CLINICAL OUTCOMES AND PATIENT SATISFACTION – MALLEABLE VS. SEMI-RIGID PENILE PROSTHESES IN UZBEKISTAN

Azamjon Makhmudov; Shukhrat Abbosov; Jamshid Rikhsiboev; Shavkat Shavakhabov; Shukhrat Mukhtarov

Authors

Azamjon Makhmudov Doctor of Medical Sciences, Professor, Department of Urology, Tashkent State Medical University. Author
Shukhrat Abbosov PhD, Associate Professor, Department of Urology, Tashkent State Medical University. Author
Jamshid Rikhsiboev PhD, Assistant, Department of Urology, Tashkent State Medical University. Author
Shavkat Shavakhabov PhD, Deputy Director for Science at the “Republican Specialized Scientific and Practical Medical Center of Urology.” Author
Shukhrat Mukhtarov Doctor of Medical Sciences, Professor, Director of the the “Republican Specialized Scientific and Practical Medical Center of Urology.” Author

Keywords:

Erectile dysfunction, penile prosthesis, semi-rigid models

Abstract

Erectile dysfunction (ED) severely impairs male quality of life, and penile prosthesis implantation remains the definitive treatment in refractory cases. This study addresses the urgent need to comparatively evaluate clinical outcomes and patient satisfaction between semi-rigid and malleable penile prostheses within Uzbekistan’s evolving urological practice. A retrospective analysis of 96 patients (46 semi-rigid, 50 malleable) was conducted, assessing complication rates and utilizing the standardized EDITS questionnaire. Multivariate statistical modeling (ANCOVA, logistic regression) was applied to control for baseline covariates like age. The results demonstrate that malleable prostheses drastically reduce complication rates (3.7% vs. 28.3%) and yield significantly higher adjusted patient and partner satisfaction scores (93.01 vs. 67.14) compared to older semi-rigid models. The practical contribution of this study is the mathematical justification for shifting clinical protocols toward modern malleable implants, ultimately optimizing surgical safety and improving postoperative patient quality of life in Uzbekistan

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