Erectile DysfunctionPHOENIXNCT03849586
Registry for Patients Undergoing Penile Prosthesis Implantation for Male Erectile Dysfunction
An observational study of Erectile Dysfunction, run by European Association of Urology Research Foundation at 30 sites in 8 countries.
Trial summary
Prospective collection of pre-defined parameters on the surgical treatment of male erectile dysfunction using Penile Prosthesis Implants (PPIs). Read more about this study
- Who is it for?
- Ages 18 years and older, men only
- Conditions the study is for
- Erectile Dysfunction
- How many people
- 1,076 participants
- Where
- 30 sitesin 8 countries
- Study dates
- 19 Nov 2021to Feb 2032
- How long will I take part?
- 10 Years
- Phase
- Observational
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- Men only
- No healthy volunteers
- Adult, Older adult
Study population: Male patients undergoing a surgical Penile Prosthesis Implant for treatment of erectile dysfunction.
Who may be able to join
- Male patient undergoing a surgical penile prosthesis implant for treatment of erectile dysfunction.
- Participant is willing and able to give informed consent for participation in the Registry and is able to complete the questionnaires.
Who cannot join
- Participating center is unable to contribute consecutive patients.
Trial locations and contacts
30 sites in 8 countries.
30 sites in 8 countries
Spain14 sites
Fundació Puigvert
Barcelona
Hospital Clínic de Barcelona
Barcelona
Hospital Germans Trias i Pujol
Barcelona
Hospital Universitari de Bellvitge
Barcelona
Hospital Universitario HM Montepríncipe
Boadilla del Monte
Hospital General Universitario Gregorio Marañon
Madrid
Hospital Universitario 12 Octubre
Madrid
Hospital Universitario La Paz
Madrid
Hospital Universitario La Zarzuela
Madrid
Lyx Institute of Urology
Madrid
Hospital Universitario Puerta de Hierro Majadahonda
Majadahonda
Hospital Universitario Rey Juan Carlos
Móstoles
Instituto Médico Rosselló
Palma de Mallorca
Marques de Valdecilla University Hospital
Santander
Belgium5 sites
University Hospital Antwerp
Antwerp
AZ Sint-Jan
Bruges
AZ Maria Middelares
Ghent
Jessa Hospital
Hasselt
UZ Leuven
Leuven
Italy3 sites
IRCCS Azienda Ospedaliero-Universitaria di Bologna
Bologna
Azienda Ospedaliero-Universitaria "Ospedali Riuniti" di Foggia
Foggia
Casa di Cura Città di Parma
Parma
Germany2 sites
University Hospital Essen (AöR)
Essen
University Hospital Schleswig Holstein
Lübeck
Sweden2 sites
Lund University, Skane Hospital,
Malmö
Karolinska University Hospital
Stockholm
United Kingdom2 sites
St.George's University Hospital
London
UCLH
London
About this study
Official title: Prospective Registry for Patients Undergoing Penile Prosthesis Implantation for Male Erectile Dysfunction
Prospective collection of pre-defined parameters on the surgical treatment of male erectile dysfunction using Penile Prosthesis Implants (PPIs).
Read the detailed description
This will be a prospective collection of pre-defined parameters on the surgical treatment of male erectile dysfunction using Penile Prosthesis Implants (PPIs). The data collection will be undertaken from multiple centres in Europe. The participation will be by open invitation from the European Association of Urology (EAU) Section of Genitourinary Reconstructive Surgeons (ESGURS) to all its members, along with other urologists undertaking these procedures.
There will be no restriction on the number of patients enrolled per centre as long as they are consecutive. The aim is to have a long term collection of the dataset from as many centres as possible. An initial assessment for the robustness of the data collection and first clinical evaluation of the data collected will be performed 1 and 2 years after recruitment of the first patient by a nominated steering committee. Thereafter, the evaluations will be performed every 2 years until the end of Registry (10 years after the first patient was enrolled).
- Conditions
- Erectile Dysfunction
- Keywords
- penile prosthesis implant
- Medical subject headings
- Erectile Dysfunction
What is being measured
The primary outcome is the main question the study is designed to answer.
Patient Satisfaction score
Patient Satisfaction score is defined as the mean patient satisfaction score as indicated by the Modified Patient EDITS Questionnaire. All items on the Patient EDITS will be scored from zero (no satisfaction or dissatisfaction) to four (high satisfaction). The mean satisfaction score for each patient will be calculated. To place scores in an easily interpretable metric, each mean score will be multiplied by 25 so that EDITS scores could range from a low of 0 (extremely low treatment satisfaction) to a high of 100 extremely high treatment satisfaction).
