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Penile prosthetics

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https://www.readbyqxmd.com/read/28479079/are-urine-cultures-necessary-prior-to-urologic-prosthetic-surgery
#1
REVIEW
Nicholas L Kavoussi, Boyd R Viers, Travis J Pagilara, Jordan A Siegel, Matthias D Hofer, Billy Cordon, Nabeel Shakir, Jeremy Scott, Allen F Morey
INTRODUCTION: A preoperative negative urine culture is generally advised before implantation of urologic prosthetics to prevent device infection. However, a review of the medical literature indicates sparse evidence to support this practice. AIM: To describe outcomes for patients undergoing prosthetic implantation without preoperative urine cultures. METHODS: The cases of men undergoing artificial urinary sphincter (AUS) and/or inflatable penile prosthesis (IPP) placement at a tertiary care center from 2007 through 2015 were reviewed...
May 3, 2017: Sexual Medicine Reviews
https://www.readbyqxmd.com/read/28460994/erectile-dysfunction-treatment-following-radical-cystoprostatectomy-analysis-of-a-nationwide-insurance-claims-database
#2
Meera R Chappidi, Max Kates, Nikolai A Sopko, Gregory A Joice, Jeffrey J Tosoian, Phillip M Pierorazio, Trinity J Bivalacqua
INTRODUCTION: To improve care for patients after radical cystoprostatectomy (RCP), focus on survivorship issues such as sexual function needs to increase. Previous studies have demonstrated the burden of erectile dysfunction (ED) after RCP to be as high as 89%. AIM: To determine the rates of ED treatment use (phosphodiesterase type 5 inhibitors, injectable therapies, urethral suppositories, vacuum erection devices, and penile prosthetics) in patients with bladder cancer before and after RCP to better understand current patterns of care...
April 28, 2017: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/28420206/the-status-of-biofilms-in-penile-implants
#3
REVIEW
Matthew Faller, Tobias Kohler
Erectile dysfunction is prevalent among men and will continue to become more so with the aging population. Of the available treatment options, implantable prosthetic devices are typically thought of as a third line treatment even though they have the highest satisfaction rate and continually improving success rates. Infection and mechanical failure are the most common reasons for implant revision in the past. Since the development of more reliable devices, bacterial biofilms are coming to the forefront of discussion as causes of required revision...
April 18, 2017: Microorganisms
https://www.readbyqxmd.com/read/28242178/biofilm-and-infectious-agents-present-at-the-time-of-penile-prosthesis-revision-surgery-times-are-a-changing
#4
REVIEW
Lauren E Dawn, Gerard D Henry, Gary K Tan, Steven K Wilson
INTRODUCTION: Although infection rates have decreased with the use of antibiotic-coated implants and other enhancements, the risk of infection is still considered a serious concern in penile implant revision surgeries. AIM: To review the literature for advances made in inflatable penile prosthesis (IPP) revision surgery and organisms found at the time of revision, the significance of biofilm in prosthetic infection, and the bacteriology of infection. METHODS: PubMed was reviewed for articles spanning the past three decades that discussed micro-organisms and biofilm in relation to penile implant revision surgery...
February 24, 2017: Sexual Medicine Reviews
https://www.readbyqxmd.com/read/28241967/experimental-investigation-of-the-structural-behavior-of-equine-urethra
#5
Arturo Nicola Natali, Emanuele Luigi Carniel, Alessandro Frigo, Chiara Giulia Fontanella, Alessandro Rubini, Yochai Avital, Giulia Maria De Benedictis
BACKGROUND AND OBJECTIVE: An integrated experimental and computational investigation was developed aiming to provide a methodology for characterizing the structural response of the urethral duct. The investigation provides information that are suitable for the actual comprehension of lower urinary tract mechanical functionality and the optimal design of prosthetic devices. METHODS: Experimental activity entailed the execution of inflation tests performed on segments of horse penile urethras from both proximal and distal regions...
April 2017: Computer Methods and Programs in Biomedicine
https://www.readbyqxmd.com/read/28238678/penile-lengthening-girth-and-size-preservation-at-the-time-of-penile-prosthesis-insertion
#6
REVIEW
Henry Tran, Robert Goldfarb, Anika Ackerman, Robert J Valenzuela
INTRODUCTION: Penile prosthetic devices are the gold standard treatment of medication-refractory erectile dysfunction. Inflatable penile prosthetic (IPP) devices have been available and used for more than four decades. Oftentimes, medical conditions causing erectile dysfunction also cause penile shortening, causing decreased patient quality of life. AIM: To identify and review all available penile lengthening procedures that can be performed at time of IPP insertion...
February 23, 2017: Sexual Medicine Reviews
https://www.readbyqxmd.com/read/28093159/re-reoperation-rates-for-penile-prosthetic-surgery
#7
Allen F Morey
No abstract text is available yet for this article.
February 2017: Journal of Urology
https://www.readbyqxmd.com/read/28089244/synchronous-ipsilateral-high-submuscular-placement-of-prosthetic-balloons-and-reservoirs
#8
Nicholas L Kavoussi, Matthias D Hofer, Boyd R Viers, Billy H Cordon, Ryan P Mooney, Travis J Pagliara, Jeremy M Scott, Allen F Morey
INTRODUCTION: Synchronous ipsilateral high submuscular placement of artificial urinary sphincter (AUS) pressure-regulating balloons (PRBs) and inflatable penile prosthesis (IPP) reservoirs in a single submuscular tunnel is a novel strategy that could be advantageous for patients who have had major pelvic surgery. AIM: To report our initial experience with synchronous ipsilateral vs bilateral placement of AUS PRBs and IPP reservoirs in men undergoing implant surgery...
February 2017: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/28065350/preoperative-urine-culture-results-correlate-poorly-with-bacteriology-of-urologic-prosthetic-device-infections
#9
Nicholas L Kavoussi, Jordan A Siegel, Boyd R Viers, Travis J Pagliara, Matthias D Hofer, Billy H Cordon, Nabeel Shakir, Jeremy M Scott, Allen F Morey
INTRODUCTION: Although preoperative negative urine culture results and treatment of urinary tract infections are generally advised before artificial urinary sphincter (AUS) and penile prosthesis (PP) surgery to prevent device infection, limited evidence exists to support this practice. AIM: To evaluate the relation between preoperative urine culture results and the bacteriology of prosthetic device infections. METHODS: Men undergoing AUS and/or PP placement at a tertiary referral center from 2007 through 2015 were analyzed...
January 2017: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/27889116/total-phallic-reconstruction-using-radial-forearm-free-flap-after-iatrogenic-penile-amputation
#10
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
#11
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
#12
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
#13
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...
November 2016: International Journal of Impotence Research
https://www.readbyqxmd.com/read/27530384/the-history-of-nontraditional-or-ectopic-placement-of-reservoirs-in-prosthetic-urology
#14
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
#15
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
#16
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
#17
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
#18
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
#19
(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
#20
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
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