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https://www.readbyqxmd.com/read/29757723/ct-and-mr-imaging-features-of-artificial-urinary-sphincters-penile-prostheses-and-other-devices-in-the-male-lower-genitourinary-tract
#1
Elizabeth T Chorney, Parvati Ramchandani, William I Jaffe, Evan S Siegelman
Urinary incontinence and erectile dysfunction are relatively common conditions in the aging male population. Surgical interventions for urinary incontinence include placement of an artificial urinary sphincter (AUS), perineal sling, or sacral nerve stimulator and injections of periurethral bulking agents. Erectile dysfunction can be treated surgically with placement of a penile prosthesis. The complications of these devices can be broadly categorized as device component malposition, malfunction, and infection...
May 2018: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/29753801/a-comparative-study-between-2-different-grafts-used-as-patches-after-plaque-incision-and-inflatable-penile-prosthesis-implantation-for-end-stage-peyronie-s-disease
#2
Marco Falcone, Mirko Preto, Carlo Ceruti, Massimiliano Timpano, Giulio Garaffa, Omidreza Sedigh, Mattia Sibona, Marco Oderda, Paolo Gontero, Luigi Rolle
BACKGROUND: Although many grafts have been used for plaque incision with grafting (PIG) and penile prosthesis (PP) implantation, there is no evidence that favors 1 specific graft over another. AIM: To compare fibrin-coated collagen fleece (TachoSil; Baxter International, Deerfield, IL, USA) with porcine small intestinal submucosa (SIS; Cook Biotech, West Lafayette, IN, USA) as grafts. METHODS: From January 2007 to January 2015, 60 non-randomized consecutive patients affected by end-stage Peyronie disease underwent PIG and PP implantation (AMS 700CX; Boston Scientific, Marlborough, MA, USA)...
May 9, 2018: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/29731428/three-piece-inflatable-penile-prosthesis-placement-following-pelvic-radiation-technical-considerations-and-contemporary-outcomes
#3
Jeffrey Loh-Doyle, Mukul B Patil, Zein Nakhoda, Nima Nassiri, Wesley Yip, Kevin Wayne, Leo Doumanian, Stuart D Boyd
BACKGROUND: Pelvic radiation is a known risk factor for the development and progression of erectile dysfunction. When medical therapy fails, the 3-piece inflatable penile prosthesis (IPP) can offer patients a definitive treatment option. Because of radiation-induced vascular changes and tissue fibrosis, a careful surgical approach is necessary to avoid intraoperative complications and attain successful outcomes. Despite its widespread use in prostate cancer treatment, there are no contemporary studies examining the effects that pelvic radiation can have on 3-piece IPP placement and device survival...
May 3, 2018: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/29731427/modified-glanulopexy-technique-for-supersonic-transporter-deformity-and-glanular-hypermobility-in-men-with-penile-prostheses
#4
Matthew J Ziegelmann, Manaf Alom, Raevti Bole, Tobias Kohler, Landon Trost
BACKGROUND: Glanular hypermobility (GH) or supersonic transporter (SST) deformity are occasionally encountered during penile prosthesis (PP) implantation, yet management strategies are underreported with minimal data available on surgical outcomes. AIM: To describe a modified technique for glanulopexy to correct GH/SST in men undergoing PP placement and assess outcomes associated with this technique. METHODS: Glanulopexy was performed in men with GH/SST identified at the time of or following PP placement...
May 3, 2018: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/29730314/comparison-of-infrapubic-vs-penoscrotal-approaches-for-3-piece-inflatable-penile-prosthesis-placement-do-we-have-a-winner
#5
REVIEW
Franco Palmisano, Luca Boeri, Cristiano Cristini, Gabriele Antonini, Matteo Giulio Spinelli, Giorgio Franco, Fabrizio Longo, Franco Gadda, Fulvio Colombo, Emanuele Montanari
BACKGROUND: The 3-piece inflatable penile prosthesis (IPP) is the gold standard treatment for male erectile dysfunction when other less invasive approaches are contra-indicated or unacceptable for the patient. There are currently 2 surgical approaches for IPP implantation: the penoscrotal (PS) and the infrapubic (IP) incision. AIM: To assess the most recent evidence on the impact of surgical approach for 3-piece IPP implantation in patients with erectile dysfunction...
