Evaluation of patient satisfaction using the validated French version of the SSIPI questionnaire after inflatable penile implantation

Abstract

Abstract Background Penile prothesis (PP) is a recommended treatment for erectile dysfunction that is refractory to less invasive treatments, but there are few validated tools to assess patient satisfaction. Aim The aim of this study was to assess patient satisfaction after PP implantation using the French Satisfaction Survey for Inflatable Penile Implant (SSIPI) questionnaire. Methods Demographic, clinical, and perioperative data were collected from all consecutive patients who underwent PP implantation in our center between 2016 and 2021. The French SSIPI questionnaire was completed during a telephone call with each patient by an independent investigator. Outcomes A good functional result was considered when the total SSIPI score was >48, corresponding to a score of >3 for each item. Results The median global SSIPI score for the cohort was 66 (interquartile range [IQR], 60-73), and 53 (89.8%) patients were satisfied. The appearance of the penis with the PP was the item that had the lowest score for satisfaction (median score 23 [IQR, 19–26]), while the patients reported almost no pain (median score 10 [IQR, 9-10]). When patients with a total score of ≤64 were compared with those with a score of >64, PP size was significantly greater in the group with better functional results (P = .03). Clinical Implications Assessment of patient satisfaction with a PP is important because this is the main criterion used to judge the success of surgery. Strengths and Limitations To our knowledge, this is the first study to evaluate the satisfaction of patients with a PP using the French-validated version of SSIPI questionnaire. However, patients came from a single center and the population size was small. Conclusion Almost 90% of patients with a PP were satisfied with the device when satisfaction was assessed using the SSIPI questionnaire.