Julie Wong1, Luke Witherspoon1,2, Ryan K Flannigan1,3. 1. Department of Urologic Sciences, University of British Columbia, Vancouver, BC, Canada. 2. Department of Urology, The Ottawa Hospital, Ottawa, ON, Canada. 3. Department of Urology, Weill Cornell Medicine, New York, NY, United States.
Abstract
INTRODUCTION: Surgical management via penile prosthesis is an option for patients who have failed medical management. There is a paucity of literature surrounding factors contributing to patient satisfaction after implant surgery. The objective of this study was to characterize patients' and surgeons' attitudes toward factors affecting satisfaction with this procedure. METHODS: Two patient cohorts were identified and contacted via email: a medical management of erectile dysfunction (ED) cohort and a penile implant patient cohort. A third cohort, Canadian urologists who perform penile implant surgeries, was also contacted. The surveys consisted of 5-7 questions, including a rating question regarding the importance of various penile implant factors. RESULTS: Forty-six ED patients, 45 post-implant patients, and 12 urologists completed the survey. The mean overall satisfaction on a 10-point scale was 6.49 (standard deviation [SD] 2.92). Most (67%) urologists selected patient satisfaction as one of their least favorite aspects of penile implant surgery. Compared to postimplant patients, ED patients reported greater importance in the areas of appearance (p=0.035), soft glans (p=0.040), and concealment of implant (p=0.007). Urologists ranked natural feel (p=0.019) and generating a discrete erection (p=0.022) as less important than patients. CONCLUSIONS: This is the first study that examines which specific variables of penile implant surgery are associated with satisfaction while comparing surgeons' understanding of what patients desire from this surgery. This study identifies several factors deemed important by patients but under-recognized by urologists. This knowledge can aid urologists in optimizing preoperative counselling and improving patient satisfaction.
INTRODUCTION: Surgical management via penile prosthesis is an option for patients who have failed medical management. There is a paucity of literature surrounding factors contributing to patient satisfaction after implant surgery. The objective of this study was to characterize patients' and surgeons' attitudes toward factors affecting satisfaction with this procedure. METHODS: Two patient cohorts were identified and contacted via email: a medical management of erectile dysfunction (ED) cohort and a penile implant patient cohort. A third cohort, Canadian urologists who perform penile implant surgeries, was also contacted. The surveys consisted of 5-7 questions, including a rating question regarding the importance of various penile implant factors. RESULTS: Forty-six ED patients, 45 post-implant patients, and 12 urologists completed the survey. The mean overall satisfaction on a 10-point scale was 6.49 (standard deviation [SD] 2.92). Most (67%) urologists selected patient satisfaction as one of their least favorite aspects of penile implant surgery. Compared to postimplant patients, ED patients reported greater importance in the areas of appearance (p=0.035), soft glans (p=0.040), and concealment of implant (p=0.007). Urologists ranked natural feel (p=0.019) and generating a discrete erection (p=0.022) as less important than patients. CONCLUSIONS: This is the first study that examines which specific variables of penile implant surgery are associated with satisfaction while comparing surgeons' understanding of what patients desire from this surgery. This study identifies several factors deemed important by patients but under-recognized by urologists. This knowledge can aid urologists in optimizing preoperative counselling and improving patient satisfaction.
Authors: Carolyn A Salter; Philip Vu Bach; Lawrence Jenkins; Nelson Bennett; Faysal A Yafi; Farouk El Khatib; Elizabeth Schofield; Nicole Benfante; Stanley E Althof; Christian J Nelson; John P Mulhall Journal: J Sex Med Date: 2021-08-07 Impact factor: 3.937
Authors: Ahmed Aoude; Madison Litowski; Sultan Aldebeyan; Charles Fisher; Hamilton Hall; Neil Manson; Christopher S Bailey; Henry Ahn; Edward Abraham; Andrew Nataraj; Jerome Paquet; Alexandra Stratton; Sean Christie; David Cadotte; Fred Nicholls; Alex Soroceanu; Y Raja Rampersaud; Kenneth C Thomas Journal: Global Spine J Date: 2020-03-10