keyword
https://read.qxmd.com/read/38324457/repair-of-penile-prosthesis-induced-impending-erosion-using-xenograft-during-simultaneous-inflatable-penile-prosthesis-replacement
#21
JOURNAL ARTICLE
Joshua S Jue, Jean-Francois Eid
BACKGROUND: Penile prosthesis (PP)-induced impending erosion is a rare complication that has not been well characterized. AIM: This study evaluates the role of prosthesis sizing and of the safety of xenograft windsock repair (AlloDerm, Tutoplast, ArthroFLEX) of impending erosion. METHODS: This was a retrospective review of xenograft use during inflatable penile prosthesis (IPP) replacement. Patient demographics, prior PP characteristics, and xenograft-augmented IPP characteristics were obtained...
October 31, 2023: Journal of Sexual Medicine
https://read.qxmd.com/read/38278942/preoperative-counseling-for-penile-implant-surgery-standardized-approach-in-a-high-volume-center-of-excellence
#22
REVIEW
Andries Van Huele, Mariet Lenaers, Koenraad Van Renterghem
Shared-decision making is crucial in today's society. Although penile prosthesis surgery has had significant improvements regarding technique and materials over the last few decades - with the highest satisfaction rate in erectile dysfunction treatment at present time -, dissatisfaction can occur because of bad preoperative counseling with the creation of unrealistic expectations. This paper includes a small narrative review regarding the most important preoperative variables to be discussed in the preoperative setting...
January 26, 2024: International Journal of Impotence Research
https://read.qxmd.com/read/38223525/the-natural-history-of-benign-prostatic-hyperplasia-related-voiding-symptoms-following-penile-prosthesis-implantation
#23
JOURNAL ARTICLE
Raevti Bole, Prajit Khooblall, Petar Bajic
BACKGROUND: There is a rising prevalence of benign prostatic hyperplasia (BPH)-related urinary symptoms along with erectile dysfunction in the aging male population. Therefore, assessment of lower urinary tract symptoms (LUTS) is advised before penile prosthesis surgery with some men requiring preoperative transurethral surgical management to reduce the risk of post-procedure complications. However, less is known about the natural history of men with uncomplicated LUTS who do not require surgical management for BPH before penile prosthesis...
2024: Therapeutic Advances in Urology
https://read.qxmd.com/read/38222483/intra-scrotal-epidermoid-cyst-rupture-misdiagnosed-as-a-testicular-prosthesis-rupture-a-case-report
#24
Agostino Fraia, Francesco Di Bello, Gabriele Pezone, Claudia Collà Ruvolo, Gianluigi Califano, Nicola Longo
Testicular cancers represent about 5 % of all urological tumors. Most patients who undergo radical orchiectomy (RO) decide to place a testicular prosthesis, for a cosmetic result and to accept the testicular loss. Among all late complications, a spontaneous prosthesis rupture is a rare event contrary to penile prosthesis. The present study reported the case of a 53-year-old Italian man has presented to our department principally for a suspicious rupture of testicular implant, placed twenty years before after a RO...
January 2024: Urology Case Reports
https://read.qxmd.com/read/38205393/risk-and-benefits-of-penile-length-preservation-techniques-during-penile-prosthesis-implantation-a-systematic-review-by-the-young-academic-urologists-sexual-and-reproductive-health-working-group
#25
REVIEW
Marco Falcone, Mirko Preto, Afonso Ribeiro Morgado, Ioannis Sokolakis, Selçuk Sarıkaya, Marco Capece, Paolo Capogrosso, Celeste Manfredi, Georgios Tsampoukas, Giorgio Russo
BACKGROUND: Penile shortening, frequently resulting from end-stage Peyronie's disease (PD), has a negative impact on patients' sexual activity and overall quality of life, especially when accompanied by Erectile dysfunction (ED). Various surgical techniques have been described to manage concomitant ED and penile shortening through penile prosthesis (PP) implantation. OBJECTIVES: To evaluate the benefits and risks of different penile length preservation techniques during PP implantation...
2024: Therapeutic Advances in Urology
https://read.qxmd.com/read/38196703/penile-prosthesis-in-the-medically-complex-patient-a-narrative-review
#26
REVIEW
Andries Van Huele, Koenraad Van Renterghem
BACKGROUND AND OBJECTIVE: Penile prosthesis surgery is considered a safe and effective treatment for patients with erectile dysfunction. Implantation in the medically complex patient can be a challenge. The benefits of treatment must outweigh the possible risks or complications. A description of possible problems and how to cope with them is given in this narrative review. METHODS: Literature search was performed in January 2023 using different search prompts in PubMed...
