Patients’ satisfaction rate after penile implant surgery: a cross-sectional investigation from the middle east

Despite the fund of literature on patient satisfaction post penile implants across the Western world, to the best of our knowledge, there are no studies investigating this phenomenon at the Middle East and North Africa levels. Therefore, we aimed to examine patient satisfaction after penile prosthesis at a regional center in Jordan. This cross-sectional study was conducted on patients undergoing penile implant surgery between 2018 and 2023. Patient satisfaction was measured using the Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) survey. Included patients were either implanted with malleable (36.0%) or hydraulic penile prosthesis (64.0%). All surgical operations were performed by a single surgeon. Mean differences in EDITS score were analyzed using SPSS version 27.0. A total of 100 patients from 8 different countries were included in the final analysis. Included patients were characterized by a mean age of 57.9 ± 9.7 years, mean BMI of 27.2 ± 3.9 kg/m2, and a mean erectile dysfunction duration of 6.0 ± 4.2 years. Only 33.0% of patients were medically free. Participants who were medically free were 2.7 times (95% CI 1.103-6.466; p = 0.027) less likely to report early complications and 2.2 times (95% CI 1.018-6.107; p = 0.022) less likely to report late complications compared to those with comorbidities. Mean EDITS score for the entire sample was 75.14 ± 22.78. Patients who did not report early or late complications had significantly higher EDITS scores (p = 0.001 and p < 0.001, respectively). EDITS score did not significantly differ across age, BMI, country of residence, or type of penile implant. Our study contributes to the expanding body of evidence that supports the effectiveness of penile implant surgery in managing refractory ED, with high satisfaction rates and clinical efficacy.