Penile Prosthesis Implant in Neurological Patients

  • Elena Vittoria Longhi
  • Leonardo Misuraca


Neurological patients place the surgeon and the psychosexologist in a complex world of physical symptoms and, out of fear of not being listened to, mostly repressed emotions. The penile prosthesis implant is just one of the many clinical experiences for which the patient is traditionally accepted on the grounds of its clinical complexity rather than of the added value it offers to the person, who himself hopes, sooner or later, to be both accepted and valued. Discovering the fears, expectations, and projects of the patient and of the partner is a process that can increase the psychophysical well-being and the satisfaction of the patient after a penile prosthesis implantation.


Prosthesis implantation Erectile dysfunction Penile traction Vacuum device Questionnaire Reliability Satisfactory sexual event Hypoactive sexual desire disorder Quality of life Quality of sexuality in the couple 


  1. 1.
    Smith AE et al (2015) Sexual function, satisfaction and use of clinical procedures for sexual activity in middle-aged adults with long-term physical disabilities. Top Spinal Cord Inj Rehabil 21(3):227–232CrossRefGoogle Scholar
  2. 2.
    Bombardier CH et al (2004) Symptoms of major depression in people with spinal cord injury: implications for screening. Arch Phys Med Rehabil 85(11):1749–1756CrossRefGoogle Scholar
  3. 3.
    Khak M et al (2016) Evaluation of sexual function and its factors in men with spinal cord injury by using a questionnaire. Am J Mens Health 10(1):24–31CrossRefGoogle Scholar
  4. 4.
    Cobo Cuenca AI et al (2015) Psychological impact and sexual dysfunction in men with and without spinal cord injury. J Sex Med 12(2):436–444CrossRefGoogle Scholar
  5. 5.
    Lew Starowicz M et al (2014) Sexual dysfunction and sexual quality of life in men with multiple sclerosis. J Sex Med 11(5):1294–1301CrossRefGoogle Scholar
  6. 6.
    Yoon Seob JI et al (2015) Long-term survival and patient satisfaction with inflatable penile prosthesis for the treatment of erectile dysfunction. Korean J Urol 56(6):461–465CrossRefGoogle Scholar
  7. 7.
    Caraceni E et al (2014) A questionnaire for the evaluation of quality of life after penile prosthesis implant: Quality of life and Sexuality with Penile Prosthesis, (QolSPP). J Sex Med 11:1005–1012CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Elena Vittoria Longhi
    • 1
  • Leonardo Misuraca
    • 2
  1. 1.Department of Urology, Sexual Medical CenterIRCCS San Raphael Hospital, Vita and Salute UniversityMilanItaly
  2. 2.“Regina Elena” National Cancer InstituteRomeItaly

Personalised recommendations