Extract

Objective

Hydraulic penile prostheses (HPP) have been associated with overall good functional outcomes. Of relevance, some patients reported higher level of satisfaction and quality of life (QoL). We investigated the profile of patients who may benefit the most from HPP.

Methods

Data from a national multi-institutional database of penile prosthesis including patients treated from 2014 to 2017 in Italy (INSIST-ED) were analysed. All data have been prospectively recorded by 45 surgeons on a dedicated website (www.registro.andrologiaitaliana.it) and revised by a single datamanager. Patient’s baseline characteristics were recorded. In order to simultaneously evaluate perceived penile prosthesis function and QoL, all patients were re-assessed at 1-yr follow-up using the validated questionnaire Quality of Life and Sexuality with Penile Prosthesis (QoLSPP). High QoL after surgery was defined as a score higher than the 75th percentile in each subdomains of the QoLSPP. Logistic regression analysis tested the association between clinical characteristics and high QoL after HPP implantation.

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