High Patient Satisfaction after Inflatable Penile Prostheses Implantation Correlates with Female Partner Satisfaction



      Patient and female partner satisfaction after implantation of an inflatable penile prosthesis (IPP) assessed by objective means, and the correlation between the partners, is important for determining postoperative sexual life.


      The primary goal was to evaluate patients' erectile function and patients' and their partners' satisfaction after IPP implantation. A secondary aim was to investigate potential determinative factors of satisfaction according to device characteristics, demographics, and cause of erectile dysfunction (ED).


      Ninety patients, who underwent IPP implantation as an alternative to refractory or undesirable medical treatment for ED, were evaluated. Patients who could not or refused to participate, or were out of a relationship, were excluded. The 69 remaining patients were evaluated for their pre‐ and postoperative erectile function and posttreatment satisfaction for themselves and their partners.

      Main Outcome Measures

      Preoperative and postoperative scores on the International Index of Erectile Function Questionnaire–five items (IIEF‐5) were compared. The Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) was given to males and their female partners. Patient demographics, etiology of ED, and implant characteristics were correlated also with patients' EDITS scores.


      Mean IIEF‐5 scores demonstrated a significant improvement after IPP implantation: from 8.88 ± 3.75 to 20.97 ± 4.37 (P < 0.001). The mean patients' EDITS score was 75.48 ± 20.54, whereas mean female partners' score was 70.00 ± 22.92, highlighting high posttreatment satisfaction for both. Regression analysis suggested a direct linear correlation of satisfaction between the sexual partners as a degree of satisfaction. There were no statistically significant differences according to level of education or implant characteristics. Concerning the etiology of ED, no conclusions could be made.


      Overcoming previous limitations in determining post‐IPP implantation satisfaction, our study reiterates high rates of patient and partner satisfaction. Of particular note, patient satisfaction appears independent of prosthesis type and cylinder length. Vakalopoulos I, Kampantais S, Ioannidis S, Laskaridis L, Dimopoulos P, Toutziaris C, Koptsis M, Henry GD, and Katsikas V. High patient satisfaction after inflatable penile prostheses implantation correlates with female partner satisfaction. J Sex Med 2013;10:2774–2781.


      To read this article in full you will need to make a payment
      ISSM Member Login
      Login with your ISSM username and password.
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Purchase one-time access:

