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<p>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 &lt; 0.001), and treatment interest (p &lt; 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.</p>

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Soft glans after penile prosthesis surgery: a patient-reported study of prevalence and clinical impact

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年4月13日

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  • Sarah Michael,
  • Jack Hay,
  • Evan Maher,
  • Fereshteh Zarnani,
  • Ayman Haider,
  • Vaibhav Modgil,
  • Ian Pearce,
  • Peter Grice

摘要

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.