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Preoperative Psychosocial Evaluation of Penile Prosthesis Candidates

VA Boston Healthcare System, Boston University School of Medicine, erin.ulloa2{at}va.gov

Amy K. Silberbogen, PhD

VA Boston Healthcare System, Boston University School of Medicine

Kirstin Brown, BA

VA Boston Healthcare System

Penile prosthesis surgery is a recommended treatment option for a subset of patients who present with erectile dysfunction (ED). Although treatment outcome research indicates that patients are generally satisfied with this intervention, it remains an invasive procedure with risk for complications. A review of the literature reveals general agreement for the importance of a thorough preoperative evaluation to determine appropriateness for a penile implant; however, there are no known descriptions of such an evaluation in the literature. This article provides an introduction to the domains that are most relevant to assess in a patient who is considering penile implant surgery: sexual history (including organic and psychogenic causes of ED), success and utilization of other treatment interventions, relationship functioning, and patient expectations for and knowledge of the procedure. The advantages to this approach are presented, particularly in enhancing patient satisfaction with treatment outcomes.

Key Words: erectile dysfunction • sexual dysfunction • male • penile prosthesis • preoperative care

References

• Akin-Olugbade, O., Parker, M., Guhring, P., & Mulhall, J. (2006). Determinants of patient satisfaction following penile prosthesis surgery. Journal of Sexual Medicine, 3(4), 743-748.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
• Althof, S.E., Corty, E.W., Levine, S.B., Levine, F., Burnett, A.L., McVary, K., et al. (1999). EDITS: Development of questionnaires for evaluating satisfaction with treatments for erectile dysfunction. Urology, 53(4), 793-799.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
• Banner, L.L., & Anderson, R.U. (2007). Integrated sildenafil and cognitive-behavior sex therapy for psychogenic erectile dysfunction: A pilot study Journal of Sexual Medicine, 4(4 Pt 2), 1117-1125.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
• Beaudreau, S.A., Litz, B.T., & Kaufman, M. (2000). The andrology clinic: Assessment and treatment of male sexual dysfunction in the VA Healthcare System. Federal Practitioner, 17, 11-18.
• Berg, R., Mindus, P., Berg, G., & Gustafson, H. (1984). Penile implants in erectile impotence: Outcome and prognostic indicators. Scandinavian Journal of Urology and Nephrology, 18(4), 277-282.[Web of Science][Medline] [Order article via Infotrieve]
• Bishop, J.R., Moul, J.W., Sihelnik, S.A., Peppas, D.S., Gormley, T.S., & McLeod, D.G. (1992). Use of glycosylated hemoglobin to identify diabetics at high risk for penile periprosthetic infections. Journal of Urology, 147(2), 386-388.[Web of Science][Medline] [Order article via Infotrieve]
• Brinkman, M.J., Henry, G.D., Wilson, S.K., Delk, J.R., 2nd, Denny, G.A., Young, M., et al. (2005). A survey of patients with inflatable penile prostheses for satisfaction Journal of Urology, 174(1), 253-257.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
• Carson, C.C. (2005). Penile prosthesis implantation: Surgical implants in the era of oral medication. Urologic Clinics of North America, 32(4), 503-509, vii.
• Collins, G.F., Jr., & Kinder, B.N. (1984). Adjustment following surgical implantation of a penile prosthesis: A critical overview. Journal of Sex & Marital Therapy, 10(4), 255-271.[Web of Science][Medline] [Order article via Infotrieve]
• Derogatis, L. (2007, August 16). Assessment of sexual function/dysfunction via patient reported outcomes International Journal of Impotence Research. Retrieved October 10, 2007, from http://www.nature.com/ijir/journal/vaop/ncurrent/abs/3901591a.html
• Derogatis, L.R., & Melisaratos, N. (1979). The DSFI: A multidimensional measure of sexual functioning. Journal of Sex & Marital Therapy, 5(3), 244-281.[Web of Science][Medline] [Order article via Infotrieve]
• De Stefani, S., Simonato, A., Capone, M., Ciampalini, S., Maffezzini, M., & Carmignani, G. (1994). The benefit of glans fixation in prosthetic penile surgery Journal of Urology, 152(5 Pt 1), 1533-1534.[Web of Science][Medline] [Order article via Infotrieve]
