COUPLE-BASED PSYCHOSEXUAL OUTCOMES FOLLOWING PENILE PROSTHESIS IMPLANTATION FOR ERECTILE DYSFUNCTION: A PROSPECTIVE STUDY

Authors

  • MOHAMED AHMED ABDELSALAM ASSISTANT PROFESSOR OF ANDROLOGY, SEXOLOGY AND STDS, FACULTY OF MEDICINE, CAIRO UNIVERSITY, CAIRO, EGYPT.
  • AMR MOHAMED GADALLA PROFESSOR OF ANDROLOGY, SEXOLOGY AND STDS, FACULTY OF MEDICINE, CAIRO UNIVERSITY, CAIRO, EGYPT.
  • MOHAMED NASRELDIN SADEK MOHAMED PROFESSOR OF PSYCHIATRY, FACULTY OF MEDICINE, CAIRO UNIVERSITY, CAIRO, EGYPT.
  • MINA SAAD LABIB MASOUD ASSISTANT LECTURER OF ANDROLOGY, SEXOLOGY AND STDS, FACULTY OF MEDICINE, CAIRO UNIVERSITY, CAIRO, EGYPT.
  • ASHRAF SELIM ZEIDAN ASSISTANT PROFESSOR OF ANDROLOGY, SEXOLOGY AND STDS, FACULTY OF MEDICINE, CAIRO UNIVERSITY, CAIRO, EGYPT.
  • AHMED ADEL ABDEL SALAM LECTURER OF ANDROLOGY, SEXOLOGY AND STDS, FACULTY OF MEDICINE, CAIRO UNIVERSITY, CAIRO, EGYPT.

Keywords:

Psychosexual Impact, Penile Prosthesis Implant, Erectile Dysfunction, Quality of Life

Abstract

Background:Penile prosthesis (PP) implantation is widely regarded as an effective treatment for erectile dysfunction (ED), with over 80% of patients and their partners reporting satisfaction. Notably, satisfaction rates are higher—ranging from 86% to 93%—with three-component hydraulic prostheses compared to other types. This study aimed to assess marital and sexual satisfaction, quality of life, and the psychological impact on both patients and their partners before and after PP implantation.

Methods:A randomized controlled clinical trial was carried out involving 57 patients, aged 35 to 75 years, who had experienced severe organic erectile dysfunction for a minimum of six months. Postoperative satisfaction was measured through various standardized questionnaires assessing sexual satisfaction, marital satisfaction, quality of life—including comparisons between fertile and infertile couples—and the Female Sexual Function Index, along with its individual domain scores.

Results: There was a significant relation between Female genital mutilation (FGM) and marital satisfaction female 6 and 9 months (P<0.05). A notable negative linkage was found among wife age and (quality of life female, marital satisfaction female, and sexual satisfaction female), wife age and (quality of life and sexual satisfaction at 3, 6 months).  Females baseline sexual function at baseline was positively associated with all quality-of-life parameters, sexual satisfaction and marital satisfaction of males and females at 3, 6 and 9 months (P<0.05).  Paired comparison of quality of life and marital and sexual satisfaction of males and females at baseline and after 3, 6 and 9 months showed notable marked improvement of quality of life (P<0.001).

Conclusions:PP implantation is an effective approach in management of participants with organic ED with underlying comorbidities with acceptable rates of postoperative complications.

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How to Cite

ABDELSALAM, M. A., GADALLA, A. M., MOHAMED, M. N. S., MASOUD, M. S. L., ZEIDAN, A. S., & SALAM, A. A. A. (2025). COUPLE-BASED PSYCHOSEXUAL OUTCOMES FOLLOWING PENILE PROSTHESIS IMPLANTATION FOR ERECTILE DYSFUNCTION: A PROSPECTIVE STUDY. TPM – Testing, Psychometrics, Methodology in Applied Psychology, 32(S4(2025): Posted 17 July), 1381–1388. Retrieved from https://tpmap.org/submission/index.php/tpm/article/view/908

Issue

Vol. 32 No. S4(2025): Posted 17 July (2025)

Section

Articles

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