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Instructions

Please answer the following questions based on your personal experience with your inflatable penile implant. Select the one response for each question that best reflects your experience and feelings.

Answer all 16 questions honestly.
Your responses will help your healthcare provider understand your satisfaction and address any concerns you may have.
There are no right or wrong answers.

Overall Satisfaction

Q1. When you attempted sexual intercourse using the penile implant, how often was it satisfactory for you?

Almost never/neverA few times (much less than half the time)Sometimes (about half of the time)Most times (much more than half of the time)Almost always/always

Purpose and Primary Use

The Satisfaction Survey for Inflatable Penile Implant (SSIPI) is a validated patient-reported outcome (PRO) tool specifically developed to measure patient satisfaction following inflatable penile implant (IPP) surgery. As detailed in the validation studies by Salter et al. (2021) and Letwin et al. (2022), its primary purpose is to provide a standardized method for clinicians to gather comprehensive feedback on the patient's post-operative experience. The survey assesses key domains, including overall satisfaction, confidence, pain or discomfort, device appearance (e.g., naturalness, length, girth), and function (e.g., ease of use, reliability).

Clinical Workflow

This survey is intended for administration during post-operative follow-up visits, typically after the patient has had adequate time to heal and use the device. The 16 questions are divided into four main categories: Overall Satisfaction, Pain, Appearance, and Function. The resulting scores offer clinicians valuable insights into specific areas of patient satisfaction and concern. This feedback can be used to facilitate targeted discussions, provide additional patient education on device use, and address any issues to improve overall outcomes.

Scoring

Each of the 16 questions is scored on a 5-point scale, with responses assigned a value from 1 to 5. A higher score consistently indicates a more positive experience or greater satisfaction. The total SSIPI score is the sum of all question scores, ranging from 16 to 80. Additionally, sub-scores are calculated for each domain:

Overall Satisfaction (Questions 1-4): Score range of 4-20
Pain (Questions 5-6): Score range of 2-10
Appearance (Questions 7-12): Score range of 6-30
Function (Questions 13-16): Score range of 4-20

Limitations

The SSIPI is a subjective measure of a patient's personal experience and satisfaction. The results should be interpreted within the context of the individual's clinical history, pre-operative expectations, and counseling. It is not designed to measure objective clinical outcomes like mechanical device reliability or penile rigidity. Patient satisfaction can also be influenced by external factors not covered in this survey, such as partner satisfaction or other psychosocial elements.

All questions & possible results

Overall Satisfaction

Q1. When you attempted sexual intercourse using the penile implant, how often was it satisfactory for you?

Select one option:

Almost never/never
A few times (much less than half the time)
Sometimes (about half of the time)
Most times (much more than half of the time)
Almost always/always

Q2. Overall, how satisfied have you been with the penile implant?

Select one option:

Very dissatisfied
Somewhat dissatisfied
Neither satisfied nor dissatisfied
Somewhat satisfied
Very satisfied

Q3. How confident have you been about your ability to engage in sexual activity with the penile implant?

Select one option:

Not at all confident
Somewhat unconfident
Neither confident nor unconfident
Somewhat confident
Very confident

Q4. Have you experienced any regret about having a penile implant placed?

Select one option:

Very much
Quite a bit
Somewhat
A little bit
Not at all

Pain

Q5. How bothered are you by the pain or discomfort when the implant is activated/inflated?

Select one option:

Very much
Quite a bit
Somewhat
A little bit
Not at all

Q6. When the implant is inflated, how often does the pain or discomfort limit your ability to use the implant?

Select one option:

Almost always/always
Most times (much more than half of the time)
Sometimes (about half of the time)
A few times (much less than half the time)
Almost never/never

Appearance

Q7. How satisfied are you with the naturalness of your erection with the penile implant when activated/inflated?

Select one option:

Very dissatisfied
Somewhat dissatisfied
Neither satisfied nor dissatisfied
Somewhat satisfied
Very satisfied

Q8. How satisfied are you with the length of your penis with the penile implant activated/inflated?