December 31, 2023: Translational Andrology and Urology
https://read.qxmd.com/read/38167227/successful-conservative-therapy-for-infected-penile-implants-a-case-series
#27
JOURNAL ARTICLE
Fawaz W Alkeraithe, Abdullah S AlFakhri, Mohammad A Alghafees, Albara M Hariri, Meshari A Alzahrani
BACKGROUND Traditionally, penile implant infections have been treated by removal followed by immediate or delayed replacement. The use of antibiotics in conservative therapy has recently attracted attention. CASE REPORT We report our experience with 4 cases of infected penile implants managed conservatively. Case 1 was a 41-year-old with sickle cell anemia who presented with low-grade fever and purulent discharge that started 1 month postoperatively and lasted for 3 weeks. He had left graft after fibrotic tissue excision with 14-mm collection in the left corpus cavernosum...
January 3, 2024: American Journal of Case Reports
https://read.qxmd.com/read/38144262/successful-re-implantation-of-eroded-penile-prostheses-report-of-two-cases-and-review-of-the-literature
#28
Abbas Basiri, Mazyar Zahir
Prompt removal of eroded penile prostheses is recommended in most cases. However, saving and reimplanting eroded implants may be considered in patients without signs of sepsis, local infection or necrosis during preoperative evaluations and surgical exploration. Notably, close postoperative surveillance is crucial in this setting.
December 2023: Clinical Case Reports
https://read.qxmd.com/read/38126284/penoscrotal-approach-for-inflatable-penile-prosthesis-implant-why-it-should-be-preferred
#29
JOURNAL ARTICLE
Anna Ricapito, Omid Sedigh, Matteo Rubino, Andrea Gobbo, Ugo G Falagario, Pasquale Annese, Vito Mancini, Matteo Ferro, Nicolò Buffi, Luigi Cormio, Giuseppe Carrieri, Gian Maria Busetto, Carlo Bettocchi
INTRODUCTION: Inflatable penile prosthesis are the definitive treatment for erectile dysfunction. The two most used surgical approaches to position the implants are the penoscrotal and the infrapubic. Current trends showed that the penoscrotal approach is extensively preferred however, there is not conclusive evidence demonstrating the superiority of one technique over the other. The aim of this review is to summarize the scientific evidence available and to underline strengths and weaknesses of the two techniques...
December 2023: Minerva urology and nephrology
https://read.qxmd.com/read/38106683/assessing-psychiatric-risk-with-a-focus-on-optimizing-patient-satisfaction-with-penile-prosthesis-placement-a-narrative-review
#30
REVIEW
Sevann Helo, Hannah K Betcher, Matthew Ziegelmann
BACKGROUND AND OBJECTIVE: Treatment for medication-refractory erectile dysfunction (ED) is based on a shared decision-making model. The gold standard treatment for medication refractory ED is penile prosthesis (PP) placement. Patient satisfaction rates with PP are high with adequate counseling and expectation-setting. However, as with any elective surgery, patient selection is key to minimizing complications and ultimately patient dissatisfaction. Psychological well-being is an important consideration in the preoperative evaluation and postoperative management of patients undergoing PP placement...
November 30, 2023: Translational Andrology and Urology
https://read.qxmd.com/read/38087916/long-term-outcomes-after-plaque-excision-grafting-for-peyronie-s-disease-and-subanalysis-of-patients-who-undergo-the-procedure-despite-preoperative-counseling-against-it
#31
JOURNAL ARTICLE
William A Langbo, Vinson Wang, Petar Bajic, Laurence Levine
BACKGROUND: Plaque excision and grafting (PEG) has been recommended for patients with Peyronie's disease (PD) with >60° curvature and/or hinge effect and strong preoperative erections, while placement of an inflatable penile prosthesis (IPP) is recommended when rigidity is suboptimal. Nevertheless, many patients counseled to undergo an IPP decline and insist on proceeding with PEG due to personal preference or desire to avoid an implant. AIM: We aim to review long-term outcomes in patients who underwent PEG for PD at our institution and investigate whether there is any difference in long-term outcomes in patients who undergo PEG despite a recommendation to undergo IPP...
