Infertility & Sexual Dysfunction(구연) (E-187) 음경 보형물 종류에 따른 수술 경과 및 환자와 배우자의 만족도 비교: 157명의 발기부전 환자를 대상으로 단일 기관에서 시행한 음경 보형물 삽입술. 영남대학교 의과대학 비뇨의학교실 김영욱, 이권수, 최재영, 고영휘, 송필현, 정희창, 문기학 Purpose Penile prosthesis implantation (PPI) is the gold standard treatment for patient with refractory erectile dysfunction (ED). However, there was a lack of evidence for patients and his partner’s satisfaction after PPI, especially in Korean men. Therefore, we retrospectively investigated the surgical outcomes and the couples’ satisfaction after PPI, according to type of penile prosthesis. Material and Methods This retrospective study included a total of 157 patients with ED who underwent PPI between January 2000 and December 2017. Of the patients, 73 patients had malleable penile prosthesis (AMS 600) and 84 patients had inflatable penile prosthesis (AMS 700). Couples’ satisfaction was evaluated with the modified Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) questionnaire within 12 months after surgery through face-to face or telephone interview by single disinterested coordinator. Surgical outcomes and mechanical reliability were assessed according to the type of penile prosthesis. Results The mean age of all patients and his partners were 59.8±14.1 and 47.1±9.5 years, respectively. The mean follow-up period was 98.3±69.8 months. The postoperative complications such as infection, device malfunction, and corporal perforation were higher in the inflatable penile prosthesis than in the malleable penile prosthesis (6.8% vs 3.1%, p=0.017). However, couples’ satisfaction after PPI was significantly higher in the inflatable penile prosthesis than in the malleable penile prosthesis (p<0.001). Conclusions Although overall survival rate was lower in the inflatable prosthesis than in the malleable prosthesis, inflatable PPI have higher couples’ satisfaction rates than the malleable PPI. The type of penile prosthesis should be considered according to patient’s expectation and conditions. keywords : Erectile Dysfunction, Penile Prosthesis, Satisfaction