Select one option:

Very dissatisfied
Somewhat dissatisfied
Neither satisfied nor dissatisfied
Somewhat satisfied
Very satisfied

Q9. How satisfied are you with the girth/width of your erection with the penile implant when activated/inflated?

Select one option:

Very dissatisfied
Somewhat dissatisfied
Neither satisfied nor dissatisfied
Somewhat satisfied
Very satisfied

Q10. How satisfied are you with the naturalness of your penis when the penile implant is inactivated/deflated?

Select one option:

Very dissatisfied
Somewhat dissatisfied
Neither satisfied nor dissatisfied
Somewhat satisfied
Very satisfied

Q11. How satisfied are you with your ability to conceal the implant in its inactivated/deflated state?

Select one option:

Very dissatisfied
Somewhat dissatisfied
Neither satisfied nor dissatisfied
Somewhat satisfied
Very satisfied

Q12. How satisfied are you with the location of the pump in your scrotum?

Select one option:

Very dissatisfied
Somewhat dissatisfied
Neither satisfied nor dissatisfied
Somewhat satisfied
Very satisfied

Function

Q13. How often have you had difficulty using the pump in your scrotum to inflate or deflate the device?

Select one option:

Almost always/always
Most times (much more than half of the time)
Sometimes (about half of the time)
A few times (much less than half the time)
Almost never/never

Q14. How often did the penile implant provide an erection suitable for sexual intercourse?

Select one option:

Almost never/never
A few times (much less than half the time)
Sometimes (about half of the time)
Most times (much more than half of the time)
Almost always/always

Q15. How satisfied are you with the ease of use of your penile implant?

Select one option:

Very dissatisfied
Somewhat dissatisfied
Neither satisfied nor dissatisfied
Somewhat satisfied
Very satisfied

Q16. How satisfied are you with the spontaneity of the erection with the penile implant?

Select one option:

Very dissatisfied
Somewhat dissatisfied
Neither satisfied nor dissatisfied
Somewhat satisfied
Very satisfied

Possible results

Overall Satisfaction

A higher number indicates a more positive experience.
Score range is from 4-20 points.
Includes questions 1-4.

Function

A higher number indicates a more positive experience.
Score range is from 4-20 points.
Includes questions 13-16.

Appearance

A higher number indicates a more positive experience.
Score range is from 6-30 points.
Includes questions 7-12.

Pain

A higher number indicates a more positive experience.
Score range is from 2-10 points.
Includes questions 5-6.

Total SSIPI Score

A higher number indicates a more positive experience.
Score range is from 16-80 points.
There are 16 questions.

Citation

Salter CA, Bach PV, Jenkins L, Bennett N, Yafi FA, El Khatib F, Schofield E, Benfante N, Althof SE, Nelson CJ, Mulhall JP. Development and Validation of the Satisfaction Survey for Inflatable Penile Implant (SSIPI). J Sex Med. 2021 Sep;18(9):1641-1651

Literature

Development and Validation of the Satisfaction Survey for Inflatable Penile Implant (SSIPI). J Sex Med. 2021 Sep;18(9):1641-1651
Salter CA, Bach PV, Jenkins L, Bennett N, Yafi FA, El Khatib F, Schofield E, Benfante N, Althof SE, Nelson CJ, Mulhall JP.
https://els-jbs-prod-cdn.jbs.elsevierhealth.com/pb/assets/raw/Health%20Advance/journals/jsxm/JSXM1500.pdf
Development and Validation of a Novel Patient-Reported Outcome Measure for Penile Prosthesis Surgery: The Satisfaction Survey for Inflatable Penile Implant (SSIPI). The Journal of Sexual Medicine, 2022: 19(9), 1465–1471.
Letwin, G., Khera, M., Ziegelmann, M., & Tausch, T. J.
https://doi.org/10.1016/j.jsxm.2022.06.012
(170) Satisfaction with Penile Prosthesis Implantation among Patients with Peyronie’s Disease Using a Contemporary Questionnaire, The Journal of Sexual Medicine, Volume 21, Issue Supplement_1, February 2024, qdae001.161
N Leelani, V Hua, A Shumaker, R Bole, SD Lundy, P Bajic
https://doi.org/10.1093/jsxmed/qdae001.161