Why are men satisfied or dissatisfied with penile implants? A mixed method study on satisfaction with penile prosthesis implantation

Carvalheira, Ana Alexandra; Santana, Rita; Pereira, Nuno Monteiro

http://hdl.handle.net/10400.12/4226

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Authors

Carvalheira, Ana Alexandra

Santana, Rita

Pereira, Nuno Monteiro

Abstract(s)

Introduction. Studies have demonstrated high levels of satisfaction with penile prosthesis implantation (PPI).However, qualitative research exploring the experience of PPI through men’s narratives is scarce.Aim. The main goals were to analyze (i) the level of sexual satisfaction (quantitatively), and (ii) the reasons forsatisfaction and/or dissatisfaction with PPI (qualitatively).Method. Participants were 47 men with erectile dysfunction who underwent surgery between 2003 and 2012, placedby a single surgeon. Structured telephone interviews were carried out.Main Outcome Measures. Satisfaction with PPI was a qualitative and quantitative measure assessed through thefollowing four items: (i) “Would you repeat the PPI surgery?”; (ii) “Would you recommend the PPI surgery?”; (iii)“How satisﬁed are you with the PP?”; and (iv) “Could you explain the motives of your satisfaction/dissatisfaction?”.Results. The majority of men (79%) reported to be satisﬁed with PPI. Content analysis revealed four main themesfor men’s satisfaction with the PPI: (i) psychological factors were reported 54 times (n = 54) and included positiveemotions, self-esteem, conﬁdence, enhancement of male identity, major live change, and self-image; (ii) improve-ment of sexual function was reported 54 times (n = 54) and referred to achievement of vaginal penetration, increaseof sexual desire, sexual satisfaction, penis size, and improvement of erectile function; (iii) relationship factors werereported 11 times (n = 11) and referred to relationship improvement and the possibility of giving pleasure to thepartner; and (iv) improvement in urinary function (n = 3).Conclusions. The level of satisfaction with the implementation of penile prostheses is very high, therefore consti-tuting a treatment for erectile dysfunction with a positive impact on the experience of men at sexual, psychologicaland relational level.