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Penile prosthetics

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https://www.readbyqxmd.com/read/27889116/total-phallic-reconstruction-using-radial-forearm-free-flap-after-iatrogenic-penile-amputation
#1
J C Angulo, I Arance, C Gómez-Llorens, C Esquinas, C Gómez-Martín, J L Fernández-Cañamaque
INTRODUCTION: The iatrogenic loss of the penis is a rare situation. We present a challenging case of deferred total penile reconstruction in a genetic male. MATERIAL AND METHODS: A 57-year-old man with the loss of the penis due to a penile abscess and necrosis secondary to penile curvature surgery. The reconstruction was performed over several operations using a radial forearm free flap (RFFF) and placement of a customised inflatable prosthesis a year later. RESULTS: During the first operation, the penile abscess was drained, the necrotic residues were debrided and placement of hypogastric drainage...
November 23, 2016: Actas Urologicas Españolas
https://www.readbyqxmd.com/read/27872024/floppy-glans-syndrome-pathogenesis-and-treatment
#2
REVIEW
Michael Bickell, Neil Manimala, Justin Parker, Brian Steixner, Lucas Wiegand, Rafael Carrion
INTRODUCTION: Floppy glans syndrome (FGS) is a potential complication of penile prosthesis placement in patients with erectile dysfunction. FGS affects a very small proportion of these patients, and it can manifest in a ventral, dorsal, or lateral droop of a hypermobile glans, which can cause affected patients to complain of painful, unsatisfying, or otherwise difficult attempts at sexual intercourse. Incorrect cylinder sizing can even result in extreme conditions such as flail penis or S-shaped deformity...
April 2016: Sexual Medicine Reviews
https://www.readbyqxmd.com/read/27647082/distal-corporoplasty-for-distal-cylinders-extrusion-after-penile-prosthesis-implantation
#3
Maurizio Carrino, Francesco Chiancone, Gaetano Battaglia, Luigi Pucci, Paolo Fedelini
INTRODUCTION: Distal extrusion of cylinders is a potential complication of the penile prosthesis implantation. Several methods have been proposed for repairing a distal penile erosion. We present our preliminary experience in "Distal corporoplasty" technique. METHODS: We enrolled 18 consecutive patients whose underwent a distal corporoplasty with simultaneous reimplantation of an "AMS 700 inflatable penile prosthesis (LGX)" from January 2013 to November 2015 at our hospital...
September 3, 2016: Urologia
https://www.readbyqxmd.com/read/27557609/satisfaction-assessment-with-malleable-prosthetic-implant-of-spectra-ams-and-genesis-coloplast-models
#4
A R Casabé, N Sarotto, C Gutierrez, A J Bechara
The malleable prosthetic implant is widely accepted among patients and physicians owing to a lower degree of surgical complexity, its rare mechanic failures and lower cost. We have compared the degree of satisfaction with malleable prosthetic implant in 60 patients, 36 with Spectra (AMS) and 24 with Genesis (Coloplast). For assessment purposes, we implemented the Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) satisfaction questionnaire adapted for penile prosthetic implants. The mean age and follow-up was 61...
August 25, 2016: International Journal of Impotence Research
https://www.readbyqxmd.com/read/27530384/the-history-of-nontraditional-or-ectopic-placement-of-reservoirs-in-prosthetic-urology
#5
REVIEW
Paul Perito, Steven Wilson
INTRODUCTION: Reservoir placement during implantation of prosthetic urology devices has been problematic throughout the history of the surgical treatment of erectile dysfunction and urinary incontinence. We thought it would be interesting to review the history of reservoir placement leading up to current surgical techniques. AIM: To provide an overview of the past and present techniques for reservoir placement and discuss the evolutionary process leading to safe and effective placement of prosthetic reservoirs...
April 2016: Sexual Medicine Reviews
https://www.readbyqxmd.com/read/27517503/standardizing-psychosocial-assessment-for-vascularized-composite-allotransplantation
#6
Sheila Jowsey-Gregoire, Martin Kumnig
PURPOSE OF REVIEW: Vascularized composite allotransplantation (VCA) encompasses hand, face, uterus, penile and lower extremity transplantation. Psychosocial factors are recognized as important, but no standard approach to the evaluation, selection or posttransplant care has been described and thus, the development of a standardized approach is needed. RECENT FINDINGS: Various psychosocial assessment tools have been reported. Body image and the functional impact of hand versus face transplantation are notable issues...
