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Posted by on Dec 22, 2015 in Erectile dysfunction | 9 comments

In a nutshell

This study investigated sexual satisfaction among penile prosthesis users. Researchers concluded that the level of satisfaction with implanted penile devices is very high, with a positive impact on sexual, psychological and relational function.

Some background

Penile implants have developed remarkably over the past decade. Multiple studies have demonstrated high levels of sexual function among men using penile prostheses. However, research exploring the subjective experience of men using these implants, and the reasons behind satisfaction or dissatisfaction, is scarce. 

Methods & findings

This research interviewed 47 men with erectile dysfunction who underwent surgery to implant a prosthetic penile device. A variety of devices were being used. Men were asked to answer the following four questions: (i) “Would you repeat the surgery?”; (ii) “Would you recommend the surgery?”; (iii) “How satisfied are you with the device?”; and (iv) “Could you explain the motives of your satisfaction/dissatisfaction?”.

The majority of men (79%) reported to be satisfied with their device. Only five men reported being “very dissatisfied” (10.6%), two were “somewhat dissatisfied” (4.3%), three “neither satisfied nor dissatisfied” (6.4%), eight were “satisfied” (17%), and 29 were “very satisfied” (61.7%).

Among the 14 men with malleable penile devices, 11 stated that they would undergo surgery again, and all 14 would recommend a penile implantation to friends in the same situation. Among the 33 men with inflatable penile devices 27 would undergo surgery again, and 31 would recommend it.

Analysis revealed the main themes for men’s satisfaction with the device. Different psychological factors included increased self-esteem and confidence, enhancement of male identity, major life changes, and improved self-image. Improvement of sexual function was also consistently reported, and referred mainly to achievement of vaginal penetration, increase of sexual desire, increased sexual satisfaction, and increase of penis size. Relationship improvement and the possibility of giving pleasure to partner were also noted. Improvement in urinary function was also reported by several men.

The main reasons reported for dissatisfaction with device were: decreased size of the penis, unrealized expectations, not having sexual relationships (due to device not working or other reasons), artificial/unnatural feel, delayed ejaculation, device malfunction, and partner related reasons.

The bottom line

The level of satisfaction with penile prostheses is very high, with a positive impact on sexual, psychological and relational functioning.

Published By :

The journal of sexual medicine

Date :

Dec 07, 2015

Original Title :

Why Are Men Satisfied or Dissatisfied with Penile Implants? A Mixed Method Study on Satisfaction with Penile Prosthesis Implantation.

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