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Penile prosthetics

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https://www.readbyqxmd.com/read/29795529/infection-risk-of-undergoing-multiple-penile-prostheses-an-analysis-of-referred-patient-surgical-histories
#1
Brian D Montgomery, Derek J Lomas, Matthew J Ziegelmann, Landon W Trost
Inflatable penile prosthesis (IPP) is the gold standard for medically refractory erectile dysfunction. Infectious complications remain a significant concern in IPP revision surgery. We sought to evaluate the impact of number of IPP surgeries on subsequent infection rates. A retrospective analysis was performed on all new patients (self or outside provider referred) presenting for consideration of IPP revision or salvage surgery between 2013 and 2015. Histories were reviewed including number of prior IPPs, reason for evaluation, and rate, number, and timing of prior IPP infections...
May 25, 2018: International Journal of Impotence Research
https://www.readbyqxmd.com/read/29783561/re-trends-in-penile-prosthetics-influence-of-patient-demographics-surgeon-volume-and-hospital-volume-on-type-of-penile-prosthesis-inserted-in-new-york-state
#2
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/29730314/comparison-of-infrapubic-vs-penoscrotal-approaches-for-3-piece-inflatable-penile-prosthesis-placement-do-we-have-a-winner
#4
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
#5
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/29623703/penile-reconstructive-surgery-in-peyronie-disease-challenges-in-restoring-normal-penis-size-shape-and-function
#6
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/29570371/introduction-to-imaging-of-penile-prostheses-a-primer-for-the-radiologist
#7
Subramaniyan Ramanathan, Michele Bertolotto, Ahmad Shamsodini, Mahmoud Al Heidous, Vikram Dogra, Parvati Ramchandani
OBJECTIVE: The purpose of this article is to provide radiologists with an introduction to the imaging appearances of various types of penile prostheses and discuss imaging pitfalls. CONCLUSION: Two major types of penile prostheses currently are in use: malleable penile prostheses and inflatable penile prostheses. Sonography is useful in the assessment of the pelvic reservoir and scrotal pump. MRI helps in the complete evaluation of all the prosthetic components, making it a "one-stop shop" imaging technique...
June 2018: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/29550463/penoscrotal-decompression-promising-new-treatment-paradigm-for-refractory-ischemic-priapism
#8
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...
May 2018: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/29536118/-reconstructive-surgery-in-penile-cancer
#9
REVIEW
M Sohn, M Dietrich, A Wirthmann, U M Rieger
BACKGROUND: Due to the rising incidence of penile cancer and increasing life expectancy in western nations, the current international guidelines recommend a less aggressive surgical approach with reduced safety margins and preferably with organ preservation. OBJECTIVES: The goal of this review is to review the current data on stage-dependent reconstructive surgical techniques and their oncological and functional results. MATERIALS AND METHODS: Five recently published reviews and several single studies and publications on the topic of organ-sparing surgical techniques and penile reconstruction were evaluated to draw conclusions for surgery in penile cancer...
April 2018: Der Urologe. Ausg. A
https://www.readbyqxmd.com/read/29452979/3-piece-inflatable-penile-prosthesis-placement-following-radical-cystoprostatectomy-and-urinary-diversion-technique-and-outcomes
#10
Jeffrey Loh-Doyle, Mukul B Patil, Hari Sawkar, Kevin Wayne, Stuart D Boyd
BACKGROUND: After radical cystoprostatectomy (RC), postoperative erectile dysfunction (ED) is a common consequence with multiple contributing etiologies. The inflatable penile prosthesis (IPP) offers patients a definitive treatment option when ED is refractory to medical therapies. Because of the hostile postoperative anatomy of these patients, a careful surgical approach is necessary for successful outcomes and to avoid adjacent organ injury. To date, there is no series describing the outcomes of 3-piece IPP placement in patients with urinary diversions...
February 13, 2018: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/29354506/inflatable-penile-prosthesis-implant-length-with-baseline-characteristic-correlations-preliminary-analysis-of-the-propper-study
#11
Nelson Bennett, Gerard Henry, Edward Karpman, William Brant, LeRoy Jones, Mohit Khera, Tobias Kohler, Brian Christine, Eugene Rhee, Bryan Kansas, Anthony J Bella
Background: "Prospective Registry of Outcomes with Penile Prosthesis for Erectile Restoration" (PROPPER) is a large, multi-institutional, prospective clinical study to collect, analyze, and report real-world outcomes for men implanted with penile prosthetic devices. We prospectively correlated co-morbid conditions and demographic data with implanted penile prosthesis size to enable clinicians to better predict implanted penis size following penile implantation. We present many new data points for the first time in the literature and postulate that radical prostatectomy (RP) is negatively correlated with penile corporal length...