Measured: at week 12, year 1, 2, 4, 6, 8 and 10 after surgery
Secondary outcomes (13)
Partner Satisfaction score
Partner Satisfaction score is defined as the mean partner satisfaction score as indicated by the Modified Partner EDITS Questionnaire. All items on the Partner EDITS will be scored from zero (no satisfaction or dissatisfaction) to four (high satisfaction). The mean satisfaction score for the partner will be calculated. To place scores in an easily interpretable metric, each mean score will be multiplied by 25 so that EDITS scores could range from a low of 0 (extremely low treatment satisfaction) to a high of 100 extremely high treatment satisfaction).
Measured: at week 12, year 1, 2, 4, 6, 8 and 10 after surgery
Patient satisfaction rate
The number of patients with an EDITS score ≥ 50 compared to the total number of patients
Measured: at week 12, year 1, 2, 4, 6, 8 and 10 after surgery
Partner satisfaction rate
The number of partners with an EDITS score ≥ 50 compared to the total number of partners
Measured: at week 12, year 1, 2, 4, 6, 8 and 10 after surgery
Overall time being satisfied with treatment since implantation
The interval from the date of regaining a patient EDITS score of 50 or more until the time of EDITS score of less than 50
Measured: up to 10 years post surgery
International Index of Erectile Function - 5 (IIEF short form/SHIM) questionnaire
The IIEF-5 score is the sum of the ordinal responses to five items; thus, the score can range from 0 to 25. Erectile Dysfunction (ED) severity can be classified into the following five categories based on IIEF-5 scores; severe (0-7), moderate (8-11), mild to moderate (12-16), mild (17-21), and no ED (22- 25). Mean IIEF-5 scores will be calculated at the indicated time points and numbers / percentages of patients in the different ED severity categories. Also change in IIEF-5 score compared to baseline will be calculated.
Measured: at baseline, week 12, year 1, 2, 4, 6, 8 and 10 after surgery
Sexual Encounter Profile (SEP) questions 2 and 3
For SEP question 2 and 3, scores are percentage of yes responses relative to number of sexual attempts/encounters. Proportions of yes responses will be treated as continuous variables. Post-operative results will also be compared to baseline.
Measured: at baseline, week 12, year 1, 2, 4, 6, 8 and 10 after surgery
EQ-5D-5L quality of life questionnaire
Results of the EQ-5D-5L quality of life questionnaire will be analyzed as described in the EuroQol EQ-5D-5L user guide. Post-operative results will also be compared to baseline.
Measured: at baseline, week 12, year 1, 2, 4, 6, 8 and 10 after surgery
Quality of Life and Sexuality with Penile Prosthesis (QoLSPP) questionnaire
QoLSPP is a 16-item questionnaire, with 4 domains: the functional, relational, social and personal domain. Responses are structured according to a six-point Likert scale, in most cases ranging from "never" (0) to "always" (5), where higher values represent more positive responses. Individual item scores will be analyzed as well as domain scores.
Measured: at week 12, year 1, 2, 4, 6, 8 and 10 after surgery
Complications
Type of complications, associated symptoms and whether or not a revision was needed will be recorded.
Measured: during surgery and up to 10 years after surgery
Immediate Postoperative complications
Type of complications, associated symptoms and whether or not a revision was needed will be recorded and classified according to the Clavien Dindo grading system.
Measured: until 2 weeks after surgery
Time of first activation, first cycling, first use, first intercourse, first orgasm, if applicable
The date of first cycling (inflating and deflating the prosthesis several times), the date of first activation and first use for sexual activity, the date of first sexual intercourse and the date of first orgasm, if applicable, will be reported.
Measured: up to 10 years post surgery
Time being revision-free
The interval from the date of surgery to the date of revision whereby revision is defined as any urogenital surgical intervention that is related to the function, placement, or site reaction to the implanted device
Measured: up to 10 years post surgery
Revision-free rate
The number of patients who are revision-free compared to the total number of patients.
Measured: at 1, 2, 4, 6, 8 and 10 years of Registry follow-up
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted21 Feb 2019
- Study start19 Nov 2021
- Primary completionFeb 2032 (estimated)
- Study completionFeb 2032 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for Erectile DysfunctionStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 1,076 participants (actual)
- Target duration
- 10 Years
Sponsor and investigators
- Lead sponsor
- European Association of Urology Research Foundation
- Sponsor type
- University, hospital or other
- Collaborators
- Boston Scientific Corporation, Coloplast A/S
- Responsible party
- Sponsor
- Investigators
- Koen van Renterghem, MD, PhD, Principal investigator, Jessa Hospital, Hasselt, Belgium
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03849586
- Sponsor's protocol ID
- EAU-RF 2018-01
- Acronym
- PHOENIX
- Status last verified
- Jun 2026
- First submitted
- 18 Feb 2019
- Last updated
- 16 Jun 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided: Investigators may share anonymized individual data with residents/urologist interested to analyze and publish the results of the registry
Publications
van Renterghem K, Deho F. Perspective on the PHOENIX trial: prospective registry for patients undergoing penile prosthesis implantation for male erectile dysfunction in multiple European centers. Int J Impot Res. 2023 Jun;35(4):329-331. doi: 10.1038/s41443-022-00547-7. Epub 2022 Feb 26. No abstract available.
