Ragheb Ahmed, Osmonov Prof. Daniar, Abdallah Dr. Mahmoud, Elmarakby Prof. Akram, Massoud Prof. Amr, Emadelidin Dr. Mohammed, Abdelbary Prof. Ahmed

(38) THE AM-EDITS: A NEW TOOL FOR EVALUATING THE ARABIC SPEAKING PATIENT AND PARTNER SATISFACTION FOLLOWING PENILE PROSTHESIS IMPLANTATION

  • Urology
  • Reproductive Medicine
  • Endocrinology
  • Endocrinology, Diabetes and Metabolism
  • Psychiatry and Mental health
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Abstract Objectives Our aim was to introduce a validated and culture-adapted Arabic version of the Modified Erectile Dysfunction Inventory of Treatment Satisfaction (M-EDITS) to be coined as the Arabic M-EDITS (AM-EDITS). We utilized it to investigate Arab patient and partner satisfaction after malleable penile prosthesis implantation (MPPI). Methods This was a prospective study of 120 patients undergoing MPPI by a single surgeon. We developed a validated Arabic version of the M-EDITS and coined it as the AM-EDITS. Three telephone encounters were conducted for each couple at 1 month, 3 months, and 6 months postoperative (PO). The first encounter covered general patient perioperative experience, from preoperative counseling till early after surgery. The second and third encounters focused on patient and partner satisfaction regarding implant utilization. Results Mean ages for the men and their spouses were 54.7±8.4 and 32.9±4.6 years, respectively. Over 82% of the patients showed a decreased level of anxiety after preoperative counseling. 96% of the patients reported a positive experience regarding their early PO days with above half exceeding their expectations. After 3 months, 82.5% of the men were satisfied, describing their erections to be 80% natural. Of the 92.5% satisfied wives at 3 months, 78.5% were highly satisfied. Feeling sexually desirable by their husbands was reported in 93.4%. Opposed to the significant rise in men’s overall satisfaction and AM-EDITS index by 11.6% and 5.2 ± 0.8% (P <0.001), respectively after 6 months PO, partners demonstrated a 12.4% and 5.9 ± 0.8 decline (P <0.001), respectively, compared to the 3 months PO. Conclusions The AM-EDITS may expand the global application of the M-EDITS. MPPI represents a good quality of life treatment option for low-income countries. Time has a positive effect on the Arab men’s PO satisfaction, opposed to their partners’. These findings should be considered during perioperative counseling of both parties to ensure sustainable satisfaction. Conflicts of Interest The authors have no conflict of interest.

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