ArticleInternational journal of impotence research2026
Soft glans after penile prosthesis surgery: a patient-reported study of prevalence and clinical impact.
Article in International journal of impotence research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Soft glans syndrome, defined as inadequate glans engorgement despite full prosthesis inflation or adequate placement of a malleable implant, is a poorly studied source of dissatisfaction after penile prosthesis surgery, with prevalence often considered low or unknown. We conducted a cross-sectional patient survey of men who underwent penile prosthesis implantation at a tertiary centre between December 2023 and May 2025. The survey addressed glans engorgement, sexual satisfaction, ejaculatory function, cosmetic perception, and treatment interest. Associations were analysed using chi-square tests and univariable logistic regression. Eighty men participated (mean age 59.7 years (SD 9.3), median erectile dysfunction duration of 36 months (IQR 48). Soft glans was reported by 63.3% (n = 50/79), with another 17.7% (n = 14/79) experiencing it half the time or less. Most respondents (79%,n = 62/79) expressed interest in treatment. Soft glans was significantly associated with impaired ejaculatory function (p = 0.019), reduced sexual enjoyment (p < 0.001), and treatment interest (p < 0.001). Older age increased risk (OR 1.07, 95% CI 1.01-1.13, p = 0.014), while BMI, comorbidities, implant type, surgeon seniority, indication, and cosmetic satisfaction showed no association. Based on our single-center cohort analysis, soft glans appears to be a relatively common finding following penile prosthesis surgery. It has important functional and psychosocial consequences, underscoring the need for preoperative counselling and the development of targeted management strategies.
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