Survey reveals why patients discontinue IPP use
Penile length concerns, declining health among common reasons for not using device
Springfield, IL—Ten percent of men with penile implants express dissatisfaction with their implant, and 12% either do not use their implant or use it less often than desired, according to data from a patient registry known as PROPPER (Prospective Registry of Outcomes with Penile Prostheses for Erectile Restoration).
Commentary - IPP satisfaction: What you can anticipate
The most common reasons given for not using the implant or using it less than desired are penile length concerns, problems with the pump, a decline in health, and partner issues, said first author Tobias Köhler, MD, MPH, at the 2015 AUA annual meeting in New Orleans.
The vast majority of studies on implant satisfaction “hover around 90%” for satisfaction, said Dr. Köhler, associate professor and residency program director at Southern Illinois University, Springfield. Those data were single series and retrospective in nature.
At the time of Dr. Köhler’s analysis, the PROPPER registry had 958 patients enrolled from 11 sites in the U.S. and Canada. Patients with malleable implants or inflatable prostheses are included. Patients answered questionnaires at baseline and annual follow-up, including questions about satisfaction with their devices. As part of the survey, patients checked boxes that corresponded to their level of satisfaction, but could also write in the reasons for their dissatisfaction or non-use of the devices (or use less often than desired). These responses were abstracted into common themes.
At 1 year, 518 patients had completed follow-up. Ten percent expressed dissatisfaction at 1 year, a finding that remains consistent at 2 years, at which time follow-up data were available for 296 patients.