La consultation psychologique dans l'indication d'une prothèse pénienne : une expérience originale de complémentarité médicopsychologique The psychological consultation in the indication of a penile prosthesis: an original experience of medical and psychological complementarity

In the Center for the Study and Treatment of Male Sexual Dysfunction (CETISM) of our University Depart- ment of Urology, a psychological consultation is systemati- cally provided when penile prosthesis implantation is consi- dered by the patient - and the urologist - as a possible solution to his erectile dysfunction. This consultation has three key objectives: to identify - rare - cases of psycholo- gical contraindication, to complete the information already given to the patient during urologic consultations, and to explore the relational, emotional, cognitive and erotic aspects that could influence the decision-making and the integration of the prosthetic solution. It is also and especially to give to the man a central position, an active position, not only for the decision-making, but also for developing a life project which takes into account the decision (positive or negative), a position he often lost from the time he had become "powerless".