May 2, 2018: Sexual Medicine Reviews
https://www.readbyqxmd.com/read/29730134/penile-wobble-effect-proximal-corporal-deformities-as-a-cause-of-penile-prosthesis-failure
#6
Emad Rajih, Arthur L Burnett
INTRODUCTION: Penile structural defects can contribute toward penile prosthesis (PP) surgical complications and suboptimal outcomes. Despite modern improvements in techniques of inflatable PP (IPP) surgeries, suboptimal outcomes arise secondary to unrecognized proximal corporal abnormalities. AIM: To describe a new observation of IPP failure (wobbly penis) secondary to proximal corporal deformities. METHODS: We performed a retrospective analysis of the Johns Hopkins institutional database of patients who had IPP surgery from May 2006 to March 2017...
May 2, 2018: Sexual Medicine
https://www.readbyqxmd.com/read/29729971/proximal-corporal-perforation-during-penile-prosthesis-surgery-prevention-recognition-and-review-of-historical-and-novel-management-strategies
#7
Amy M Pearlman, Ryan P Terlecki
BACKGROUND: Proximal corporal perforation at time of dilation, although rare, may occur due to factors related to patient anatomy, presence of intra-cavernosal fibrosis, and/or surgical technique. AIM: To describe tools and techniques designed to prevent and identify proximal corporal perforation, and maneuvers to minimize the risk of subsequent cylinder migration once proximal perforation has been recognized, such that the operation may proceed and result in an acceptable outcome...
May 2, 2018: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/29723462/-prevention-and-treatment-of-erectile-dysfunction-after-prostatectomy-an-update
#8
REVIEW
Peng Xu, Yin-Huai Wang
Prostate cancer has the highest incidence among malignant tumors of the urinary system in China. Radical prostatectomy (RP) is the most effective treatment for localized prostate cancer with a good long-term prognosis. Erectile dysfunction (ED) is a common complication after RP, which seriously affects the patient's quality of life. With the rising incidence and early diagnosis of prostate cancer, the proportion of young cases of RP is increasing, and so is the importance of the treatment of post-RP ED. The restoration of erectile function after RP is closely related to the timing of penile rehabilitation as well as to pre- and intra-operative measures such as surgical strategies and methods...
July 2017: Zhonghua Nan Ke Xue, National Journal of Andrology
https://www.readbyqxmd.com/read/29678456/inflatable-penile-prosthesis-placement-scratch-technique-and-postoperative-vacuum-therapy-as-a-combined-approach-in-the-definitive-treatment-of-patients-with-peyronie-s-disease
#9
G Antonini, E De Berardinis, F Del Giudice, G M Busetto, S Lauretti, R Fragas, B I Chung, S L Conti, D Giannarelli, I Sperduti, M S Gross, P E Perito
PURPOSE: Peyronie's disease (PD) is a devastating condition resulting in penile deformity, erectile dysfunction (ED), pain and emotional distress. This prospective two institution study evaluates a multimodal surgical and mechanical combined approach in the definitive treatment of PD and concomitant ED. MATERIALS AND METHODS: 145 selected patients underwent endocavernosal disruption of the PD plaques via the "scratch technique" followed by inflatable penile prosthesis (IPP) insertion...
