Abstract Introduction Surgeon reported outcomes after inflatable penile prosthesis (IPP) suggest near uniform satisfaction with rates as high as 98%. The Satisfaction Survey for Inflatable Penile Implants (SSIPI) is the only validated English language tool designed to assess outcomes after IPP across four domains. Objective This analysis aimed to assess patient outcomes using this instrument. Methods Study population consisted of men at 5 high-volume centers who had IPP implantation and completed the SSIPI. SSIPI was administered ≥6 months postoperatively after primary IPP only. Those with revision surgery were excluded. Patient demographics, comorbidities and implant-related parameters were recorded. SSIPI: 16 questions across 4 domains including, satisfaction (S, 4Q/score range 4-20), pain (P, 2Q/2-10), appearance (A, 5Q/6-30) and function (F, 4Q/4–20), each composed of questions scored on a 1–5-point Likert scale, where higher scores indicate more favourable outcomes. We selected an endpoint of scoring ≥4 (most of the time) on all 16 questions to define overall high satisfaction (high satisfaction, low pain, high comfort with appearance, excellent function). Results To date, complete data exist for 332 patients. Mean age at IPP surgery was 65.3 (10.7) years. 77% of whom were White, 14% Black. Mean duration post-IPP at completion was 38.5 (20.6) months. Pre-IPP, 34% had had a radical prostatectomy, 12% prostate radiation therapy and 32% were diabetic. 80% were in a relationship (68% married, 12% partnered). At the time of SSIPI completion, 78% of patients were sexually active. Mean usage of the IPP over the 3-month period prior to SSIPI completion was 10 times (14). Mean total SSIPI score was 64 (14). The percentage of respondents meeting our high satisfaction criterion was 74%, with cut-off scores for each of the 4 domains being: P (85%) F (77%), S (73%) and A (69%). Conclusions Using a validated assessment tool for penile implant satisfaction, 74% of men report high satisfaction after primary IPP. This is lower than the conventionally reported satisfaction rates published in the literature and emphasizes the need for a validated and structured assessment of IPP satisfaction in future studies. Disclosure No
Al-Mitwalli et al. (Mon,) studied this question.
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