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August 27, 1982

Experience With Penile Prostheses in the Treatment of Impotence in Diabetic Men

Author Affiliations

From the Departments of Medicine (Drs Beaser and Flood) and Psychiatry (Dr Jacobson), Joslin Diabetes Center, and the Department of Urology, New England Deaconess Hospital (Dr Desautels), Boston; and the Department of Nephrology, University of Miami (Dr Van der Hoek).

JAMA. 1982;248(8):943-948. doi:10.1001/jama.1982.03330080025023

Increasing use of penile prostheses to treat impotence in diabetic men warrants a detailed assessment of functional and subjective outcomes within this group. This study uses record review and patient-partner questionnaire techniques to examine this population and evaluate postoperative satisfaction in terms of changes in patterns of sexual activity, health status, and complication rates. The satisfaction rates among patients and partners were 81% and 83%, respectively. Frequency of sexual activity was increased, and physical enjoyment was improved among satisfied recipients. Most postoperative complications were treatable and led to dissatisfaction only if they were irreparable. Most prostheses are therefore being used successfully. We recommend that impotent diabetic men be informed of the availability of prosthetic implants.

(JAMA 1982;248:943-948)