• Dhar, N.B., Angermeier, K.W., & Montague, D.K. (2006). Long-term mechanical reliability of ams 700cx/cxm inflatable penile prosthesis Journal of Urology, 176(6 Pt 1), 2599-2601; discussion 2601.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
• Evans, C. (1998). The use of penile prostheses in the treatment of impotence. British Journal of Urology, 81(4), 591-598.[Web of Science][Medline] [Order article via Infotrieve]
• Hatzimouratidis, K. (2007). Epidemiology of male sexual dysfunction. American Journal of Men's Health, 1(2), 103-125.[CrossRef]
• Hawton, K., Catalan, J., & Fagg, J. (1992). Sex therapy for erectile dysfunction: Characteristics of couples, treatment outcome, and prognostic factors. Archives of Sexual Behavior, 21(2), 161-175.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
• Heiman, J.R., & Meston, C.M. (1997). Empirically validated treatment for sexual dysfunction. Annual Review of Sex Research, 8, 148-194.[Medline] [Order article via Infotrieve]
• Hollander, J.B., & Diokno, A.C. (1984). Success with penile prosthesis from patient's viewpoint. Urology, 23(2), 141-143.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
• Joseph, D.B., Bruskewitz, R.C., & Benson, R.C., Jr. (1984). Long-term evaluation of the inflatable penile prosthesis. Journal of Urology, 131(4), 670-673.[Web of Science][Medline] [Order article via Infotrieve]
• Kava, B.R., Yang, Y., & Soloway, C.T. (2007). Efficacy and patient satisfaction associated with penile prosthesis revision surgery. Journal of Sexual Medicine, 4(2), 509-518.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
• Kimoto, Y., & Iwatsubo, E. (1994). Penile prostheses for the management of the neuropathic bladder and sexual dysfunction in spinal cord injury patients: Long term follow up. Paraplegia, 32(5), 336-339.[Web of Science][Medline] [Order article via Infotrieve]
• Krauss, D.J., Bogin, D., & Culebras, A. (1983). The failed penile prosthetic implantation despite technical success. Journal of Urology, 129(5), 969-971.[Web of Science][Medline] [Order article via Infotrieve]
• Levine, L.A., Estrada, C.R., & Morgentaler, A. (2001). Mechanical reliability and safety of, and patient satisfaction with the ambicor inflatable penile prosthesis: Results of a 2 center study. Journal of Urology, 166(3), 932-937.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
• Litz, B. (1990). The Andrology Structured Clinical Interview (ASCI) [Unpublished assessment instrument]. Boston: VA Boston Healthcare System.
• Locke, H., & Wallace, K. (1959). Short marital adjustment and prediction tests: Their reliability and validity. Marriage and Family Living, 21, 251-255.[CrossRef][Web of Science]
• Maddock, J. (1980). Assessment and evaluation protocol for surgical treatment of impotence. Sexuality and Disability, 3(1), 39-49.[CrossRef][Web of Science]
• Meisler, A.W., Carey, M.P., Krauss, D.J., & Latinga, L.J. (1988). Success and failure in penile prosthesis surgery: Two cases highlighting the importance of psychosocial factors. Journal of Sex & Marital Therapy, 14(2), 108-119.[Web of Science][Medline] [Order article via Infotrieve]
• Minervini, A., Ralph, D.J., & Pryor, J.P. (2006). Outcome of penile prosthesis implantation for treating erectile dysfunction: Experience with 504 procedures. British Journal of Urology International, 97(1), 129-133.
• Montague, D.K., Angermeier, K.W., & Lakin, M.M. (2001). Penile prosthesis infections International Journal of Impotence Research, 13(6), 326-328.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
• Montorsi, F., Rigatti, P., Carmignani, G., Corbu, C., Campo, B., Ordesi, G., et al. (2000). Ams three-piece inflatable implants for erectile dysfunction: A long-term multi-institutional study in 200 consecutive patients. European Urology, 37(1), 50-55.[Web of Science][Medline] [Order article via Infotrieve]
• Mooreville, M., Adrian, S., Delk, J.R., 2nd, & Wilson, S.K. (1999). Implantation of inflatable penile prosthesis in patients with severe corporeal fibrosis: Introduction of a new penile cavernotome Journal of Urology, 162(6), 2054-2057.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
• Mulcahy, J.J., & Wilson, S.K. (2006). Current use of penile implants in erectile dysfunction. Current Urology Reports, 7(6), 485-489.[CrossRef][Medline] [Order article via Infotrieve]
