(P31) role of penile prosthesis implantation in men with EgoDystonic homosexual orientation
Year: 2025
Type: article
Study design: Observational Study
Abstract: Background ICD-10 defines egodystonic sexual orientation as a sexual preference that the individual wishes were different because of associated psychological and behavioural disorders, and may seek treatment in order to change it. This work describes penile prosthesis implantation (PPI) as a possible aid to pursue a heterosexual relationship in males with egodystonic homosexual orientation (EHO) that is refractory to psychiatric and sexual counseling. Methods This is a retrospective cohort of men with EHO who requested PPI in order to pursue a heterosexual relationship. Men with EHO were advised to engage in psychosexual counseling, and to attempt heterosexual activity or masturbation while fantasizing as per their current orientation, along with phosphodiesterase inhibitors (PDEi’s). Men who failed this protocol for a minimum of six months were approved for PPI as per their documented request and fully informed consent. Results From the year 2010 to 2023, a total of 162 men with EHO requested PPI in two centers. Eighty-eight men completed the aforementioned protocol. Thirty-eight (43.2%) were able to initiate and maintain heterosexual activity with homosexual fantasies and were not operated. Fifty (56.8%) opted for PPI. Forty-eight PPI cases (96%) were able to commence and maintain heterosexual activity throughout the follow-up period. Thirty-six (75%) reported a change in sexual orientation towards bisexuality or heterosexuality, while 12 still fantasized about sexual pleasure. Conclusion Men with egodystonic homosexual orientation may be able to pursue heterosexual activity while fantasizing, possibly aided with PDEis and psychosexual counseling. Men who fail such a protocol may benefit from PPI.
Source: The Journal of Sexual Medicine
Authors: Osama Shaeer, Mohamed Nabil Amin, Kamal Shaeer
Institutions: Cairo University, Beni-Suef University
Language: English
Subfield: Psychiatry and Mental health
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W4416398661
FWCI:
Cites:
Cited by:
Related to: