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Abstract Aim Penile prosthesis (PP) insertion is recommended for patients experiencing long-duration ischaemic priapism to restore erectile function. In this setting, decision making is time critical, and clinicians must counsel appropriately. However, there is a paucity of published data on quality of life (QOL) outcomes. Aiming to equip clinicians to counsel in the acute setting, our objective was to conduct the largest study to date assessing QOL outcomes in post-priapism PP patients. Method We contacted patients who received post-priapism PP in our department via telephone and completed the previously validated Quality of Life and Sexuality with Penile Prosthesis (QoLSPP) questionnaire. Causes of dissatisfaction were collected anecdotally. Results 167 patients had PPs inserted post-priapism between 2002-2022. Of these, 39 (23%; implants between 2007-2021) completed our questionnaire. The median age of respondents was 55.7 years with a median time post-priapism event to study date of 9.1 years. At time of contact, 95% (37) of respondents were actively using their device. 82% (32) felt their PP had met their expectations, 74% (29) were satisfied with their sexual experience and the same number reported partner satisfaction. Causes of dissatisfaction related to changes in penis size as well as device choice. Conclusions PP insertion is a suitable surgical technique to maintain sexual function in patients’ post-priapism, for whom it can have a positive impact on sexual experience for both patient, and their partner. We noted dissatisfaction related to device choice and priapism complication symptoms. This emphasises the importance of managing patient expectation in regard to pathology and device options.
Dighero et al. (Mon,) studied this question.