Patient Satisfaction and Outcomes of Penile Prosthesis Implantation in Psychogenic and Organic Erectile Dysfunction: A Comparative Study
De Rocco Ponce, Maurizio (Institut de Recerca Sant Pau)
Silva Garretón, Alejandro (UROINTEC)
Sousa Iglesias, Ángela (Complejo Hospitalario Universitario de Pontevedra)
Dumas Castro, Sebastian (Institut de Recerca Sant Pau)
Contreras Garcia, Ricardo (Institut de Recerca Sant Pau)
Malca Caballero, Luis (Institut de Recerca Sant Pau)
Sánchez-Curbelo, Josvany (Institut de Recerca Sant Pau)
Vantman Luft, Doron (Institut de Recerca Sant Pau)
Ruiz Castañé, Eduard (Institut de Recerca Sant Pau)
Rajmil, Osvaldo (Institut de Recerca Sant Pau)

Fecha:	2025
Resumen:	Background: Penile prosthesis implantation (PPI) is an established treatment for erectile dysfunction (ED). Nevertheless, the effectiveness of and satisfaction with PPI in mainly psychogenic ED compared to mainly organic ED patients remain underexplored. Aim: To evaluate patient satisfaction outcomes following PPI in individuals diagnosed as mainly psychogenic ED vs. mainly organic ED. Methods: Twenty-five patients with psychogenic ED who underwent PPI were included. Data were collected from medical records and a follow-up assessment was done using the Quality of Life and Sexuality with Penile Prosthesis (QolSPP) questionnaire. Additionally, the patients filled out an ad hoc questionnaire including self-reported satisfaction rated on a 1-to-10 scale, the Global Assessment Questionnaire-Questions 1 and 2 (GAQ-1, 2), and the Sexual Encounter Profile Questions 2 and 5 (SEP-2, 5). Results were compared with those of 36 patients with mainly organic ED (control) for comparative analysis. Results: In the psychogenic ED group, 96% reported improved erections, 92% felt more confident initiating sex, 92% achieved penetration and 95% had satisfactory sexual encounters. The overall satisfaction score was 8. 71 on a 10-point scale. Comparative analysis using the QolSPP questionnaire revealed statistically significant differences favouring the psychogenic group in 8 of 16 questions, regarding prosthesis satisfaction and overall well-being. Surgical complications were noted in 16% of the psychogenic group, compared to a 2. 8% complication rate in the organic ED control group. Conclusions: The findings indicate high levels of satisfaction with PPI among patients with psychogenic ED, comparable to those with organic ED. However, an increase in complications in the psychogenic cohort highlights the need for careful consideration of surgical risks in this population.
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	Penile prosthesis ; Erectile dysfunction ; Patient satisfaction ; Psychogenic Sexual ; Dysfunctions ; Postoperative complications
Publicado en:	Journal of clinical medicine, Vol. 14 Núm. 14 (July 2025) , ISSN 2077-0383

DOI: 10.3390/jcm14145032
PMID: 40725731

11 p, 210.1 KB

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