Mp76-03 Can Penile Prostheses Provide Satisfactory Quality of Life for Patients Post-Priapism? An Analysis of Long Term Outcomes

You have accessJournal of UrologySexual Function/Dysfunction: Surgical Therapy II (MP76)1 May 2024MP76-03 CAN PENILE PROSTHESES PROVIDE SATISFACTORY QUALITY OF LIFE FOR PATIENTS POST-PRIAPISM? AN ANALYSIS OF LONG TERM OUTCOMES Katy Naylor, Aisling Looney, Isabel Dighero, Chloe Mount, Mark Johnson, Fiona Holden, David J. Ralph, and Philippa Sangster Katy NaylorKaty Naylor , Aisling LooneyAisling Looney , Isabel DigheroIsabel Dighero , Chloe MountChloe Mount , Mark JohnsonMark Johnson , Fiona HoldenFiona Holden , David J. RalphDavid J. Ralph , and Philippa SangsterPhilippa Sangster View All Author Informationhttps://doi.org/10.1097/01.JU.0001009484.98400.42.03AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Erectile dysfunction can be a life-changing consequence for patients with prolonged ischaemic priapism. If wishing to restore erectile function, they must make time-critical decisions regarding penile prosthesis (PP), for which they rely on their clinician for appropriate counselling. We aim to support clinicians in providing well-informed counsel by performing the largest study to date investigating long term quality of life (QoL) outcomes in ischaemic priapism patients receiving PP. Our study will contribute to this sparse area of research whilst helping improve patient outcomes and expectations. METHODS: The Quality of Life and Sexuality with Penile Prosthesis (QoLSPP) validated questionnaire was used with the addition of two questions; whether the patient would opt to receive the PP again if returned to the original priapism event, and their feelings towards a future with a PP. Questionnaires were provided via telephone or email, depending on patient preference, and recorded in an electronic database alongside patient clinical and demographic information. Anecdotal feedback was also noted. RESULTS: 167 patients in our department had PP post-priapism between 2002-2022. 44 (26%) were contactable, of whom 39 (23%) completed the QoLSPP questionnaire. Median age of responders at the time of priapism was 55.7 years, with a median time from priapism to study date being 9.1 years. Median time interval between the priapism onset and PP insertion was 22 days. 23% responders had sickle cell disease. Initial PP was malleable in 64% responders and inflatable in the remaining 36%, with revision PP in 41%. QoLSPP results revealed at the time of contact, 95% were actively using their device, 82% felt their PP had met their expectations, 74% were satisfied with their sexual experience, and 73% reported partner satisfaction (if applicable). None reported regret in opting to have a PP, and 87% reported feeling satisfied living the rest of their life with a PP. Dissatisfaction mainly related to reduced penis size and preference for an inflatable device. CONCLUSIONS: Counselling men prior to PP insertion is vital. Where priapism is the cause of end stage erectile dysfunction, time is often short and men must make fast decisions. This study can be used to inform patients that PP insertion is a suitable surgical technique to maintain sexual function post-priapism. It has been shown to have a positive impact on sexual experience for both the patient, and reportedly their partner. Importantly, no patients regretted their decision to proceed with prosthesis implantation. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e1243 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Katy Naylor More articles by this author Aisling Looney More articles by this author Isabel Dighero More articles by this author Chloe Mount More articles by this author Mark Johnson More articles by this author Fiona Holden More articles by this author David J. Ralph More articles by this author Philippa Sangster More articles by this author Expand All Advertisement PDF downloadLoading ...