Penile Implant Surgery Satisfaction Assessment.

BACKGROUND: Several studies reported high satisfaction rates (> 90%) for patients and their partners after penile prosthesis (PP) implantation.

AIM: To describe and critically discuss the current evidence regarding the assessment of patient and partner satisfaction after penile implant surgery.

METHODS: A critical narrative review of the studies investigating the patient and partner satisfaction after PP implantation was designed. Papers in English-language published until January 2021 were included.

OUTCOMES: The main outcome investigated was patient and partner satisfaction after penile implant surgery.

RESULTS: The International Index of Erectile Function , the Erectile Dysfunction Inventory of Treatment Satisfaction , the Treatment Satisfaction Scale , and the Quality of Life and Sexuality with Penile Prosthesis are the best-known validated tools used to assess satisfaction after PP implantation. Except for Quality of Life and Sexuality with Penile Prosthesis , they were not validated in patients undergoing penile implant surgery. The lack of an "ad hoc" tool has led to the widespread of nonvalidated questionnaires. Several tools can be useful in the preimplantation counseling, such as the mnemonic Compulsive/obsessive, Unrealistic, Revision, Surgeon Shopping, Entitled, Denial, and Psychiatric , the Minnesota Multiphasic Personality Inventory, the Brief Sexual Symptom Checklist for Men , the Attitude towards Penile Implant , and the Attitude Attributed to the Partner towards Penile Implant .

CLINICAL IMPLICATIONS: Improvement of knowledge regarding the available tools to evaluate the satisfaction after penile implant surgery.

STRENGTHS & LIMITATIONS: Comprehensive and thorough review of all the main validated questionnaires available to assess satisfaction in patients with PP. Lack of a systematic approach and quantitative data analysis.

CONCLUSION: Despite the high satisfaction rate reported in the literature, most of the studies used suboptimal or non-validated questionnaires to assess patients undergoing penile implant surgery. Future research is needed to develop and validate a specific, complete and easy-to-use questionnaire. Manfredi C, Fortier É, Faix A, et al. Penile Implant Surgery Satisfaction Assessment. J Sex Med 2021;18:868-874.