Patient Satisfaction and Outcomes of Penile Prosthesis Implantation in Psychogenic and Organic Erectile Dysfunction: A Comparative Study
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 outcome...
| Autores: | , , , , , , , , , |
|---|---|
| Formato: | artículo |
| Fecha de publicación: | 2025 |
| País: | España |
| Recursos: | Universitat Autònoma de Barcelona |
| Repositorio: | Dipòsit Digital de Documents de la UAB |
| Idioma: | inglés |
| OAI Identifier: | oai:ddd.uab.cat:318303 |
| Acesso em linha: | https://ddd.uab.cat/record/318303 https://dx.doi.org/urn:doi:10.3390/jcm14145032 |
| Access Level: | acceso abierto |
| Palavra-chave: | Penile prosthesis Erectile dysfunction Patient satisfaction Psychogenic Sexual Dysfunctions Postoperative complications |
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Patient Satisfaction and Outcomes of Penile Prosthesis Implantation in Psychogenic and Organic Erectile Dysfunction: A Comparative StudyDe Rocco Ponce, Maurizio|||0000-0002-0821-3591Silva Garretón, Alejandro|||0000-0001-9102-9797Sousa Iglesias, ÁngelaDumas Castro, SebastianContreras Garcia, RicardoMalca Caballero, LuisSánchez-Curbelo, Josvany|||0000-0002-6489-3309Vantman Luft, DoronRuiz-Castañé, Eduardo|||0000-0002-7469-4610Rajmil Marquenson, Osvlado|||0000-0003-1987-9206Penile prosthesisErectile dysfunctionPatient satisfactionPsychogenic SexualDysfunctionsPostoperative complicationsBackground: 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.Universitat Autònoma de Barcelona. Departament de Medicina 22025-01-0120252025-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/318303https://dx.doi.org/urn:doi:10.3390/jcm14145032reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Aquest 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.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:3183032026-06-06T12:50:31Z |
| dc.title.none.fl_str_mv |
Patient Satisfaction and Outcomes of Penile Prosthesis Implantation in Psychogenic and Organic Erectile Dysfunction: A Comparative Study |
| title |
Patient Satisfaction and Outcomes of Penile Prosthesis Implantation in Psychogenic and Organic Erectile Dysfunction: A Comparative Study |
| spellingShingle |
Patient Satisfaction and Outcomes of Penile Prosthesis Implantation in Psychogenic and Organic Erectile Dysfunction: A Comparative Study De Rocco Ponce, Maurizio|||0000-0002-0821-3591 Penile prosthesis Erectile dysfunction Patient satisfaction Psychogenic Sexual Dysfunctions Postoperative complications |
| title_short |
Patient Satisfaction and Outcomes of Penile Prosthesis Implantation in Psychogenic and Organic Erectile Dysfunction: A Comparative Study |
| title_full |
Patient Satisfaction and Outcomes of Penile Prosthesis Implantation in Psychogenic and Organic Erectile Dysfunction: A Comparative Study |
| title_fullStr |
Patient Satisfaction and Outcomes of Penile Prosthesis Implantation in Psychogenic and Organic Erectile Dysfunction: A Comparative Study |
| title_full_unstemmed |
Patient Satisfaction and Outcomes of Penile Prosthesis Implantation in Psychogenic and Organic Erectile Dysfunction: A Comparative Study |
| title_sort |
Patient Satisfaction and Outcomes of Penile Prosthesis Implantation in Psychogenic and Organic Erectile Dysfunction: A Comparative Study |
| dc.creator.none.fl_str_mv |
De Rocco Ponce, Maurizio|||0000-0002-0821-3591 Silva Garretón, Alejandro|||0000-0001-9102-9797 Sousa Iglesias, Ángela Dumas Castro, Sebastian Contreras Garcia, Ricardo Malca Caballero, Luis Sánchez-Curbelo, Josvany|||0000-0002-6489-3309 Vantman Luft, Doron Ruiz-Castañé, Eduardo|||0000-0002-7469-4610 Rajmil Marquenson, Osvlado|||0000-0003-1987-9206 |
| author |
De Rocco Ponce, Maurizio|||0000-0002-0821-3591 |
| author_facet |
De Rocco Ponce, Maurizio|||0000-0002-0821-3591 Silva Garretón, Alejandro|||0000-0001-9102-9797 Sousa Iglesias, Ángela Dumas Castro, Sebastian Contreras Garcia, Ricardo Malca Caballero, Luis Sánchez-Curbelo, Josvany|||0000-0002-6489-3309 Vantman Luft, Doron Ruiz-Castañé, Eduardo|||0000-0002-7469-4610 Rajmil Marquenson, Osvlado|||0000-0003-1987-9206 |
| author_role |
author |
| author2 |
Silva Garretón, Alejandro|||0000-0001-9102-9797 Sousa Iglesias, Ángela Dumas Castro, Sebastian Contreras Garcia, Ricardo Malca Caballero, Luis Sánchez-Curbelo, Josvany|||0000-0002-6489-3309 Vantman Luft, Doron Ruiz-Castañé, Eduardo|||0000-0002-7469-4610 Rajmil Marquenson, Osvlado|||0000-0003-1987-9206 |
| author2_role |
author author author author author author author author author |
| dc.contributor.none.fl_str_mv |
Universitat Autònoma de Barcelona. Departament de Medicina |
| dc.subject.none.fl_str_mv |
Penile prosthesis Erectile dysfunction Patient satisfaction Psychogenic Sexual Dysfunctions Postoperative complications |
| topic |
Penile prosthesis Erectile dysfunction Patient satisfaction Psychogenic Sexual Dysfunctions Postoperative complications |
| description |
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. |
| publishDate |
2025 |
| dc.date.none.fl_str_mv |
2 2025-01-01 2025 2025-01-01 |
| dc.type.none.fl_str_mv |
Article http://purl.org/coar/resource_type/c_6501 VoR http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| dc.type.openaire.fl_str_mv |
info:eu-repo/semantics/article |
| format |
article |
| dc.identifier.none.fl_str_mv |
https://ddd.uab.cat/record/318303 https://dx.doi.org/urn:doi:10.3390/jcm14145032 |
| url |
https://ddd.uab.cat/record/318303 https://dx.doi.org/urn:doi:10.3390/jcm14145032 |
| dc.language.none.fl_str_mv |
Inglés eng |
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Inglés |
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eng |
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open access http://purl.org/coar/access_right/c_abf2 https://creativecommons.org/licenses/by/4.0/ |
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info:eu-repo/semantics/openAccess |
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open access http://purl.org/coar/access_right/c_abf2 https://creativecommons.org/licenses/by/4.0/ |
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openAccess |
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application/pdf |
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