TY  - EJOU
AU  - Chung, Paul H. 
AU  - Salib, Andrew 
AU  - Tidwell, Taylor 
AU  - Berry, Kaitlin 
AU  - Leong, Joon Yau 
AU  - Frasso, Rosemary 

TI  - Impact of penile prostheses and  intracavernosal injections on psychosocial  functioning
T2  - Canadian Journal of Urology

PY  - 2022
VL  - 29
IS  - 1
SN  - 1488-5581

AB  - <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.
KW  - erectile dysfunction
KW  -  penile prosthesis
KW  -  intracavernosal injections
KW  -  psychosocial health

DO  -