The impact of sildenafil citrate on sexual satisfaction profiles in men with a penile prosthesis in situ |
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Authors: | Mulhall J P Jahoda A Aviv N Valenzuela R Parker M |
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Affiliation: | Department of Urology, Weill Medical College of Cornell University, New York Presbyterian Hospital, NY, USA. jpm2005@med.cornell.edu |
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Abstract: | OBJECTIVE: To assess the efficacy of sildenafil in increasing penile glans tumescence and improving patient satisfaction in men with a penile prosthesis, as this remains a major treatment for erectile dysfunction but a common complaint is the lack of glans engorgement. PATIENTS AND METHODS: To determine whether sildenafil combined with a penile prosthesis improves satisfaction, patients used an implant alone for at least 1 month, after which they completed the International Index of Erectile Function (IIEF) questionnaire. The same patients were then given sildenafil citrate and completed the IIEF questionnaire after using the sildenafil/implant combination. RESULTS: Patients who responded to sildenafil with glans engorgement reported significantly greater satisfaction scores than with an implant alone. CONCLUSION: We currently offer sildenafil citrate after implantation to all men who have a penile prosthesis placed. |
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Keywords: | erectile dysfunction penile prosthesis sildenafil citrate |
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