MP57-14 FREQUENCY OF SEXUAL ACTIVITY AND QUALITY OF LIFE AFTER INFLATABLE PENILE PROSTHESIS PLACEMENT

Introduction: The role of reservoir position was investigated in this series of patients treated with three-pieces penile prosthesis implantation (PPI). The outcomes and the patients’ reported quality of life after insertion of the balloon in the retropubic space, or the Retzius’s space (SOR), were compared with the outcomes of patients who received an intraperitoneal implantation (IP). The study aimed to analyze how the anatomy of the SOR influenced the long-term results of PPI, especially in patients who have been previously exposed to pelvic surgery or radiotherapy. The SOR has usually been identified as ideal for concealing and protecting the reservoir; nevertheless, an increasing rate of patients that ask for a PPI do not conserve the typical favorable characteristic of the SOR. In these cases, the tissue alteration can cause a higher rate of undesired events and can impair the satisfaction from device use. In the recent literature, few articles focus on the topic of reservoir position and very poor information is available about the results of the IP insertion. Materials: Our cohort of patients was retrospectively inspected; the two different subgroups, according to the reservoir position (SOR or IP) were evaluated considering the pre-operative condition, the post-operative complication, the development of undesired events or uncomfortable sensations during the follow-up. The quality of life after PPI was observed as well, with a questionnaire specifically developed for patients treated with PPI. The surgical technique adopted for the intraperitoneal implantation was described. Results: The results of penile prosthesis functionality and patients’ and partners’ reported quality of life (QoL) showed similar results between the two groups but greater satisfaction in the relational domain of the questionnaires adopted was described in the IP subgroup. Conclusion: According to our observations, the IP reservoir insertion guarantees good functionality and lower rates of undesired events after PPI.

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Long term patient satisfaction and quality of life with AMS700CX inflatable penile prosthesis

Archivio Italiano di Urologia e Andrologia ◽

10.4081/aiua.2013.3.133 ◽

2013 ◽

Vol 85 (3) ◽

pp. 133 ◽

Cited By ~ 23

Author(s):

Antonio Vitarelli ◽

Lucia Divenuto ◽

Francesca Fortunato ◽

Antonio Falco ◽

Vincenzo Pagliarulo ◽

...

Keyword(s):

Quality Of Life ◽

Erectile Dysfunction ◽

Penile Prosthesis ◽

Standard Reference Materials ◽

Prosthesis Implantation ◽

Satisfaction Rate ◽

Inflatable Penile Prosthesis ◽

Satisfaction Rates

Objective: Penile prosthesis implantation is the solution of choice in patients who have failed or present contraindication to the use of all conservative treatment for erectile dysfunction (ED). Overall, satisfaction rates are high, with more than 80% of patients and partners fully satisfied with cosmetic and functional result of surgery. Chronic postoperative pain, penile shortening, soft or hyposensitive glans, pencil like penis syndrome and difficulty to cycle the device represent the most common causes of patient’s dissatisfaction. Satisfaction rates are better assessed with the use of validated questionnaires such as the International Index of Erectile Function (IIEF) and the Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) The aim of our study was to analyze the long-term mechanical reliability of the AMS 700CX/CXM inflatable penile prosthesis and the patient’s satisfaction rate using IIEF and EDITS questionaire as standard reference. Materials and methods: A retrospective case notes review of all patients who have undergone implantation of a three pieces inflatable penile prosthesis AMS 700 CX and CXR between October 1997 and December 2010. Overall, 80 patients have undergone implantation of 3 pieces inflatable penile prosthesis AMS 700 CX InhibiZone. Patients have been administered the IIEF-5 and EDITS questionnaires in combination with a non validated 9 domain questionnaire that assesses penile rigidity, sensation, orgasmic function, frequency of intercourse, impact of surgery on the quality of life, satisfaction rate. Results: Overall 10 years survival estimate according to the Kaplan Meier method of AMS 700 CX touch pump and AMS 700 CX momentary squeeze pump are respectively 77.6% and 82.5%. The median postoperative IIEF5 and EDITS score were respectively 21.46 and 73.11, which show a high level of satisfaction. 59 patients (90.8%) were able to cycle the device and were engaging in penetrative sexual intercourse. Conclusions: Penile prosthesis implantation yields excellent results in terms of cosmetic and functional outcome and therefore has a significant impact on patients’ satisfaction, sex life and overall quality of life. Overall, long term reliability has been significantly improved and complication rates are low in the hands of experienced surgeons.

