This study was aimed to evaluate the long-term acceptance of and satisfaction with penile prostheses in patients with Peyronie's disease and their partners. From 1985 to 1989 seventy men with advanced Peyronie's disease and associated impotence were treated with semirigid penile implants without additional plaque surgery. Sixty-three patients and 35 partners were re-assessed at a followup of at least 60 months. Only 32 patients (51%) and 14 partners (41%) were definetely satisfied with the long-term functional result and would repeat the same operation. Among the 31 dissatisfied patients (49%) loss of complementary erection resulting in a pencil-like penis, decrease in penile sensitivity, poor concealment and persistence of penile deviation were the major complaints. Twenty-one partners (59%) were dissatisfied due to poor penile girth, sensation of a cold glans penis, sensation of unnaturalness of intercourse and dyspareunia. Eleven patients (17%) chose to substitute the semirigid implant with a three-component inflatable prosthesis. On a long-term basis, placement of semirigid penile prostheses for Peyronie's disease is associated with a significant patient-partner unsatisfaction rate.
|Number of pages||4|
|Journal||Acta Urologica Italica|
|Publication status||Published - 1994|
- Peyronie's disease
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