F. Montorsi et al., PATIENT-PARTNER SATISFACTION WITH SEMIRIGID PENILE PROSTHESES FOR PEYRONIES-DISEASE - A 5-YEAR FOLLOW-UP-STUDY, The Journal of urology, 150(6), 1993, pp. 1819-1821
The long-term acceptance of and satisfaction with penile prostheses we
re assessed in patients with Peyronie's disease and their partners. Fr
om 1985 to 1987, 50 men with advanced Peyronie's disease and associate
d erectile dysfunction were treated with a semirigid penile implant wi
thout additional plaque surgery. A total of 48 patients and 29 partner
s was reassessed at a followup of at least 60 months. Only 23 patients
(48%) and 12 partners (40%) were totally satisfied with the long-term
functional result and would repeat the same operation. Among the 25 d
issatisfied patients (52%) loss of complementary erection resulting in
a pencil-like penis, decrease in penile sensitivity, poor concealment
and persistence of penile deviation were the major complaints. Of the
partners 17 (60%) were dissatisfied due to poor penile girth, sensati
on of a cold glans penis, sensation of unnatural intercourse and dyspa
reunia. Eight patients (16%) chose to substitute the semirigid implant
with a 3-component inflatable prosthesis. On a long-term basis, place
ment of a semirigid penile prosthesis for Pevronie's disease is associ
ated with a significant patient-partner dissatisfaction rate.