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...

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Autores: 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
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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spelling 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
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
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eu_rights_str_mv openAccess
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dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
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