title: Assessment of psychosexual adjustment after insertion of inflatable penile prosthesis.
abstract: OBJECTIVE
  To evaluate the psychosexual benefit obtained from multicomponent penile implant surgery in patients with erectile dysfunction.
  
  
  METHODS
  A psychosexual questionnaire was given to 35 patients undergoing penile prosthesis implantation before surgery and at 3 months, 6 months, and 1 year after surgery. The questionnaire consisted of 13 questions scored on a scale from 1 through 5. Results of the questionnaire were statistically analyzed for differences among the preoperative, 3-month postoperative, 6-month postoperative, and 1-year postoperative period.
  
  
  RESULTS
  The general linear model evaluation showed a significant difference for each overall combination of the following pairs: preoperative versus 3 months postoperative (P=0.0005) and 3 months postoperative versus 6 months postoperative (P=0.002). There was no overall difference between psychosexual total score at 6 months after surgery and 1 year after prosthesis implantation (P=0.85). The patients perceived improvement in their erectile ability and libido. Concern about obtaining and maintaining an erection during intercourse was significantly alleviated. There was an increase in the frequency of sexual activity and an improvement in satisfaction with sex life. A decrease in feelings of sadness, depression, anxiety, anger, frustration, and embarrassment related to sexual activity was also noted.
  
  
  CONCLUSIONS
  The current study demonstrates significant improvement in the psychosexual well being of multicomponent penile implant recipients, with attainment of a high level of patient satisfaction up to 1 year after surgery.
authors.affiliation: Department of Urology, Wayne State University School of Medicine, Detroit, Michigan 48201, USA.
authors.forename: M V
authors.initials: MV
authors.lastname: Tefilli
authors.forename: F
authors.initials: F
authors.lastname: Dubocq
authors.forename: A
authors.initials: A
authors.lastname: Rajpurkar
authors.forename: E L
authors.initials: EL
authors.lastname: Gheiler
authors.forename: R
authors.initials: R
authors.lastname: Tiguert
authors.forename: C
authors.initials: C
authors.lastname: Barton
authors.forename: H
authors.initials: H
authors.lastname: Li
authors.forename: C B
authors.initials: CB
authors.lastname: Dhabuwala
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D007172:Erectile Dysfunction / Q000523:psychology* / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction; D015917:Penile Prosthesis / Q000523:psychology*; D011446:Prospective Studies; D019529:Sexuality; D011795:Surveys and Questionnaires