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    Survey reveals why patients discontinue IPP use

    Penile length concerns, declining health among common reasons for not using device


    Reasons for not using device reported

    Twelve percent of the patients reported not using their device (11.6% at 1 year and 12.8% at 2 years). The most common reason cited was device dissatisfaction (2.9% at 1 year follow-up and 3.7% at 2 years). Twelve percent also indicated that they used their device but not as often as desired (10.0% at 1 year; 13.9% at 2 years).

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    Device dissatisfaction was cited by 1.2% at 1 year and 0.3% at 2 years as the reason for less use than desired. A device problem was given as the reason for less use than desired by 0.8% at 1 year and 0% at 2 years. Reasons other than device dissatisfaction, device problem, health decline, loss of partner, and partner disinterest were cited by 8.3% at 1 year and 9.8% at 2 years.

    Reasons for less use of penile implants than desired

    Of those that indicated “other” reasons for not using the device, most referred to problems with the device, most often related to the pump, cited by 26% at 1 year and 42% at 2 years; device dissatisfaction most often related to length, cited by 26% at 1 year and 31% at 2 years; health decline (22% at 1 year and 25% at 2 years), and partner issues including partner loss or disinterest (20% at 1 year and 8% at 2 years).

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    Other reasons given for less use than desired were similar to “other” reasons for non-use: health decline (43% at 1 year and 67% at 2 years), device dissatisfaction most often related to length (29% at 1 year; 6% at 2 years); device problems, most often related to the pump (17% at 1 year; 3% at 2 years); and partner issues (15% at 1 year; 22% at 2 years).

    Next: No difference in 1-year satisfaction or dissatisfaction rates when comparing devices with least to most rear tip extenders used.

    Wayne Kuznar
    Wayne Kuznar is a contributor to Urology Times.


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