• Mulhall, J.P., Ahmed, A., Branch, J., & Parker, M. (2003). Serial assessment of efficacy and satisfaction profiles following penile prosthesis surgery. Journal of Urology, 169(4), 1429-1433.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
• Raina, R., Pahlajani, G., Agarwal, A., & Zippe, C. (2007). Treatment of erectile dysfunction: Update. American Journal of Men's Health, 1(2), 126-138.[CrossRef]
• Sadeghi-Nejad, H. (2007). Penile prosthesis surgery: A review of prosthetic devices and associated complications. Journal of Sexual Medicine, 4(2), 296-309.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
• Santucci, R.A., Knopick, C., & Chang, Y. (2007, August 14). Penile prosthesis implantation Retrieved October 6, 2007, from http://cme.emedicine.com/wc.dll?cnetest~showtest~2720QSYDV
• Sarwer, D.B., & Durlak, J.A. (1997). A field trial of the effectiveness of behavioral treatment for sexual dysfunctions. Journal of Sex & Marital Therapy, 23(2), 87-97.[Web of Science][Medline] [Order article via Infotrieve]
• Schover, L.R. (1989). Sex therapy for the penile prosthesis recipient. Urology Clinics of North America, 16(1), 91-98.
• Segraves, R., Schoenberg, H., & Zarins, C. (1982). Psychosexual adjustment after penile prosthesis surgery. Sexuality and Disability, 5(4), 222-229.[CrossRef][Web of Science]
• Silberbogen, A.K., Mori, D.L., & Sogg, S. (2005). The structured interview for the treatment of the hepatitis c virus (SIT-HCV). Journal of Clinical Psychology in Medical Settings, 12, 57-69.[CrossRef][Web of Science]
• Sivalingam, S., Hashim, H., & Schwaibold, H. (2006). An overview of diagnosis and treatment of erectile dysfunction. Drugs, 66(18), 2339-2365.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
• Smith, C.P., Kraus, S.R., & Boone, T.B. (1998). Management of impending penile prosthesis erosion with a polytetrafluoroethylene distal wind sock graft Journal of Urology, 160(6 Pt 1), 2037-2040.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
• Stanley, G.E., Bivalacqua, T.J., & Hellstrom, W.J. (2000). Penile prosthetic trends in the era of effective oral erectogenic agents. Southern Medical Journal, 93(12), 1153-1156.[Web of Science][Medline] [Order article via Infotrieve]
• Szostak, M.J., DelPizzo, J.J., & Sklar, G.N. (2000). The plug and patch: A new technique for repair of corporal perforation during placement of penile prostheses. Journal of Urology, 163(4), 1203-1205.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
• Tefilli, M.V., Dubocq, F., Rajpurkar, A., Gheiler, E.L., Tiguert, R., Barton, C., et al. (1998). Assessment of psychosexual adjustment after insertion of inflatable penile prosthesis. Urology, 52(6), 1106-1112.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
• Tiefer, L., Pedersen, B., & Melman, A. (1988). Psychosocial follow-up of penile prosthesis implant patients and partners. Journal of Sex & Marital Therapy, 14(3), 184-201.[Web of Science][Medline] [Order article via Infotrieve]
• Walker, J. (2007). What is the effect of preoperative information on patient satisfaction? British Journal of Nursing, 16(1), 27-32.[Medline] [Order article via Infotrieve]
• Wilson, S.K., Carson, C.C., Cleves, M.A., & Delk, J.R., 2nd. (1998). Quantifying risk of penile prosthesis infection with elevated glycosylated hemoglobin Journal of Urology, 159(5), 1537-1539; discussion 1539-1540.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
• Wilson, S.K., Cleves, M.A., & Delk, J.R., 2nd. (1999). Comparison of mechanical reliability of original and enhanced mentor alpha i penile prosthesis Journal of Urology, 162(3 Pt 1), 715-718.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
• Zilbergeld, B. (1999). The new male sexuality. New York: Bantam.

This version was published on March 1, 2008

American Journal of Men's Health, Vol. 2, No. 1, 68-75 (2008)
DOI: 10.1177/1557988307313439


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This Article Abstract Free Full Text (Free PDF) Free Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Ulloa, E. W. Articles by Brown, K. Search for Related Content PubMed PubMed Citation Articles by Ulloa, E. W. Articles by Brown, K. Social Bookmarking                         What's this?