Reactions to the Implantation of an Inflatable Penile Prosthesis Among Psychogenically and Organically Impotent Men

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Abstract
Seventeen nondepressed and psychologically stable recipients of an inflatable penile prosthesis who were either organically or psychogenically impotent and 12 of their sexual partners were evaluated several months after surgical implantations. The men were evaluated for changes in general psychological adjustment, sexual satisfaction and sexual activity. The partners were assessed separately on similar instruments. Two scales of the Minnesota Multiphasic Personality Inventory (MMPI) had potential for initially discriminating organic and psychogenic impotence. The hypothesis that psychogenic recipients would manifest more psychological difficulties and would be less satisfied was only partially supported. While neither group suffered significant disturbance in psychological adjustment, a consistent pattern was noted in which psychogenic patients were somewhat less satisfied with the results and experienced more postoperative complications. Over-all reactions were positive, including increases in frequency of sexual intercourse and duration of sexual play for patients and their partners.