PubMed 35220417Caris C, Timmerman H, Witjes W, van Renterghem K, Deho F, Pescatori E, Utizi L, Caraceni E. The quality of life and sexuality with penile prosthesis questionnaire. A translation and cross-cultural adaptation into multiple languages. J Sex Med. 2026 Mar 9;23(4):qdag069. doi: 10.1093/jsxmed/qdag069. No abstract available.
PubMed 41838870van Renterghem K, Jorissen C, Van Huele A. Penile length changes after penile implant surgery. J Sex Med. 2023 Nov 30;20(12):1364-1366. doi: 10.1093/jsxmed/qdad125. No abstract available.
PubMed 38037429Van Renterghem K, De Bruyn H, Yebes A, Calopedos R, Deho F, Torremade J, D'Anna M, Bettocchi C, Gomez BG, Caris C, Witjes W, Moncada I, Ralph D; EAU Research Foundation PHOENIX Study Group. Early complications after penile prosthesis surgery: findings from the PHOENIX multicenter registry. Int J Impot Res. 2026 Jan;38(1):30-36. doi: 10.1038/s41443-025-01080-z. Epub 2025 May 7.
PubMed 40335744Van Renterghem K, Yebes A, Lamers G, Torremade J, Bettocchi C, Garcia-Gomez B, Lee WG, Caris C, Witjes W, Moncada I, Ralph D; EAU Research Foundation PHOENIX Study Group. Predictors of penile prosthesis length: results from the PHOENIX registry. Int J Impot Res. 2026 Jun 1. doi: 10.1038/s41443-026-01294-9. Online ahead of print.
PubMed 42225959
Study at a glance
From the registry record, last updated by the sponsor on 16 Jun 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Prospective Registry for Patients Undergoing Penile Prosthesis Implantation for Male Erectile Dysfunction
- ClinicalTrials.gov ID
- NCT03849586
- Acronym / sponsor ID
- PHOENIX / EAU-RF 2018-01
- Conditions
- Erectile Dysfunction
- Keywords
- penile prosthesis implant
- Study type
- Observational
- Recruitment status
- Active, not recruiting
- Enrolment
- 1,076 participants (actual)
- Lead sponsor
- European Association of Urology Research FoundationUniversity, hospital or other
- Collaborators
- Boston Scientific Corporation, Coloplast A/S
- Study start
- 19 Nov 2021 (actual)
- Primary completion
- Feb 2032 (estimated)
- Study completion
- Feb 2032 (estimated)
- First posted
- 21 Feb 2019 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Prospective collection of pre-defined parameters on the surgical treatment of male erectile dysfunction using Penile Prosthesis Implants (PPIs).
Detailed description
This will be a prospective collection of pre-defined parameters on the surgical treatment of male erectile dysfunction using Penile Prosthesis Implants (PPIs). The data collection will be undertaken from multiple centres in Europe. The participation will be by open invitation from the European Association of Urology (EAU) Section of Genitourinary Reconstructive Surgeons (ESGURS) to all its members, along with other urologists undertaking these procedures.
There will be no restriction on the number of patients enrolled per centre as long as they are consecutive. The aim is to have a long term collection of the dataset from as many centres as possible. An initial assessment for the robustness of the data collection and first clinical evaluation of the data collected will be performed 1 and 2 years after recruitment of the first patient by a nominated steering committee. Thereafter, the evaluations will be performed every 2 years until the end of Registry (10 years after the first patient was enrolled).
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Target follow-up
- 10 Years
Who may qualify
- Ages
- 18 years and older
- Sex
- Male only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Male patients undergoing a surgical Penile Prosthesis Implant for treatment of erectile dysfunction.
Key inclusion criteria (2 listed)
- Male patient undergoing a surgical penile prosthesis implant for treatment of erectile dysfunction.
- Participant is willing and able to give informed consent for participation in the Registry and is able to complete the questionnaires.