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205 Replacement of Malleable and Two-Piece Implants with an Inflatable Penile Prosthesis is Associated with High Patient Satisfaction and Improved Quality of Life

Journal of Sexual Medicine ◽

10.1016/j.jsxm.2019.01.213 ◽

2019 ◽

Vol 16 (4) ◽

pp. S101

Author(s):

M. Brennan ◽

A. Suarez-Sarmiento ◽

E. Gheiler ◽

P. Perito

Keyword(s):

Quality Of Life ◽

Patient Satisfaction ◽

Penile Prosthesis ◽

High Patient Satisfaction ◽

Inflatable Penile Prosthesis

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213 A Prosthesis-Specific Survey Study: The Sexual Quality of Life Benefits of the Inflatable Penile Prosthesis are Generalizable Across Multiple Patient Subpopulations

Journal of Sexual Medicine ◽

10.1016/j.jsxm.2019.01.222 ◽

2019 ◽

Vol 16 (4) ◽

pp. S105

Author(s):

E. Carlos ◽

C. Peters ◽

L. Davis ◽

J. Chandrapal ◽

G. Barton ◽

...

Keyword(s):

Quality Of Life ◽

Penile Prosthesis ◽

Survey Study ◽

Sexual Quality Of Life ◽

Inflatable Penile Prosthesis

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Quality of life of people living with HIV/AIDS treated by the specialized service in Vitória-ES, Brazil

Ciência & Saúde Coletiva ◽

10.1590/1413-81232015204.00522014 ◽

2015 ◽

Vol 20 (4) ◽

pp. 1075-1084 ◽

Cited By ~ 10

Author(s):

Gabriella Barreto Soares ◽

Cléa Adas Saliba Garbin ◽

Tânia Adas Saliba Rovida ◽

Artênio José Ísper Garbin

Keyword(s):

Quality Of Life ◽

Sexual Activity ◽

Satisfaction With Life ◽

Negative Impact ◽

People Living With Hiv ◽

Health Concerns ◽

Life Issues ◽

Living With Hiv ◽

Hiv Aids

The aim of this study is to establish the factors that influence the quality of life of people living with HIV/AIDS being treated at a specialized public service. The participants answered the questionnaire on sociodemographic conditions, issues related to HIV and daily habits. The quality of life was analyzed using the HIV/AIDS-targeted quality of life (HAT-QoL) instrument with 42 items divided into 9 fields: General Activity, Sexual Activity, Confidentiality Concerns, Health Concerns, Financial Concerns, HIV Awareness, Satisfaction with Life, Issues related to Medication and Trust in the Physician. Bivariate and multiple linear regressions were performed. Of the participants, 53.1% were women and had a mean age of 42 years. In analyzing the quality of life, the HAT-QoL domain with the lowest average was Financial Concerns (39.4), followed by Confidentiality Concerns (43.2), Sexual Activity (55.2) and Health Concerns (62. 88). There was an association between the variables: not being gainfully employed (p < 0.001), being mulatto or black (p = 0.045) and alcohol consumption (p = 0.041) with the worst quality of life scores. Inadequate socioeconomic and health conditions had a negative impact on the quality of life of people with HIV/AIDS.

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The sexuality of a colostomized person as a major component of quality of life and nursing care

Journal of Nursing Education and Practice ◽

10.5430/jnep.v7n8p104 ◽

2017 ◽

Vol 7 (8) ◽

pp. 104

Author(s):

Cristilene Akiko Kimura ◽

Ivone Kamada ◽

Dirce Bellezi Guilhem ◽

Breno Silva de Abreu De Abreu ◽

Renata Costa Fortes ◽

...

