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Postoperatively, prosthesis function and patient satisfaction were assessed at 6\u00a0weeks after surgery and then 3\u20136 and 12\u00a0months using EDITS and QoLSPP questionnaires. Patients were asked about residual penile tumescence. Perioperative data were recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Modified EDITS questionnaire after 3,6, and 12\u00a0months was 76.9\u2009\u00b1\u200918, 79\u2009\u00b1\u200917 and 82.3\u2009\u00b1\u200916 respectively. As QOLSPP questionnaire, 46 (73.8%) subjects were highly satisfied, 25 patients (83.3%) in cavernous tissue sparing and 21 patients (70.00%) in Conventional group. While 14 (26.2%) were less satisfied, 5 patients (16.7%) Cavernous tissue sparing and 9 patients (30.00%) in Conventional group. In the cavernous tissue-sparing group, 26 of 30 patients (86.6%) reported having a significantly higher incidence of residual penile tumescence versus 2 of 30 patients (6.6%) in the conventional surgery group (P\u2009&lt;\u2009.001). The age of highly satisfied subjects was significantly lower than those less satisfied (p\u2009=\u20090.025), while the BMI of highly satisfied subjects was significantly lower than those less satisfied (p\u2009=\u20090.001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>There is a significantly higher incidence of residual penile tumescence in Cavernous tissue sparing group. Many factors affect male satisfaction rates after PPI as age, and BMI.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00345-025-05476-w","type":"journal-article","created":{"date-parts":[[2025,2,24]],"date-time":"2025-02-24T16:10:54Z","timestamp":1740413454000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Cavernous tissue preservation technique versus conventional technique during penile prosthesis implantation: a prospective comparative study"],"prefix":"10.1007","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-6491-055X","authenticated-orcid":false,"given":"Mohamed Abdelrahman","family":"Alhefnawy","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7281-7528","authenticated-orcid":false,"given":"Hazem Abdelsabour","family":"Deif","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-7633-3506","authenticated-orcid":false,"given":"Ahmed Farag","family":"wahsh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed Gamal","family":"Ahmed","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7868-5749","authenticated-orcid":false,"given":"Ahmed Mohammed","family":"El-Taher","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-0521-4698","authenticated-orcid":false,"given":"Gamal Abdelmalek","family":"Morsy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-6478-6399","authenticated-orcid":false,"given":"Alaa Rafaat","family":"Mahmoud","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helmy Ahmed","family":"Eldib","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,2,24]]},"reference":[{"key":"5476_CR1","doi-asserted-by":"publisher","first-page":"633","DOI":"10.1016\/j.juro.2018.05.004","volume":"200","author":"AL Burnett","year":"2018","unstructured":"Burnett AL, Nehra A, Breau RH et al (2018) Erectile dysfunction: AUA guideline. 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