{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T17:41:10Z","timestamp":1757612470303,"version":"3.44.0"},"reference-count":31,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2025,7,20]],"date-time":"2025-07-20T00:00:00Z","timestamp":1752969600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,9,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Penile prosthesis implantation (PPI) is a common procedure for refractory erectile dysfunction (ED). Changes in penile size affect patient satisfaction.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Aim<\/jats:title>\n                  <jats:p>To evaluate the predictive value of preoperative penile length measurements for postoperative sexual satisfaction following PPI, with or without lengthening procedures.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Outcomes<\/jats:title>\n                  <jats:p>Postoperative satisfaction and penile length were evaluated at 3\u00a0months using both objective measurements and patient-reported assessments.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>This prospective, randomized comparative study included 61 male patients with organic vascular ED refractory to medical treatment. Patients were divided into two groups:<\/jats:p>\n                  <jats:p>Group A (n\u2009=\u200931): Underwent suspensory ligament release (SLR) with lower penopubic Z-plasty, dorsal and ventral phalloplasty.<\/jats:p>\n                  <jats:p>Group B (n\u2009=\u200930): Underwent PPI alone via a ventral midline penoscrotal incision.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The mean functional and visible penile lengths were significantly greater in Group A compared to Group B (P &amp;lt;\u00a0.001 for both). The erectile dysfunction inventory of treatment satisfaction (EDITS) resting-state score was also significantly higher in Group A (55.2%) than in Group B (0.0%) (P &amp;lt;\u00a0.001). A preoperative Functional Stretched Penile Length (FSPL) cutoff of 12.75\u00a0cm in Group A predicted postoperative satisfaction with 81.8% sensitivity and 71.4% specificity, while in Group B, a cutoff of 14.50\u00a0cm yielded 77.8% sensitivity and 94.7% specificity. Similarly, a Visible Stretched Penile Length (VSPL) cutoff of 10.75\u00a0cm in Group A predicted satisfaction with 81.8% sensitivity and 71.4% specificity, and a cutoff of 12.50\u00a0cm in Group B predicted satisfaction with 66.7% sensitivity and 94.7% specificity.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Clinical Implications<\/jats:title>\n                  <jats:p>Preoperative penile length serves as a predictor of postoperative satisfaction; patients with shorter lengths may benefit from adjunctive lengthening procedures, provided that risks are carefully weighed and thorough preoperative counseling is conducted to align expectations and optimize outcomes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Strengths &amp; Limitations<\/jats:title>\n                  <jats:p>This is the first study to establish preoperative penile length cutoffs predictive of postoperative satisfaction; while its randomized design strengthens validity, limitations include small sample size, single-center setting, lack of participant blinding, and exclusive evaluation of malleable implants, which may reduce clinical applicability and limit generalizability beyond high-volume surgeons performing SLR.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>A preoperative FSPL of &amp;lt;12.75\u00a0cm or VSPL of &amp;lt;10.75\u00a0cm identifies patients most likely to benefit from concomitant lengthening procedures, while those exceeding these thresholds may achieve satisfactory outcomes without augmentation; thus, preoperative assessment of functional and visible stretched penile lengths serves as a valuable predictor of postoperative sexual satisfaction following PPI and highlights the importance of individualized surgical planning to optimize both functional and aesthetic results.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jsxmed\/qdaf169","type":"journal-article","created":{"date-parts":[[2025,7,20]],"date-time":"2025-07-20T05:32:12Z","timestamp":1752989532000},"page":"1681-1689","source":"Crossref","is-referenced-by-count":0,"title":["Maximizing postoperative satisfaction in penile prosthesis surgery: the predictive power of preoperative length and its role in tailoring enhancement procedures"],"prefix":"10.1093","volume":"22","author":[{"given":"Mohamed","family":"Abdelwahab","sequence":"first","affiliation":[{"name":"Faculty of Medicine, Department of Urology, Cairo University, Kasr Al-Ainy , El-Manial, El-Sayeda Zeinab District, Cairo , 11562,","place":["Egypt"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-2117-8785","authenticated-orcid":false,"given":"Adham","family":"AbdelKader","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Urology, Cairo University, Kasr Al-Ainy , El-Manial, El-Sayeda Zeinab District, Cairo , 11562,","place":["Egypt"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammed A","family":"Abdel-Rassoul","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Urology, Cairo University, Kasr Al-Ainy , El-Manial, El-Sayeda Zeinab District, Cairo , 11562,","place":["Egypt"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Waleed","family":"Ghoneima","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Urology, Cairo University, Kasr Al-Ainy , El-Manial, El-Sayeda Zeinab District, Cairo , 11562,","place":["Egypt"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed","family":"Aboul Fotouh El Gharably","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Urology, Cairo University, Kasr Al-Ainy , El-Manial, El-Sayeda Zeinab District, Cairo , 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