October 2016: Current Opinion in Organ Transplantation
https://www.readbyqxmd.com/read/27264050/testicular-prostheses-in-children-is-earlier-better
#7
M Peycelon, G Rossignol, C O Muller, E Carricaburu, P Philippe-Chomette, A Paye-Jaouen, A El Ghoneimi
INTRODUCTION: The absence of a testis occurs for various reasons in children, but testicular prosthesis implantation in children is uncommon. The optimal time for prosthesis placement is still unclear, and its complication rate has been poorly studied in children. OBJECTIVE: The aim of this study was to determine the risk factors of complications in cases of testicular prosthesis implantation in children. STUDY DESIGN: A monocentric, retrospective review was performed of children implanted with a testicular prosthesis between 2008 and 2014...
August 2016: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/27261793/genitourinary-prosthetics-a-primer-for-the-non-urologic-surgeon
#8
REVIEW
Garjae Lavien, Uwais Zaid, Andrew C Peterson
Genitourinary prosthetics are used for correction of functional deficits and to improve the quality of lives of affected patients. General surgeons must evaluate patients scheduled for nonurologic surgery with urologic devices that can impact their perioperative management. Lack of recognition of these prosthetics preoperatively can lead to unnecessary morbidity for the patient and have legal implications for the surgeon. Close consultation with a urologist may avoid common complications associated with these devices and allows for surgical assistance when operative misadventures do occur...
June 2016: Surgical Clinics of North America
https://www.readbyqxmd.com/read/27164516/novel-evidence-based-classification-of-cavernous-venous-occlusive-disease
#9
Ram A Pathak, Bhupendra Rawal, Zhuo Li, Gregory A Broderick
PURPOSE: The primary aim of our study was to determine whether an evidence-based rationale could categorize cavernous venous occlusive disease into mild, moderate and severe erectile dysfunction. MATERIALS AND METHODS: A total of 863 patients underwent color duplex Doppler ultrasound from January 2010 to June 2013 performed by a single urologist. We identified a cohort of 75 patients (8.7%) with a diagnosis of cavernous venous occlusive disease based on a unilateral resistive index less than 0...
October 2016: Journal of Urology
https://www.readbyqxmd.com/read/27083669/-p015-observations-in-irradiation-of-prostate-cancer-pc-patients-with-existing-prosthetic-penile-implants
#10
(no author information available yet)
No abstract text is available yet for this article.
April 2016: Oncology (Williston Park, NY)
https://www.readbyqxmd.com/read/27053154/penile-intracavernosal-pillars-lessons-from-anatomy-and-potential-implications-for-penile-prosthesis-placement
#11
M J Pagano, A C Weinberg, C M Deibert, K Hernandez, J Alukal, L Zhao, S K Wilson, P H Egydio, R J Valenzuela
The objective of this study was to anatomically describe the relationship of penile intracavernosal pillars to penile surgery, specifically corporal dilation during penile prosthesis placement. Corpora cavernosa from four embalmed male cadavers were dissected and subjected to probe dilation. Corpora were cross-sectioned and examined for the gross presence and location of pillars and dilated spaces. Infrapubic penile prosthesis insertion was performed on one fresh-frozen cadaveric male pelvis, followed by cross-sectioning...
May 2016: International Journal of Impotence Research
https://www.readbyqxmd.com/read/26928774/active-polysubstance-abuse-concurrent-with-surgery-as-a-possible-newly-identified-infection-risk-factor-in-inflatable-penile-prosthesis-placement-based-on-a-retrospective-analysis-of-health-and-socioeconomic-factors
#12
Alejandra Balen, Martin S Gross, Elizabeth A Phillips, Gerard D Henry, Ricardo Munarriz
INTRODUCTION: Since the introduction of inflatable penile prostheses (IPPs), risk of infection has decreased. However, concurrent substance abuse has not been investigated in prosthetic urology. AIMS: To determine whether substance abuse would stand out as a relevant risk factor for infection in patients undergoing IPP implantation. METHODS: This retrospective study was conducted on charts from the past 12 years at our institution, where a single surgeon completed 602 primary IPP surgeries, with only 12 cases (2%) resulting in postoperative infection...
April 2016: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/26904415/the-treatment-of-erectile-dysfunction-in-patients-with-neurogenic-disease
#13
REVIEW
Anand N Shridharani, William O Brant
Erectile dysfunction (ED) related to compromise of the nervous system is an increasingly common occurrence. This may be due to the multifactorial nature of ED, the myriad of disorders affecting the neurotransmission of erectogenic signals, and improved awareness and diagnosis of ED. Nevertheless, neurogenic ED remains poorly understood and characterized. Disease related factors such as depression, decreased physical and mental function, the burden of chronic illness, and loss of independence may preclude sexual intimacy and lead to ED as well...
