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Title: Majority of erectile dysfunction patients would have preferred earlier implantation of their penile prosthesis: validation of the recently changed EAU guidelines
Authors: Van Huele, Andries
Mennes, Jonas
Chung, Eric
Issue Date: 2022
Status: Early view
Abstract: Until 2019, the European Association of Urology guidelines recommended the implantation of a penile prosthesis as a third-line therapy, which has since then changed to "if other treatments fail or depending on the patient's preference". Primary endpoint was to assess whether patients with a penile prosthesis and their partner would have preferred earlier implantation. Secondary endpoints were the reason why patient and partner wanted earlier implantation, how much earlier they wanted it, satisfaction of patient and partner and if patient and partner would have recommended the intervention. We selected patients with a virgin inflatable penile prosthesis operated between April 2013 and December 2019. We included 155 patients and 65 partners. Telephonic interview was conducted in a structured manner. Further data were collected retrospectively. The preference for earlier implantation was reported in 59.4% of patients and 46.2% of partners. Of them, respectively 53.2% and 46.6% would have wanted the prosthesis more than 5 years earlier. Satisfaction was seen in 83.2% of patients and 73.8% of partners. Respectively 82.6% and 78.4% of patients and partners would recommend the procedure. Our results indicate that a more patient-oriented approach with good counseling is desirable and that the "three-level" concept must be abandoned.
Notes: Van Huele, A (corresponding author), Jessa Hosp, Dept Urol, Hasselt, Belgium.; Van Huele, A (corresponding author), Ghent Univ Hosp, Dept Urol, Ghent, Belgium.
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ISSN: 0955-9930
e-ISSN: 1476-5489
DOI: 10.1038/s41443-022-00620-1
ISI #: 000860371600001
Rights: The Author(s), under exclusive licence to Springer Nature Limited 2022
Category: A1
Type: Journal Contribution
Appears in Collections:Research publications

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