April 17, 2018: Journal of Urology
https://www.readbyqxmd.com/read/29677873/re-quality-of-life-psychological-functioning-and-treatment-satisfaction-of-men-who-have-undergone-penile-prosthesis-surgery-following-robot-assisted-radical-prostatectomy
#10
https://www.readbyqxmd.com/read/29656065/penile-prosthesis-in-solid-organ-transplant-recipients-a-matched-cohort-study
#11
Andrew Y Sun, Paurush Babbar, Bradley C Gill, Kenneth W Angermeier, Drogo K Montague
OBJECTIVES: To determine whether solid organ transplant (SOT) patients are at higher risk of developing complications after inflatable penile prosthesis (IPP) implantation. METHODS: We retrospectively reviewed outcomes data for all patients with SOT who underwent IPP placement at our institution. A cohort of age-matched IPP recipients without SOT were used as controls. RESULTS: We identified 26 patients who underwent SOT and IPP between 1999-2015, and 26 controls...
April 12, 2018: Urology
https://www.readbyqxmd.com/read/29644476/reconstructive-management-pearls-for-the-transgender-patient
#12
REVIEW
Geolani W Dy, Jeff Sun, Michael A Granieri, Lee C Zhao
PURPOSE OF REVIEW: A growing number of transgender patients are seeking gender-affirming genital reconstructive surgery (GRS). These complex procedures have high complication rates. We describe common surgical pitfalls in GRS and approaches for minimizing complications. RECENT FINDINGS: Penile inversion vaginoplasty has been associated with excellent cosmetic and functional outcomes. A robotic-assisted dissection may minimize risk of rectal injury. As a younger transgender population chooses pubertal suppression, alternative sources for lining the vaginal canal, such as enteric vaginoplasties, may be more widely utilized...
April 11, 2018: Current Urology Reports
https://www.readbyqxmd.com/read/29642349/re-inflatable-penile-prosthesis-as-tissue-expander-what-is-the-evidence
#13
Allen F Morey
No abstract text is available yet for this article.
April 2018: Journal of Urology
https://www.readbyqxmd.com/read/29623703/penile-reconstructive-surgery-in-peyronie-disease-challenges-in-restoring-normal-penis-size-shape-and-function
#14
REVIEW
Eric Chung
PURPOSE: To provide an overview of current approaches to penile reconstructive surgery in Peyronie disease (PD), and to discuss the challenges in restoring normal penile size and function. METHODS: A systematic literature search was conducted to identify the published literature relevant to PD and penile reconstructive surgery. A summary of the published guidelines from major organisations is included in this review paper. DISCUSSION: Penile plication is simple and minimally invasive, and tends to preserve potency in most patients...
March 29, 2018: World Journal of Men's Health
https://www.readbyqxmd.com/read/29623695/a-case-series-of-patients-who-underwent-laparoscopic-extraperitoneal-radical-prostatectomy-with-the-simultaneous-implant-of-a-penile-prosthesis-focus-on-penile-length-preservation
#15
Nicola Mondaini, Tommaso Cai, Enrico Sarti, Gaia Polloni, Andrea Gavazzi, Duccio Conti, Andrea Cocci, Maarten Albersen, Gianmartin Cito, Riccardo Bartoletti
PURPOSE: There are many grey areas in the field of penile rehabilitation after radical prostatectomy (RP). The preservation of the full dimensions of the penis is an important consideration for improving patients' compliance for the treatment. We present the first case series of patients treated by laparoscopic extraperitoneal RP and simultaneous penile prosthesis implantation (PPI) in order to preserve the full length of the penis and to improve patients' satisfaction. MATERIALS AND METHODS: From June 2013 to June 2014, 10 patients underwent simultaneous PPI (with an AMS InhibiZone prosthesis) and RP...
January 26, 2018: World Journal of Men's Health
https://www.readbyqxmd.com/read/29607523/a-new-cause-of-ischaemic-priapism-synthetic-cannabinoids
#16
M Ortac, Y Pazır, A Kadıoğlu
Priapism is a urological emergency that needs early intervention and may lead to irreversible cavernosal damage. Ischaemic priapism is the most common type, which is frequently idiopathic and commonly associated with haematological diseases, medications or recreational drugs. Synthetic cannabinoids (SCs) have been increasingly used all over the world, particularly among young-adult population. SCs can cause severe adverse effects on several organ systems. However, there are no studies in the literature which have stated the possible relationship between using of SCs and priapism...
