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Published in: Current Urology Reports 2/2023

21-01-2023 | Erectile Dysfunction | Men’s Health (R Carrion, Section Editor)

A Systematic Review of Partner Satisfaction After Penile Prosthesis with Special Emphasis on LGBTQ + Populations

Authors: Armaan Singh, Caleb A. Cooper, Sean W. Hou, Omer A. Raheem

Published in: Current Urology Reports | Issue 2/2023

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Abstract

Purpose of Review

Despite the current surgical advances and patients’ satisfactions after penile prosthesis (PP) implantation, there has been paucity of data on reported partner satisfaction and their quality-of-life (QoL). Our objective was to summarize the current literature on partner satisfaction for both heterosexual and non-heterosexual populations, respectively. We specifically conducted a systematic review according to the Cochrane and Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) standards, and stratified studies into three tiers by methodological rigor.

Recent Findings

After an initial search of 172 articles, 33 studies met the inclusion criteria for the final review: 30 for heterosexual partner satisfaction, and 3 for LGBTQ patient satisfaction were included due to lack of published literature on partner satisfaction for LGBTQ patients. For heterosexual partner satisfaction, 10 studies were classified as Tier 1, 11 studies were classified as Tier 2, and 9 studies were classified as Tier 3. From an initial search of 13 records, three studies consisting of 272 patients met the inclusion criteria for our LGBTQ review. Across all the tiers, studies noted satisfaction rates between 50 and 90% and improved satisfaction and sexual QoL metrics compared to pre-surgery rates. That said, partner satisfaction rates were also consistently lower than patient satisfaction rates.

Summary

Although the range of evidence quality varies, the available literature suggests significant improvements in and relatively high rates of partner satisfaction after PP implantation. Given the diversity of study designs and widespread use of non-validated or non-specific questionnaires in the current literature, future research should focus on prospective studies and/or data collection using validated, PP-specific questionnaires.
Literature
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go back to reference •• Barton GJ, Carlos EC, Lentz AC. Sexual quality of life and satisfaction with penile prostheses. Sex Med Rev. 2019;7(1):178–88. https://doi.org/10.1016/j.sxmr.2018.10.003. This review, published in 2018, provides an in-depth review of the available literature regarding sexual quality-of-life satisfaction in heterosexual patients after penile prosthesis.CrossRef •• Barton GJ, Carlos EC, Lentz AC. Sexual quality of life and satisfaction with penile prostheses. Sex Med Rev. 2019;7(1):178–88. https://​doi.​org/​10.​1016/​j.​sxmr.​2018.​10.​003. This review, published in 2018, provides an in-depth review of the available literature regarding sexual quality-of-life satisfaction in heterosexual patients after penile prosthesis.CrossRef
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go back to reference • Awwad AA, Seif AFA, Farag MAF, GamalEl Din SF, Khalil RY. Sexual functions of females married to males with semi-rigid penile implant: a cross-sectional study. Urologia. 2019;86(4):197–201. https://doi.org/10.1177/0391560319854846. This study was one of the only studies to use a female-specific questionnaire to analyze female partner satisfaction and sexual function after their partners received penile prosthesis surgery.CrossRef • Awwad AA, Seif AFA, Farag MAF, GamalEl Din SF, Khalil RY. Sexual functions of females married to males with semi-rigid penile implant: a cross-sectional study. Urologia. 2019;86(4):197–201. https://​doi.​org/​10.​1177/​0391560319854846​. This study was one of the only studies to use a female-specific questionnaire to analyze female partner satisfaction and sexual function after their partners received penile prosthesis surgery.CrossRef
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Metadata
Title
A Systematic Review of Partner Satisfaction After Penile Prosthesis with Special Emphasis on LGBTQ + Populations
Authors
Armaan Singh
Caleb A. Cooper
Sean W. Hou
Omer A. Raheem
Publication date
21-01-2023
Publisher
Springer US
Published in
Current Urology Reports / Issue 2/2023
Print ISSN: 1527-2737
Electronic ISSN: 1534-6285
DOI
https://doi.org/10.1007/s11934-022-01126-5

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