The impact of sildenafil citrate on sexual satisfaction profiles in men with a penile prosthesis in situ.
OBJECTIVE
To assess the efficacy of sildenafil in increasing penile glans tumescence and improving patient satisfaction in men with a penile prosthesis, as this remains a major treatment for erectile dysfunction but a common complaint is the lack of glans engorgement.


METHODS
To determine whether sildenafil combined with a penile prosthesis improves satisfaction, patients used an implant alone for at least 1 month, after which they completed the International Index of Erectile Function (IIEF) questionnaire. The same patients were then given sildenafil citrate and completed the IIEF questionnaire after using the sildenafil/implant combination.


RESULTS
Patients who responded to sildenafil with glans engorgement reported significantly greater satisfaction scores than with an implant alone.


CONCLUSIONS
We currently offer sildenafil citrate after implantation to all men who have a penile prosthesis placed.
Mulhall
J P
JP
Department of Urology, Weill Medical College of Cornell University, New York Presbyterian Hospital, NY, USA. jpm2005@med.cornell.edu
Jahoda
A
A
Aviv
N
N
Valenzuela
R
R
Parker
M
M
D000328:Adult; D000368:Aged; D003131:Combined Modality Therapy; D007172:Erectile Dysfunction / Q000188:drug therapy* / Q000523:psychology; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D015917:Penile Prosthesis; D010726:Phosphodiesterase Inhibitors / Q000627:therapeutic use*; D010879:Piperazines / Q000627:therapeutic use*; D011687:Purines; D000068677:Sildenafil Citrate; D013450:Sulfones; D016896:Treatment Outcome
D010726:Phosphodiesterase Inhibitors; D010879:Piperazines; D011687:Purines; D013450:Sulfones; D000068677:Sildenafil Citrate