December 12, 2023: Journal of Sexual Medicine
https://read.qxmd.com/read/38014798/evaluation-of-patient-satisfaction-using-the-validated-french-version-of-the-ssipi-questionnaire-after-inflatable-penile-implantation
#32
JOURNAL ARTICLE
Jeanne Beirnaert, Ugo Pinar, Davy Benarroche, William Akakpo, Morgan Rouprêt
BACKGROUND: Penile prothesis (PP) is a recommended treatment for erectile dysfunction that is refractory to less invasive treatments, but there are few validated tools to assess patient satisfaction. AIM: The aim of this study was to assess patient satisfaction after PP implantation using the French Satisfaction Survey for Inflatable Penile Implant (SSIPI) questionnaire. METHODS: Demographic, clinical, and perioperative data were collected from all consecutive patients who underwent PP implantation in our center between 2016 and 2021...
November 27, 2023: Journal of Sexual Medicine
https://read.qxmd.com/read/37980375/perioperative-outcomes-of-penile-prosthesis-implantation-in-germany-results-from-the-grand-study
#33
JOURNAL ARTICLE
Nikolaos Pyrgidis, Gerald B Schulz, Michael Chaloupka, Yannic Volz, Paulo L Pfitzinger, Severin Rodler, Elena Berg, Philipp Weinhold, Friedrich Jokisch, Christian G Stief, Armin J Becker, Julian Marcon
We aimed to assess the recommended annual hospital volume for inflatable penile prosthesis implantation (PPI) and to provide evidence on perioperative outcomes of semi-rigid and inflatable PPI in Germany. We used the GeRmAn Nationwide inpatient Data (GRAND) from 2005 to 2021 and report the largest study to date with 7,222 patients. 6,818 (94.4%) patients underwent inflatable and 404 (5.6%) semi-rigid PPI. Inflatable PPI was significantly associated with shorter length of hospital stay (difference of 2.2 days, 95%CI: 1...
November 18, 2023: International Journal of Impotence Research
https://read.qxmd.com/read/37972898/androgens-and-urethral-health-how-hypogonadism-affects-postoperative-outcomes-of-patients-undergoing-artificial-urinary-sphincter-or-inflatable-penile-prosthesis-placement
#34
JOURNAL ARTICLE
Zachary J Prebay, David H Fu, Paul H Chung
OBJECTIVE: To determine the role of androgens in penile and urethral health., we sought to understand what impact hypogonadism may have on artificial urinary sphincter (AUS) and inflatable penile prosthesis (IPP) outcomes. We hypothesize that patients with hypogonadism are at increased risk of reinterventions, complications, and infections. METHODS: We queried the TriNetX Global Database in March 2023 for patients receiving an AUS or IPP, looking at lifetime reintervention, complication, and infection rates...
November 14, 2023: Urology
https://read.qxmd.com/read/37969769/penile-and-testicular-prosthesis-following-gender-affirming-phalloplasty-and-scrotoplasty-a-narrative-review-and-technical-insights
#35
REVIEW
Michele Fascelli, Finn Hennig, Geolani W Dy
BACKGROUND AND OBJECTIVE: Transgender and gender diverse (TGD) individuals may seek gender-affirming phalloplasty with specific functional goals, including erectile function sufficient for penetrative sexual intercourse. Individuals seeking penile prosthesis placement must accept the potential risks to their phallic anatomy. METHODS: We review current practices at our center and narrative review of literature discussing techniques for penile prosthesis and testicular prosthesis placement after phalloplasty and scrotoplasty, as well as surgical outcomes, and quality of life outcomes where available...
