ArticleInternational journal of impotence research2026
Development and validation of the arabic-modified erectile dysfunction inventory of treatment satisfaction (AM-EDITS) for assessing patient and partner satisfaction following malleable penile prosthesis implantation.
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
The Modified Erectile Dysfunction Inventory of Treatment Satisfaction is a validated English questionnaire designed to evaluate satisfaction after penile prosthesis implantation. However, no culturally adapted Arabic version currently exists. The objectives were to develop and validate the Arabic-Modified Erectile Dysfunction Inventory of Treatment Satisfaction for assessing patient and partner satisfaction following malleable penile prosthesis implantation. A prospective single-center validation study was conducted between August 2020 and July 2024. A total of 120 men with medication-refractory erectile dysfunction and their partners were enrolled. The Arabic-Modified Erectile Dysfunction Inventory of Treatment Satisfaction was created using a standardized forward-back translation and expert consensus process, followed by linguistic validation and pilot testing. Internal consistency and reliability were evaluated using Cronbach's α and the intraclass correlation coefficient. Participants completed structured telephone or online surveys at 1, 3, and 6 months postoperatively. Reduction of anxiety after preoperative counseling was evaluated through a direct binary response ("decreased" vs "unchanged"), while satisfaction domains were rated on 4-point Likert scales. The Arabic-Modified Erectile Dysfunction Inventory of Treatment Satisfaction demonstrated excellent psychometric properties (Cronbach's α = 0.979 for males; 0.951 for partners; intraclass correlation coefficient = 0.978 and 0.942, respectively). Preoperative counseling reduced anxiety in 82.5% of patients. At 1 month, 96.0% reported a "positive surgical experience" (defined as postoperative recovery being better or similar to expectations). At 3 months, 82.5% of patients were satisfied, 80.0% described erections as natural, and 92.5% of partners were satisfied (78.5% highly satisfied). By 6 months, patient satisfaction increased to 90.8%, whereas partner satisfaction declined to 84.2% (p < 0.001), suggesting emotional and psychosocial influences over time. Therefore, the Arabic-Modified Erectile Dysfunction Inventory of Treatment Satisfaction is a valid and reliable tool for evaluating satisfaction among Arabic-speaking patients and partners after malleable penile prosthesis. The findings highlight the importance of culturally sensitive counseling that involves both partners throughout the perioperative period.
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