April 1, 2018: Andrologia
https://www.readbyqxmd.com/read/29550463/penoscrotal-decompression-promising-new-treatment-paradigm-for-refractory-ischemic-priapism
#17
Joceline S Fuchs, Nabeel Shakir, Maxim J McKibben, Shawn Mathur, Sloan Teeple, Jeremy M Scott, Allen F Morey
BACKGROUND: For prolonged ischemic priapism, outcomes after distal shunt are poor, with only 30% success for priapic episodes lasting longer than 48 hours. AIM: To present a novel, glans-sparing approach of corporal decompression through a penoscrotal approach for cases of refractory ischemic priapism (RIP) after failed distal shunt procedures. METHODS: We describe the technique and present our initial experience with penoscrotal decompression (PSD) for treatment of RIP after failed distal shunt...
March 14, 2018: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/29528712/comprehensive-multimodality-imaging-review-of-complications-of-penile-prostheses
#18
Subramaniyan Ramanathan, Michele Bertolotto, Ahmad Shamsodini, Mahmoud Heidous, Vikram Dogra, Parvati Ramchandani
OBJECTIVE: The objective of our article is to review the role of imaging in the diagnosis of various complications of a penile prosthesis (PP). CONCLUSION: Complications of a PP can be categorized into three groups: first, malpositioning, which includes buckling, floppy glans, erosion, migration, and crossover; second, mechanical failure, which includes fracture, aneurysm, and leakage; and, third, infection. Radiography, sonography, CT, and MRI are useful in the detection of these complications and complement each other, with MRI being the most useful imaging modality among them...
March 12, 2018: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/29525539/dynamic-penile-corpora-cavernosa-reconstruction-using-bilateral-innervated-gracilis-muscles-a-preclinical-investigation
#19
Zhuming Yin, Liqiang Liu, Bingjian Xue, Jincai Fan, Wenlin Chen, Zheng Liu
INTRODUCTION: Prosthesis-assisted penile reconstruction has been performed extensively to restore a cosmetically acceptable phallus. However, a large number of patients will undergo revision surgery for various prosthesis-related complications. AIM: To develop a 1-stage prosthesis-free dynamic cavernosa reconstruction method using bilateral innervated gracilis muscles and to investigate the feasibility and reliability of the surgical design. METHODS: 10 fresh cadavers were dissected to assess the availability of bilateral gracilis muscles for functional cavernosa rebuilding...
March 7, 2018: Sexual Medicine
https://www.readbyqxmd.com/read/29523479/andrianne-mini-jupette-graft-at-the-time-of-inflatable-penile-prosthesis-placement-for-the-management-of-post-prostatectomy-climacturia-and-minimal-urinary-incontinence
#20
Faysal A Yafi, Robert Andrianne, Laith Alzweri, Jeffrey Brady, Michael Butcher, Daniel Chevalier, Kenneth J DeLay, Antoine Faix, Georgios Hatzichristodoulou, Wayne J G Hellstrom, Lawrence Jenkins, Tobias S Kohler, Daniar Osmanov, Sun Hung Park, M David Schwabb, Robert Valenzuela, Koenraad van Renterghem, Steven K Wilson
BACKGROUND: After radical prostatectomy (RP), erectile dysfunction, often necessitating the need for inflatable penile prosthesis (IPP) insertion, and urinary incontinence and climacturia can ensue. AIM: To assess the efficacy and safety of the mini-jupette, a mesh used to approximate the medial aspects of the 2 corporotomies at the time of IPP insertion, for the management of climacturia and urine leakage in patients with minimal incontinence. METHODS: We conducted a pilot multicenter study of patients with post-RP erectile dysfunction and climacturia and/or mild urinary incontinence (≤2 pads/day [ppd]) undergoing IPP insertion with concomitant placement of a mini-jupette graft...
March 6, 2018: Journal of Sexual Medicine
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