title: Patient's satisfaction after 2-piece inflatable penile prosthesis implantation: An Italian multicentric study.
abstract: BACKGROUND
  Penile prosthesis implant represents a valuable solution for pts with severe erectile dysfunction (ED), non-responders to medical management. The aim of our study was to evaluate the satisfaction of patients (pts) after 2-pieces inflatable penile prosthesis (IPP).
  
  
  OBJECTIVE
  to evaluate safety, reliability and post-operative patient's satisfaction after implantation of two-pieces IPP.
  
  
  METHODS
  This retrospective multicentric analysis concerns a group of 42 patients undergone 2-pieces IPP implantation from November 2005 to November 2013, in four Centers of proven experience. As a first step, a detailed review of all clinical reports was performed. Secondly, every patient was asked to fill the Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) specifically modified, in order to assess their own satisfaction after surgery and, its impact on patient's quality of sexual life.
  
  
  RESULTS
  42 pts were evaluated (AMS-Ambicor: 28; Coloplast-Excell: 14); mean age, at time of operation: 60,7 years; mean follow up: 27,6 months; etiology of ED: vascular 23,8%, diabetes 19%, La Peyronie D. 7,1%, consequence of radical prostatectomy 31%, consequence of other pelvic surgery 11,9%, spinal trauma 7%. Mean operative time: 117 ± 58 min, mean postoperative hospital stay 3 ± 1,6 days. Post operative short-term complications: 4 pts (9,5%). Post operative long-term complications: 4 pts (9,5%). Long-term functional results (Questionnaire): 71% of pts (30) reported regular use of the prosthesis, at least 1 time/week, the satisfaction was good in 42% of pts (18), quite good in 33,3% (14), quite bad in 2,4% (1), very bad in 7,1% (3), 6 pts (14,4%) didn't answer.
  
  
  CONCLUSIONS
  2 pieces IPP appears to be associated with a low complication rate and good satisfaction of pts especially in the elderly. It also assures satisfactory rates of aesthetics and functional results.
authors.affiliation: Andrology-Unit, University Hospital S.Orsola-Malpighi, Bologna; Department of Urology, University of Bologna, Bologna. dr.giorgio.gentile@gmail.com.
authors.forename: Giorgio
authors.initials: G
authors.lastname: Gentile
authors.forename: Alessandro
authors.initials: A
authors.lastname: Franceschelli
authors.forename: Paolo
authors.initials: P
authors.lastname: Massenio
authors.forename: Agostino
authors.initials: A
authors.lastname: Tuccio
authors.forename: Andrea
authors.initials: A
authors.lastname: Cocci
authors.forename: Lucia
authors.initials: L
authors.lastname: Divenuto
authors.forename: Daniele
authors.initials: D
authors.lastname: Romagnoli
authors.forename: Alessandro
authors.initials: A
authors.lastname: Natali
authors.forename: Antonio
authors.initials: A
authors.lastname: Vitarelli
authors.forename: Luigi
authors.initials: L
authors.lastname: Cormio
authors.forename: Fulvio
authors.initials: F
authors.lastname: Colombo
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D007172:Erectile Dysfunction / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007558:Italy; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D017060:Patient Satisfaction; D015917:Penile Prosthesis; D011183:Postoperative Complications / Q000453:epidemiology; D011474:Prosthesis Design; D012189:Retrospective Studies; D012725:Sexual Behavior; D011795:Surveys and Questionnaires