Saturday, December 12, 2015

Why Are Men Satisfied or Dissatisfied with Penile Implants? A Mixed Method Study on Satisfaction with Penile Prosthesis Implantation

Introduction

Studies have demonstrated high levels of satisfaction with penile prosthesis implantation (PPI). However, qualitative research exploring the experience of PPI through men's narratives is scarce.

Aim
The main goals were to analyze (i) the level of sexual satisfaction (quantitatively), and (ii) the reasons for satisfaction and/or dissatisfaction with PPI (qualitatively).

Method
Participants were 47 men with erectile dysfunction who underwent surgery between 2003 and 2012, placed by a single surgeon. Structured telephone interviews were carried out.

Main Outcome Measures
Satisfaction with PPI was a qualitative and quantitative measure assessed through the following four items: (i) “Would you repeat the PPI surgery?”; (ii) “Would you recommend the PPI surgery?”; (iii) “How satisfied are you with the PP?”; and (iv) “Could you explain the motives of your satisfaction/dissatisfaction?”.

Results
The majority of men (79%) reported to be satisfied with PPI. Content analysis revealed four main themes for men's satisfaction with the PPI: (i) psychological factors were reported 54 times (n = 54) and included positive emotions, self-esteem, confidence, enhancement of male identity, major live change, and self-image; (ii) improvement of sexual function was reported 54 times (n = 54) and referred to achievement of vaginal penetration, increase of sexual desire, sexual satisfaction, penis size, and improvement of erectile function; (iii) relationship factors were reported 11 times (n = 11) and referred to relationship improvement and the possibility of giving pleasure to the partner; and (iv) improvement in urinary function (n = 3).

Conclusions
The level of satisfaction with the implementation of penile prostheses is very high, therefore constituting a treatment for erectile dysfunction with a positive impact on the experience of men at sexual, psychological and relational level.

Full article at: http://goo.gl/y1erz8

By:   Ana Carvalheira PhD1,,Rita Santana MA2and Nuno M. Pereira PhD3
William James Center for Research, ISPA—University Institute, Lisbon, Portugal
ISPA-University Institute, Lisbon, Portugal
iSex-Association of Advanced Study of Human Sexuality, Lusófona University, Lisbon, Portugal


*Corresponding Author: Ana Carvalheira, PhD, William James Center for Research, ISPA—University Institute, R. Jardim do Tabaco 34, 1149-041 Lisbon, Portugal. Tel: +351 919 253 757; Fax: +351-218-860-954; E-mail: acarvalheira@ispa.pt  


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