December 2017: Translational Andrology and Urology
https://www.readbyqxmd.com/read/29339015/ambicor-2-piece-inflatable-penile-prosthesis-who-and-how
#12
George A Abdelsayed, Laurence A Levine
BACKGROUND: Currently the Ambicor is the only 2-piece inflatable penile prosthesis (IPP) available in the United States. By eliminating the separate reservoir, this provides certain advantages for patient and surgeon. Nevertheless, it composes a small percentage of all IPPs implanted in the United States. AIM: To detail the surgical technique for implantation, describe the ideal patient candidates best suited for the Ambicor, and discuss the most common and some rare complications with a review of the available published literature in combination with our clinical experience...
March 2018: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/29299902/role-of-penile-prosthesis-in-priapism-a-review
#13
REVIEW
Amit G Reddy, Laith M Alzweri, Andrew T Gabrielson, Gabriel Leinwand, Wayne J G Hellstrom
Ischemic priapism is a urological emergency that has been associated with long-standing and irreversible adverse effects on erectile function. Studies have demonstrated a linear relationship between the duration of critically ischemic episodes and the subsequent development of corporal fibrosis and irreversible erectile function loss. Placement of a penile prosthesis is a well-established therapeutic option for the management of erectile dysfunction secondary to ischemic priapism, and will be the focus of this review...
January 2018: World Journal of Men's Health
https://www.readbyqxmd.com/read/29239405/a-novel-proposal-to-address-the-future-of-penile-prosthetics-are-we-currently-focused-in-the-wrong-direction
#14
EDITORIAL
Jason R Kovac
No abstract text is available yet for this article.
November 2017: Translational Andrology and Urology
https://www.readbyqxmd.com/read/29239399/centers-of-excellence-for-penile-prosthetics-are-a-novel-concept-that-will-likely-prove-difficult-to-implement
#15
EDITORIAL
Jason R Kovac
No abstract text is available yet for this article.
November 2017: Translational Andrology and Urology
https://www.readbyqxmd.com/read/29239398/improved-outcomes-from-penile-prosthetic-implantation-surgery-may-be-achieved-via-a-consistent-team-based-approach
#16
EDITORIAL
Jason R Kovac
No abstract text is available yet for this article.
November 2017: Translational Andrology and Urology
https://www.readbyqxmd.com/read/29238663/prevention-identification-and-management-of-post-operative-penile-implant-complications-of-infection-hematoma-and-device-malfunction
#17
REVIEW
Timothy K O'Rourke, Alexander Erbella, Yu Zhang, Matthew S Wosnitzer
Penile prosthesis implant surgery is an effective management approach for a number of urological conditions, including medication refractory erectile dysfunction (ED). Complications encountered post-operatively include infection, bleeding/hematoma, and device malfunction. Since the 1970s, modifications to these devices have reduced complication rates through improvement in antisepsis and design using antibiotic coatings, kink-resistant tubing, lock-out valves to prevent autoinflation, and modified reservoir shapes...
November 2017: Translational Andrology and Urology
https://www.readbyqxmd.com/read/29238661/penile-prosthetic-surgery-for-the-management-of-peyronie-s-disease
#18
REVIEW
Omer A Raheem, Tung-Chin Hsieh
With the increased prevalence of Peyronie's disease (PD) among men, there is also an up-rise of associated erectile dysfunction (ED) which can be devastating psychologically and sexually to most men. A wide range of therapies including medical and surgical procedures are available to satisfactorily address this condition. However when ED coexists, the gold standard treatment is penile prosthetic prosthesis (PP) with or without additional straightening procedures. We herein systematically review the contemporary literature addressing the role of the PP in the management of PD with concomitant ED with particular emphasis on patient's satisfaction, outcomes and safety...
November 2017: Translational Andrology and Urology
https://www.readbyqxmd.com/read/29238660/salvage-penile-prosthetic-surgery-utilizing-temporary-malleable-implants
#19
REVIEW
Michael Lao, R James Graydon, Jared M Bieniek
The inflatable penile prosthesis (IPP) is an effective erectile dysfunction (ED) treatment modality when oral and injectable therapies fail to achieve satisfactory results. Unfortunately, infection of the prosthetic remains a dreaded complication occurring in a small fraction of patients despite advances in device design and surgical techniques. With a prosthetic infection or erosion, classic management has included removal of all hardware with thorough irrigation of the infected spaces. To prevent corporal fibrosis and scarring that can make a subsequent implant challenging, an immediate salvage procedure with a three-piece prosthesis has been advocated when possible...
November 2017: Translational Andrology and Urology
https://www.readbyqxmd.com/read/29238656/basic-concepts-and-recent-advancements-in-penile-prosthetic-urology
#20
Dr Jason R Kovac
No abstract text is available yet for this article.
November 2017: Translational Andrology and Urology
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