February 2016: Translational Andrology and Urology
https://www.readbyqxmd.com/read/26797069/infrequent-reservoir-related-complications-of-urologic-prosthetics-a-case-series-and-literature-review
#14
Tao Cui, Ryan Terlecki, Majid Mirzazadeh
INTRODUCTION AND AIM: Complications related to inflatable penile prosthesis (IPP) and artificial urinary sphincter (AUS) reservoirs are rare, potentially life threatening, and poorly described in the literature. As more devices are implanted, the incidence of reservoir-related complications may increase, and it will be important to recognize the relevant signs and symptoms. METHODS AND MAIN OUTCOME MEASURES: We present a case series of reservoir-related complications presenting to our institution for treatment...
December 2015: Sexual Medicine
https://www.readbyqxmd.com/read/26655994/subcutaneous-placement-of-inflatable-penile-prosthesis-reservoirs
#15
Bruce B Garber, Michael Bickell
OBJECTIVE: To review our experience with subcutaneous inflatable penile prosthesis reservoir insertion in a large, single-surgeon series. MATERIALS AND METHODS: We carried out a retrospective review of 1000 consecutive Coloplast Titan inflatable penile implant procedures carried out by a single high-volume surgeon. Eight patients underwent subcutaneous reservoir placement (SRP) and are the subject of this review. RESULTS: Eight of our last 1000 patients underwent SRP...
February 2016: Urology
https://www.readbyqxmd.com/read/26565579/the-evolution-of-the-inflatable-penile-prosthesis-reservoir-and-surgical-placement
#16
REVIEW
Tariq Hakky, Aaron Lentz, Hossein Sadeghi-Nejad, Mohit Khera
The traditional inflatable penile prosthesis (IPP) reservoir placement is below the transversalis fascia in the space of Retzius. In 2002, Dr. Steve Wilson described ectopic reservoir placement, thereby providing a safe and effective alternative for implant surgeons. This new approach obviated the need for a second incision and decreased operative times during surgery. In the manuscript, he also described the introduction of a reservoir lock-out valve, which prevents autoinflation of the penile implant. The development of lockout valves and flat reservoirs has contributed to the early success and feasibility of submuscular placement techniques...
November 2015: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/26565572/the-mulcahy-salvage-past-and-present-innovations
#17
REVIEW
Matthew J Mellon, Joshua R Broghammer, Gerard D Henry
INTRODUCTION: Inflatable penile implants are a mainstay for the surgical correction of erectile dysfunction. For the last 40 years they have provided reliable outcomes with durable patient satisfaction. Infection of the implant continues to remain the primary surgical concern, despite the advent of antibiotic-coated devices and improved skin preparation solutions. METHODS: In this article, we review and evaluate the published literature for important contributions surrounding the various salvage techniques and washout strategies...
November 2015: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/26565570/the-evolution-and-utility-of-the-small-carrion-prosthesis-its-impact-and-progression-to-the-modern-day-malleable-penile-prosthesis
#18
REVIEW
Daniel R Martinez, Ryan Terlecki, William O Brant
INTRODUCTION: Erectile dysfunction has plagued humanity for millennia. For years, treatment had been in the hands of mental health professionals. It was not until the 1970s that urologists created a modality that was marketable, reproducible, and consistently successful at treating impotence, the Small-Carrion Penile Prosthesis. AIM: We present the evolution of the malleable/semi-rigid penile prosthesis, concentrating our efforts reviewing and critiquing the pivotal article published by Drs...
November 2015: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/26478039/re-hospital-based-trends-in-penile-prosthetic-surgery
#19
Allen F Morey
No abstract text is available yet for this article.
November 2015: Journal of Urology
https://www.readbyqxmd.com/read/26428644/500-penile-prostheses-implanted-by-a-surgeon-in-italy-in-the-last-30-years
#20
Diego Pozza, Mariangela Pozza, Marco Musy, Carlotta Pozza
OBJECTIVES: The aim of our study was to report our experience with patients affected by Erectile Dysfunction (ED) and undergoing penile prosthetic implantation (PPI) in a single center by a single surgeon. MATERIAL AND METHODS: We retrospectively evaluated the clinical outcome of 500 patients (mean age: 51.5 years, range: 20-86 years) affected by ED and referred to our private andrological center from January 1984 to December 2013 who underwent penile prosthesis implantation, including the reported level of patient satisfaction...
September 30, 2015: Archivio Italiano di Urologia, Andrologia
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