov D, Christopher AN, Blecher GA et al. Clinical Recommendations From the European Society for Sexual Medicine Exploring Partner Expectations, Satisfaction in Male and Phalloplasty Cohorts, the Impact of Penile Length, Girth and Implant Type, Reservoir Placement, and the Influence of Comorbidities and Social Circumstances. J Sex Med. 2020; 17:210-37 DOI: https://doi.org/10.1016/j.jsxm.2019.10.016

How to Cite

Pozza, D., Berardi, A., Pozza, M., Mosca, A., & Pozza, C. (2021). The woman and the penile prosthetic implant. Primary or secondary role? Personal experiences on 355 implanted patients. Archivio Italiano Di Urologia E Andrologia, 93(1), 53–57. https://doi.org/10.4081/aiua.2021.1.53

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