Key exclusion criteria (1 listed)
- Participating center is unable to contribute consecutive patients.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Patient Satisfaction score
Time frame: at week 12, year 1, 2, 4, 6, 8 and 10 after surgery
Patient Satisfaction score is defined as the mean patient satisfaction score as indicated by the Modified Patient EDITS Questionnaire. All items on the Patient EDITS will be scored from zero (no satisfaction or dissatisfaction) to four (high satisfaction). The mean satisfaction score for each patient will be calculated. To place scores in an easily interpretable metric, each mean score will be multiplied by 25 so that EDITS scores could range from a low of 0 (extremely low treatment satisfaction) to a high of 100 extremely high treatment satisfaction).
13 secondary outcomes
Partner Satisfaction score
Time frame: at week 12, year 1, 2, 4, 6, 8 and 10 after surgery
Patient satisfaction rate
Time frame: at week 12, year 1, 2, 4, 6, 8 and 10 after surgery
Partner satisfaction rate
Time frame: at week 12, year 1, 2, 4, 6, 8 and 10 after surgery
Overall time being satisfied with treatment since implantation
Time frame: up to 10 years post surgery
International Index of Erectile Function - 5 (IIEF short form/SHIM) questionnaire
Time frame: at baseline, week 12, year 1, 2, 4, 6, 8 and 10 after surgery
Sexual Encounter Profile (SEP) questions 2 and 3
Time frame: at baseline, week 12, year 1, 2, 4, 6, 8 and 10 after surgery
EQ-5D-5L quality of life questionnaire
Time frame: at baseline, week 12, year 1, 2, 4, 6, 8 and 10 after surgery
Quality of Life and Sexuality with Penile Prosthesis (QoLSPP) questionnaire
Time frame: at week 12, year 1, 2, 4, 6, 8 and 10 after surgery
Complications
Time frame: during surgery and up to 10 years after surgery
Immediate Postoperative complications
Time frame: until 2 weeks after surgery
Time of first activation, first cycling, first use, first intercourse, first orgasm, if applicable
Time frame: up to 10 years post surgery
Time being revision-free
Time frame: up to 10 years post surgery
Revision-free rate
Time frame: at 1, 2, 4, 6, 8 and 10 years of Registry follow-up
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 16 Jun 2026.
- Background: PubMed 35220417van Renterghem K, Deho F. Perspective on the PHOENIX trial: prospective registry for patients undergoing penile prosthesis implantation for male erectile dysfunction in multiple European centers. Int J Impot Res. 2023 Jun;35(4):329-331. doi: 10.1038/s41443-022-00547-7. Epub 2022 Feb 26. No abstract available.
- Background: PubMed 41838870Caris C, Timmerman H, Witjes W, van Renterghem K, Deho F, Pescatori E, Utizi L, Caraceni E. The quality of life and sexuality with penile prosthesis questionnaire. A translation and cross-cultural adaptation into multiple languages. J Sex Med. 2026 Mar 9;23(4):qdag069. doi: 10.1093/jsxmed/qdag069. No abstract available.
- Results publication: PubMed 38037429van Renterghem K, Jorissen C, Van Huele A. Penile length changes after penile implant surgery. J Sex Med. 2023 Nov 30;20(12):1364-1366. doi: 10.1093/jsxmed/qdad125. No abstract available.
- Results publication: PubMed 40335744Van Renterghem K, De Bruyn H, Yebes A, Calopedos R, Deho F, Torremade J, D'Anna M, Bettocchi C, Gomez BG, Caris C, Witjes W, Moncada I, Ralph D; EAU Research Foundation PHOENIX Study Group. Early complications after penile prosthesis surgery: findings from the PHOENIX multicenter registry. Int J Impot Res. 2026 Jan;38(1):30-36. doi: 10.1038/s41443-025-01080-z. Epub 2025 May 7.
- Results publication: PubMed 42225959Van Renterghem K, Yebes A, Lamers G, Torremade J, Bettocchi C, Garcia-Gomez B, Lee WG, Caris C, Witjes W, Moncada I, Ralph D; EAU Research Foundation PHOENIX Study Group. Predictors of penile prosthesis length: results from the PHOENIX registry. Int J Impot Res. 2026 Jun 1. doi: 10.1038/s41443-026-01294-9. Online ahead of print.
- EAU Research Foundation websiteLink provided by the sponsor.
- Individual participant dataSharing planned: Undecided. Investigators may share anonymized individual data with residents/urologist interested to analyze and publish the results of the registry
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Koen van Renterghem, MD, PhD principal investigator
Jessa Hospital, Hasselt, Belgium
30 sites in 8 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Erectile Dysfunction, run by European Association of Urology Research Foundation at 30 sites in 8 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 16 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 30 sites in Spain, Belgium, Italy, Germany, Sweden and 3 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Patient Satisfaction score (time frame: at week 12, year 1, 2, 4, 6, 8 and 10 after surgery). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03849586, which also lists 5 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 Jun 2026.