      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Lindau S.T.
        • Schumm L.P.
        • Laumann E.O.
        • Levinson W.
        • O'Muircheartaigh C.A.
        • Waite L.J.
        A study of sexuality and health among older adults in the United States.
        N Engl J Med. 2007; 357: 762-774
        • Porst H.
        • Sharlip I.
        History and epidemiology of male sexual dysfunction.
        in: Porst H. Buvat J. Standard practice in sexual medicine. Blackwell Publishing, Malden, MA2006: 43-48
        • Althof S.E.
        Quality of life and erectile dysfunction.
        Urology. 2002; 59: 803-810
        • Cameron A.
        • Tomlin M.
        The effect of male erectile dysfunction on the psychosocial, relationship, and sexual characteristics of heterosexual women in the United States.
        J Sex Marital Ther. 2007; 33: 135-149
        • Hatzichristou D.
        • Rosen R.C.
        • Broderick G.
        • Clayton A.
        • Cuzin B.
        • Derogatis L.
        • Litwin M.
        • Meuleman E.
        • O'Leary M.
        • Quirk F.
        • Sadovsky R.
        • Seftel A.
        Clinical evaluation and management strategy for sexual dysfunction in men and women.
        J Sex Med. 2004; 1: 49-57
        • Rajpurkar A.
        • Dhabuwala C.B.
        Comparison of satisfaction rates and erectile function in patients treated with sildenafil, intracavernous prostaglandin E1 and penile implant surgery for erectile dysfunction in urology practice.
        J Urol. 2003; 170: 159-163
        • Hatzimouratidis K.
        • Hatzichristou D.G.
        A comparative review of the options for treatment of erectile dysfunction: Which treatment for which patient?.
        Drugs. 2005; 65: 1621-1650
        • Carson C.C.
        Penile prosthesis implantation: Surgical implants in the era of oral medication.
        Urol Clin North Am. 2005; 32: 503-509
        • Hellstrom W.J.
        • Montague D.K.
        • Moncada I.
        • Carson C.
        • Minhas S.
        • Faria G.
        • Krishnamurti S.
        Implants, mechanical devices, and vascular surgery for erectile dysfunction.
        J Sex Med. 2010; 7: 501-523
        • Jensen J.B.
        • Madsen S.S.
        • Larsen E.H.
        • Jensen K.M.
        • Kirkeby H.J.
        Patient and partner satisfaction with the Mentor Alpha‐1 inflatable penile prosthesis.
        Scand J Urol Nephrol. 2005; 39: 66-68
        • Bettocchi C.
        • Palumbo F.
        • Spilotros M.
        • Lucarelli G.
        • Palazzo S.
        • Battaglia M.
        • Selvaggi F.P.
        • Ditonno P.
        Patient and partner satisfaction after AMS inflatable penile prosthesis implant.
        J Sex Med. 2010; 7: 304-309
        • Moskovic D.J.
        • Gittens P.
        • Avila Jr, D.
        • Chandrashekar A.
        • Khera M.
        • Lipshultz L.L.
        Favorable female sexual function is associated with patient satisfaction after inflatable penile prosthesis implantation.
        J Sex Med. 2011; 8: 1996-2001
        • Althof S.E.
        • Corty E.W.
        • Levine S.B.
        • Levine F.
        • Burnett A.L.
        • McVary K.
        • Stecher V.
        • Seftel A.D.
        Development of questionnaires for evaluating satisfaction with treatments for erectile dysfunction.
        Urology. 1999; 53: 793-799
        • Brock G.B.
        • McMahon C.G.
        • Chen K.K.
        • Costigan T.
        • Shen W.
        • Watkins V.
        • Anglin G.
        • Whitaker S.
        Efficacy and safety of tadalafil for the treatment of erectile dysfunction: Results of integrated analyses.
        J Urol. 2002; 168: 1332-1336
        • Porst H.
        • Rosen R.
        • Padma‐Nathan H.
        • Goldstein I.
        • Giuliano F.
        • Ulbrich E.
        • Bandel T.
        The efficacy and tolerability of Vardenafil, a new, oral, selective phosphodiesterase type 5 inhibitor, in patients with erectile dysfunction: The first at‐home clinical trial.
        Int J Impot Res. 2001; 13: 192-199
        • Hellstrom W.J.
        • Gittelman M.
        • Karlin G.
        • Segerson T.
        • Thibonnier M.
        • Taylor T.
        • Padma‐Nathan H.
        Vardenafil for treatment of men with erectile dysfunction: Efficacy and safety in a randomized, double‐blind, placebo‐controlled trial.
        J Androl. 2002; 23: 763-771
        • Montorsi F.
        • Padma‐Nathan H.
        • McCullough A.M.
        • Brock G.B.
        • Broderick G.
        • Ahuja S.
        • Whitaker S.
        • Hoover A.
        • Novack D.
        • Murphy A.
        • Varanese L.
        Tadalafil in the treatment of erectile dysfunction following bilateral nerve sparing radical retropubic prostatectomy: A randomized, double‐blind, placebo‐controlled trial.
        J Urol. 2004; 172: 1036-1041
        • Brock G.
        • Mehra A.
        • Lipschultz L.L.
        • Karlin G.S.
        • Gleave M.
        • Seger M.
        • Padma‐Nathan H.
        Safety and efficacy of Vardenafil for the treatment of men with erectile dysfunction after radical retropubic prostatectomy.
        J Urol. 2003; 170: 1278-1283
        • Jiann B.P.
        • Yu C.C.
        • Su C.C.
        • Tsai J.Y.
        Compliance of Sildenafil treatment for erectile dysfunction and factors affecting it.
        Int J Impot Res. 2006; 18: 146-149
        • Mittelman M.A.
        • Glasser D.B.
        • Orezam J.
        Clinical trials of Sildenafil citrate (Viagra®) demonstrate no increase in risk of myocardial infarction and cardiovascular death.
        Int J Clin Pract. 2003; 57: 597-600
        • Reffelmann T.
        • Kloner R.A.
        Vardenafil: A selective inhibitor of phosphodiesterase‐5 for the treatment of erectile dysfunction.
        Expert Opin Pharmacother. 2007; 8: 965-974
        • Kloner R.A.
        • Jackson G.
        • Hutter A.M.
        • Mittleman M.A.
        • Chan M.
        • Warner M.R.
        • Costigan T.M.
        • Vail G.M.
        Cardiovascular safety update of Tadalafil: Retrospective analysis of data from placebo‐controlled and open‐label clinical trials of Tadalafil with as needed, three times‐per‐week or once‐a‐day dosing.
        Am J Cardiol. 2006; 97: 1778-1784
        • Hsiao W.
        • Bennett N.
        • Guhring P.
        • Narus J.
        • Mulhall J.P.
        Satisfaction profiles in men using intracavernosal injection therapy.
        J Sex Med. 2011; 8: 512-517
        • Porst H.
        • Buvat J.
        • Meuleman E.
        • Michal V.
        • Wagner G.
        Intracavernous Alprostadil Alfadex—An effective and well tolerated treatment for erectile dysfunction. Results of a long‐term European study.
        Int J Impot Res. 1998; 10: 225-231
        • Lehmann K.
        • Casella R.
        • Blöchlinger A.
        • Gasser T.C.
        Reasons for discontinuing intracavernous injection therapy with prostaglandin E1 (Alprostadil).
        Urology. 1999; 53: 397-400
        • Montague D.K.
        • Angermeier K.W.
        • Lakin M.M.
        Penile prosthesis infections.
        Int J Impot Res. 2001; 13: 326-328
        • Porena M.
        • Mearini L.
        • Mearini E.
        • Marzi M.
        • Zucchi A.
        Penile prosthesis implantation and couple's satisfaction.
        Urol Int. 1999; 63: 185-187
        • Menard J.
        • Tremeaux J.C.
        • Faix A.
        • Pierrevelcin J.
        • Staerman F.
        Erectile function and sexual satisfaction before and after penile prosthesis implantation in radical prostatectomy patients: A comparison with patients with vasculogenic erectile dysfunction.
        J Sex Med. 2011; 8: 3479-3486
        • Bernal R.M.
        • Henry G.D.
        Contemporary patient satisfaction rates for three‐piece inflatable penile prostheses.
        Adv Urol. 2012; 2012: 707321
        • Akin‐Olugbade O.
        • Parker M.
        • Guhring P.
        • Mulhall J.
        Determinants of patient satisfaction following penile prosthesis surgery.
        J Sex Med. 2006; 3: 743-748
        • Mulhall J.P.
        • Ahmed A.
        • Branch J.
        • Parker M.
        Serial assessment of efficacy and satisfaction profiles following penile prosthesis surgery.
        J Urol. 2003; 169: 1429-1433
        • Martín‐Morales A.
        • Graziottin A.
        • Jaoudé G.B.
        • Debruyne F.
        • Buvat J.
        • Beneke M.
        • Neuser D.
        Improvement in sexual quality of life of the female partner following vardenafil treatment of men with erectile dysfunction: A randomized, double‐blind, placebo‐controlled study.
        J Sex Med. 2011; 8: 2831-2840
        • McCabe M.P.
        • O'Connor E.J.
        • Conaglen J.V.
        • Conaglen H.M.
        The impact of oral ED medication on female partners' relationship satisfaction.
        J Sex Med. 2011; 8: 479-483
        • Deveci S.
        • Martin D.
        • Parker M.
        • Mulhall J.P.
        Penile length alterations following penile prosthesis surgery.
        Eur Urol. 2007; 51: 1128-1131
        • Brody S.
        • Weiss P.
        Simultaneous penile‐vaginal intercourse orgasm is associated with satisfaction (sexual, life, partnership, and mental health).
        J Sex Med. 2011; 8: 734-741