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Should being aged over 70 years hinder penile prosthesis implantation?
Author(s) -
AlNajar Amr,
Naumann Carsten Maik,
Kaufmann Sascha,
SteinbachJensch Andrea,
Hamann Moritz Franz,
Jünemann KlausPeter,
Van Der Horst Christof
Publication year - 2009
Publication title -
bju international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 1464-4096
DOI - 10.1111/j.1464-410x.2009.08502.x
Subject(s) - penile prosthesis , medicine , erectile dysfunction , prosthesis , patient satisfaction , telephone interview , surgery , sexual intercourse , prosthesis implantation , telephone survey , population , environmental health , marketing , social science , sociology , business
OBJECTIVE To assess the satisfaction profiles following penile prosthesis surgery in patients with erectile dysfunction (ED) in their seventh decade of life. PATIENTS AND METHODS In all, 174 patients received, for the first time, a penile prosthesis between 1990 and 2007 in our department. Among these, 35 patients were aged ≥70 years at prosthesis implantation. Of these, 18 patients were still alive at the time of follow‐up. Using a telephone survey, patients were asked to answer the Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) as well as the International Index of Erectile Dysfunction (IIEF). Another question in the survey was developed by the authors based on a comprehensive review of the literature, which assessed the usefulness of the device for the patient and the degree of their usage. This was formulated as follows: How many times per 2 weeks do you have a sexual intercourse? RESULTS In all, 15 of 18 patients were either very or somewhat satisfied (83%). At follow‐up 11 out of 15 (73%) patients were using their prosthesis regularly. The mean IIEF and EDITS scores were 21.80 and 75.20, respectively. CONCLUSION A penile prosthesis remains a highly promising treatment in older patients with a similar satisfaction rate to those published for younger patients. Thus, the motivation of the patient and not the age of the patient should be the main determinant factor in this surgical procedure.