October 31, 2023: Translational Andrology and Urology
https://read.qxmd.com/read/37907669/risk-of-unfavorable-outcomes-after-penile-prosthesis-implantation-results-from-a-national-registry-insist-ed
#36
JOURNAL ARTICLE
Mirko Preto, Marco Falcone, Natalia Plamadeala, Nicolò Schifano, Carlo Bettocchi, Fulvio Colombo, Stefano Fiordelise, Antonio Vitarelli, Mauro Silvani, Nicola Mondaini, Matteo Paradiso, Carlo Ceruti, Francesco Varvello, Fabrizio Palumbo, Antonio Avolio, Gabriele Antonini, Antonio Corvasce, Diego Pozza, Giorgio Franco, Marco Bitelli, Francesco Boezio, Enrico Conti, Enrico Caraceni, Carlo Negro, Maurizio Carrino, Patrizio Vicini, Nicola Ghidini, Giovanni Alei, Emilio Italiano, Massimiliano Timpano, Massimo Polito, Alessandro Natali, Aldo Tamai, Edoardo Pescatori, Federico Dehò, Blecher Gideon, Paolo Gontero, Alessandro Palmieri, Paolo Capogrosso
Like all surgeries, penile prosthesis implantation (PPI) has the potential for both postoperative complications and suboptimal patient satisfaction. In order to assess risk factors for poor satisfaction, we reviewed patients who had been prospectively recruited in a national multi-institutional registry of penile prostheses procedures (INSIST-ED) from 2014 to 20121. Patient baseline characteristics and postoperative complications were recorded. The primary endpoint of this study was unfavorable outcomes after inflatable PPI, defined as significant postoperative complications (Clavien-Dindo ≥2) and/or Sexuality with Quality of Life and Sexuality with Penile Prosthesis (QoLSPP) scores below the 10th percentile...
October 31, 2023: International Journal of Impotence Research
https://read.qxmd.com/read/37898653/penile-implants-in-low-flow-priapism
#37
REVIEW
Musaab Yassin, Runzhi Chen, Michael Ager, Elsayed Desouky, Suks Minhas
Priapism is a persistent or prolonged erection, in the absence of sexual stimulation, that fails to subside. Prolonged ischaemic or low flow priapism is defined as a full or partial erection persisting for more than 4 h and unrelated to sexual interest or stimulation, characterised by little or no cavernous blood flow. Low flow priapism leads to progressive corporal fibrosis, which could, in turn, lead to long-lasting erectile dysfunction if left untreated. Penile prosthesis implantation is recognised as a management option in refractory and delayed low flow priapism for restoring erectile function with high patient satisfaction rates...
October 28, 2023: International Journal of Impotence Research
https://read.qxmd.com/read/37877858/shaeer-s-cavernotome-for-penile-prosthesis-implantation-in-scarred-corpora-cavernosa
#38
JOURNAL ARTICLE
Osama Shaeer, Kamal Shaeer
OBJECTIVE: Penile prosthesis implantation in scarred corporal bodies is one of the most challenging urologic procedures, with high risks of perforation and/or failure. We present Shaeer's Cavernotome (patent application number PCT/EG2021/050003). This is the forward-cutting cavernotome that relies on the principle of controlled coring and grinding rather than forward stabbing, with fibrous tissue accommodated into the hollow core, thereby ensuring high efficacy and low risk of perforation...
March 2023: Urol Res Pract
https://read.qxmd.com/read/37872726/delayed-closed-suction-drain-removal-following-inflatable-penile-prosthesis-placement-a-multi-institutional-experience
#39
JOURNAL ARTICLE
Luke Shumaker, Nicholas Zulia, Emmett Kennedy, Jonathan Beilan, Nicolas Ortiz, Adam Baumgarten
BACKGROUND: There are little published data regarding longer percutaneous drain durations following inflatable penile prosthesis placement; despite this, drain proponents suggest reduced scrotal hematoma formation, while detractors cite the risk of retrograde device seeding. AIM: Here, we quantify the outcomes of a multi-institutional cohort with drain durations of 48 hours or greater. METHODS: Data were collected retrospectively for patients undergoing primary 3-piece inflatable penile prosthesis (IPP) placement who had a postoperative drain placed...
October 23, 2023: Journal of Sexual Medicine
https://read.qxmd.com/read/37864087/perspective-residual-penile-curvature-correction-during-penile-prosthesis-implantation-by-plication-in-peyronie-s-patients
#40
REVIEW
Eric Chung, Gideon Blecher
For patients with large calcified tunical plaque or severe corporal fibrosis which are likely to have a pronounced and persistent residual curvature which may not be correct by penile prosthesis implantation alone, other adjunctive manoeuvres such as penile plication and/or plaque incision with grafting may be necessary. The sequence between penile plication and penile prosthesis implantation is largely dependent on several factors such as the severity of penile curvature, the presence of (calcified) tunical plaque(s) and whether aggressive corporal dilation and subsequent penile remodelling with an inflated implant can straighten any residual penis curvature...
October 20, 2023: International Journal of Impotence Research
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