The impact of sildenafil citrate on sexual satisfaction profiles in men with a penile prosthesis in situ.

Abstract

To assess the efficacy of sildenafil in increasing penile glans tumescence and improving patient satisfaction in men with a penile prosthesis, as this remains a major treatment for erectile dysfunction but a common complaint is the lack of glans engorgement. To determine whether sildenafil combined with a penile prosthesis improves satisfaction, patients used an implant alone for at least 1 month, after which they completed the International Index of Erectile Function (IIEF) questionnaire. The same patients were then given sildenafil citrate and completed the IIEF questionnaire after using the sildenafil/implant combination. Patients who responded to sildenafil with glans engorgement reported significantly greater satisfaction scores than with an implant alone. We currently offer sildenafil citrate after implantation to all men who have a penile prosthesis placed.