Keyword(s):

Quality Of Life ◽

Health Care ◽

Sexual Activity ◽

Nursing Care ◽

Social Issues ◽

Regional Hospital ◽

Qualitative Approach ◽

Educational Process ◽

Care Process

The colostomized person's perceptions regarding sexuality and sexual activity is a major component of quality of life and nursing care, however due to several limitations, the questionnaire only approach, although validated for such applications, has not enough resolution, due to its qualitative approach, to capture more delicate aspects of the impact of an ostomy onto a otherwise healthy patient. In order to correct such bias, a exploratory-descriptive study of a qualitative approach based on Bardain’s content analysis was conducted. 80 colostomized participants were recruited from Stomatology Outpatient Clinics in the Hospital de Base, Regional Hospital of Asa Norte and the Regional Hospital of Gama, Distrito Federal, Brazil. Data was collected through a clinical and sociodemographic questionnaire, as well as an individual interview. The results are presented in five categories: self-concept, leakage issues, odor and gases, stigma, sexual activity and companionship. The analysis suggests that the fulfillment of nursing care ideals, through clear and objective communication, results in the colostomized person's care and can favor in the acceptance of their new way of living. The exchange of knowledge and practices between the colostomized patient and the medical care support crew, in special the nursing care, allows the establishment of strategies that contribute gradually to the full health care, promoting the improvement of the QoL of both the colostomized person as well his/her partner. It is concluded that health services should provide care process in health and nursing, with the purpose of guaranteeing means for the planning of a holistic implementation of health care. This planning should include the psychological support and the educational process that develops one's ability for self-care, which may interfere in the role of sexuality and sexual activity, in addition to the physiological, psychological and social issues.

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Sexual activity and quality of life in patients after treatment for breast and ovarian cancer

Archives of Gynecology and Obstetrics ◽

10.1007/s00404-018-4922-2 ◽

2018 ◽

Vol 299 (1) ◽

pp. 191-201 ◽

Cited By ~ 3

Author(s):

Sebastian Mayer ◽

Severine Iborra ◽

Donata Grimm ◽

Lisa Steinsiek ◽

Sven Mahner ◽

...

Keyword(s):

Quality Of Life ◽

Ovarian Cancer ◽

Sexual Activity ◽

Breast And Ovarian Cancer

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Health-related quality of life in patients undergoing hemodialysis

Vojnosanitetski pregled ◽

10.2298/vsp160511211m ◽

2018 ◽

Vol 75 (3) ◽

pp. 246-252

Author(s):

Gora Miljanovic ◽

Milan Marjanovic ◽

Sonja Radakovic ◽

Miljojko Janosevic ◽

Tatjana Mraovic ◽

...

Keyword(s):

Quality Of Life ◽

Renal Disease ◽

Sexual Activity ◽

Chronic Renal Disease ◽

World Health ◽

Health Related Quality ◽

Related Quality ◽

Health Related ◽

Normal Controls

Background/Aim. Chronic renal disease is one of the growing problems all over the world. Health-related quality of life (HRQoL) is an important indicator for those with a chronic disease, such as chronic renal disease, because it may serve as predictor of mortality and hospitalization. The aim of this study was to assess HRQoL in patients on chronic maintenance hemodialysis (HD), and compare it with patients suffering from hypertension (HTA), and normal controls of the same age and gender (C). Methods. The study enrolled 224 males and females older than 18 years: 67 in the HD group, 78 in the HTA group, and 79 in the C group. HRQoL was assessed in all groups using 15-D questionnaire. Results. Significantly higher level of education was recorded in the HD group compared to other two groups. In the HD group there were significantly less employed persons (9%) and significantly more retired (67.2%). All groups were similar regarding an average monthly income and marital status. We found significantly lower total HRQoL score in patients in the HD group, compared to normal controls (0.78 ? 0.16 vs. 0.89 ? 0.10 in the HTA and 0.95 ? 0.06 in the C group) as well as specific scores in almost all investigated domains, except in speech, eating and mental functions. Patients in the HD and HTA groups had similar self-reported quality of life in additional 3 domains: hearing, elimination and distress, while the HD group reported significantly lower scores in remaining 9 domains: mobility, vision, breathing, sleeping, usual activities, discomfort and symptoms, depression, vitality and sexual activity. Patients in the HTA group had significantly lower scores than normal controls in 8 domains (hearing, sleeping, elimination, usual activities, discomfort and symptoms, depression, distress and vitality) as well as in total quality of life, while in remaining 4 domains there was no significant difference (mobility, vision, breathing, sexual activity). Conclusion. Both investigated chronic diseases lead to impairment of HRQoL, which is substantially stronger in hemodialysis than in hypertension. Considering the relationship between depression and HRQoL measures, it may be useful to treat depression of HD patients in order to improve their quality of life.

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