Van Huele Dr. Andries, Mennes Dr. Jonas, Chung Prof. Eric, Van Renterghem Prof. Koenraad,

(47) MAJORITY OF ERECTILE DYSFUNCTION PATIENTS WOULD HAVE PREFERRED EARLIER IMPLANTATION OF THEIR PENILE PROSTHESIS: VALIDATION OF THE RECENTLY CHANGED EAU GUIDELINES

  • Urology
  • Reproductive Medicine
  • Endocrinology
  • Endocrinology, Diabetes and Metabolism
  • Psychiatry and Mental health
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Abstract Objectives Until 2019, the European Association of Urology (EAU) 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", thus a more patient oriented approach. The primary endpoint of this study was to assess whether patients with a penile prosthesis and their partner would have preferred earlier implantation. Secondary endpoints were how much earlier and why patient and partner wanted earlier implantation, satisfaction of patient and partner and if patient and partner would have recommended the intervention. Methods We selected patients operated between April 2013 and December 2019. Inclusion criteria were a virgin implantation of an inflatable penile prosthesis (IPP) and a signed informed consent with agreement for a telephonic interview. Exclusion criteria were combined implants and follow-up less than one year. This resulted in a series of 155 patients and 65 partners. Telephonic interview was conducted in a structured manner. Further data were collected retrospectively. Results 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 five 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. Conclusions The majority of erectile dysfunction patients would have preferred earlier implantation of their IPP. Our results indicate that a more patient-oriented approach with good counseling is desirable and that the “three-level” concept must be abandoned. Conflicts of Interest The authors declare no competing interests.

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