@Article{,
AUTHOR = {Paul H. Chung, Andrew Salib, Taylor Tidwell, Kaitlin Berry, Joon Yau Leong, Rosemary Frasso},
TITLE = {Impact of penile prostheses and  intracavernosal injections on psychosocial  functioning},
JOURNAL = {Canadian Journal of Urology},
VOLUME = {29},
YEAR = {2022},
NUMBER = {1},
PAGES = {10969--10975},
URL = {http://www.techscience.com/CJU/v29n1/59983},
ISSN = {1488-5581},
ABSTRACT = {<b>Introduction:</b> Prior studies evaluating the efficacy of penile prostheses (PP) and intracavernosal injections (ICI) have focused predominantly on sexual function, not psychosocial health. We utilized the freelisting technique and the Self-Esteem and Relationship (SEAR) questionnaire to evaluate the impact of PP and ICI treatments on psychosocial functioning.<br/>
<b>Materials and methods:</b> IRB-approval was obtained to perform an evaluation of patients who underwent PP or ICI treatment for erectile dysfunction (ED). Using a modified freelisting approach, participants were asked to give three one-word responses to questions about sexual function and relationships. Participants also completed the SEAR questionnaire and results were calculated based on the previously described formulas.<br/>
<b>Results:</b> Fifty patients agreed to participate in the study (25 ICI, 25 PP). In the freelisting portion of the study, PP patients had more positive responses than ICI patients in 2 out of 3 questions. The freelisting study also identified important areas of concern for ED patients such as self-esteem, confidence, and treatment reliability. PP patients reported numerically higher SEAR total scores than ICI patients (63.9 vs. 53.9, p = 0.12), especially in confidence with duration of (p = 0.003), satisfaction with sexual performance (p = 0.06), and confidence with sexual performance (p = 0.02). SEAR confidence domain (p = 0.83), self-esteem subscale (p = 0.68), and overall relationship sub-scales (p = 0.90) were similar between PP and ICI patients.<br/>
<b>Conclusions:</b> PP appears to have a stronger psychosocial impact compared to ICI; however, both PP and ICI patients continue to struggle with self-esteem, confidence, and treatment reliability. Further patient counseling before and after treatment may help to address these concerns and improve patient satisfaction.},
DOI = {}
}