Long term outcomes and couples' satisfaction with three-piece inflatable penile prosthesis surgery in the treatment of erectile dysfunction.

Objective: The aim of this study was to assess the complications, long-term mechanical reliability and couples' satisfaction with three-piece inflatable penile implantations. Material and Methods: A total of 68 organic erectile dysfunction patients treated in our clinic with three-piece inflatable p...

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Publicado en:Turkiye Klinikleri Journal of Medical Sciences Vol. 30; no. 6; pp. 1965 - 1971
Autores principales: Efesoy, Ozan, Özbay, Engin, Tek, Mesut, Akbay, Erdem, Çayan, Selahittin
Formato: research tables/charts Journal Article
Publicado: Turkiye Klinikleri Dec2010
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2010
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      pub: Turkiye Klinikleri
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        104812799
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        2010937942
        10.5336/medsci.2009-14125
        104812799
      ppf: 1965
      ppct: 6
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        atl: Long term outcomes and couples' satisfaction with three-piece inflatable penile prosthesis surgery in the treatment of erectile dysfunction.
      aug:
        au:
          Efesoy, Ozan
          Özbay, Engin
          Tek, Mesut
          Akbay, Erdem
          Çayan, Selahittin
      sug:
        subj:
          Erectile Dysfunction Surgery
          Outcomes (Health Care)
          Patient Satisfaction
          Penile Prosthesis
          Adult
          Aged
          Descriptive Statistics
          Human
          Interviews
          Middle Age
          Questionnaires
          Retrospective Design
          Telephone
          Adult: 19-44 years
          Aged: 65+ years
          Middle Aged: 45-64 years
      ab: Objective: The aim of this study was to assess the complications, long-term mechanical reliability and couples' satisfaction with three-piece inflatable penile implantations. Material and Methods: A total of 68 organic erectile dysfunction patients treated in our clinic with three-piece inflatable penile implantations between July 1999 and December 2008 were retrospectively evaluated and the adverse events observed with each type of penile prosthesis were recorded. Couples' satisfactions after treatment were evaluated by the modified EDITS (Erectile Dysfunction Inventory of Treatment Satisfaction) questionnaire administered through telephone or face-to-face interviews. Results: The mean age of the patients was 55 ± 10.75 years (range 25-76), and the mean follow-up period was 54.72 ± 35.53 months (range 6-116). Penoscrotal edema/hematoma manageable by conservative methods was observed in 10 (14.7%) cases. Infection was observed in three (4.4%) cases which could be suppressed by antibiotics and did not require removal of the device. Six cases (8.8%) underwent revision surgery because of mechanical device failure in five, and spontaneous urethral prosthesis erosion in one patient. Evaluation of the couples' satisfaction revealed that 89.7% (61/68) of the patients were very/extremely satisfied, 8.8% (6/68) were somewhat satisfied and one patient (1.5%) was not satisfied at all. Partners satisfaction rate of very/extremely satisfied was 92.3% (48/52), and somewhat satisfied was 7.7% (4/52). Conclusion: Three-piece inflatable penile prosthesis implants, with high levels of treatment success and patient and partner satisfaction, are effective and safe options for treatment of organic erectile dysfunction with acceptable complication and revision rates if performed by appropriate patient selection and adequate preoperative information.
      pubtype: Academic Journal
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        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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