Abstract

PALERMO LOBAINA, Rider; FRAGAS VALDES, Ramiro; SUAREZ LESCAY, Celso  and  RODRIGUEZ BESTARD, Josefina. Clinical evaluation and life quality of patients with penile prosthesis. MEDISAN [online]. 2012, vol.16, n.7, pp. 1044-1052. ISSN 1029-3019.

A descriptive and longitudinal study was carried out in 29 patients with moderate or severe sexual dysfunction, attended in the Sexology Department of "Dr. Joaquín Castillo Duany" Clinical Surgical Teaching Hospital of Santiago de Cuba, from January 2008 to December 2011, in whom a malleable penile prosthesis was subsequently implanted for not responding to other therapies. Indicators of life quality (before and after surgery) by means of Dembo-Rubistein self-evaluation scale were analyzed, and it was found that before surgery 89.6% of those affected had a marked impairment of erectile function, but after treatment they reached levels of penile erection that allowed penetration. Of the total of the series, 3 patients did not improve this dysfunction, as they suffered extrusion of 1 or 2 cylinders; however, of the two patients that expelled a cylinder, one achieved positive erection (3.4%). Although 2 patients operated (9.6%) did not experience the desired improvement, the treatment was effective in most patients who showed a high level of satisfaction.

Keywords : sexual dysfunction; penile prosthesis; quality of life; sexology department; secondary health care..

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