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Investig Clin Urol 2021 May;62(3):305-309

AndroUrology Centre, Brisbane, QLD and Sydney, NSW, Australia.

Purpose: A buried penis causes voiding dysfunction and limits penetrative sexual intercourse. This pilot study evaluates the urinary outcomes in men with buried penis following insertion of malleable penile implants.

Materials And Methods: Men with buried penis and co-existing urinary problems and erectile dysfunction underwent malleable penile prosthesis implantation were reviewed in a prospective ethics approved database. Read More

Urologe A 2021 Apr 30. Epub 2021 Apr 30.

Sektion für rekonstruktive Urologie und geschlechtsangleichende Operationen, Klinik für Urologie und Klinik für roboterassistierte Urologie und Uroonkologie, AGAPLESION Markus-Krankenhaus Frankfurt, Wilhelm-Epstein-Str. 4, 60431, Frankfurt, Deutschland.

Background: Growing awareness of gender identity issues and a rising prevalence of female-to-male transsexualism is increasing demand for surgical solutions that deliver both aesthetically and functionally satisfying outer genitalia for transmen.

Objective: This article summarizes the available prosthetic options, describes different surgical approaches and reviews the outcome of prosthetics for transmen with a focus on penile prosthesis in phalloplasty.

Methods: Current international standards of care, reviews and original publications are critically reviewed and correlated with our own experience with more than 400 transmen at two interdisciplinary referral centres in Frankfurt, Germany and London, UK. Read More

Urologe A 2021 Apr 29. Epub 2021 Apr 29.

Klinik für Urologie, Universitätsmedizin Essen, Universität Duisburg-Essen, Hufelandstr. 55, 45147, Essen, Deutschland.

The insertion of a penile prosthesis (PP) is a definitive treatment option for erectile dysfunction (ED), induratio penis plastica, after phalloplasty or priapism. The aim is a "normal" erection with the possibility of a satisfactory sexual life. The costs of the operation are covered by the health insurance. Read More

J Sex Med 2021 Apr 24. Epub 2021 Apr 24.

Department of Urology, Puerta de Hierro-Majadahonda University Hospital, Madrid, Spain; Lyx Institute of Urology, Universidad Francisco de Vitoria, Madrid, Spain.

Background: Several studies reported high satisfaction rates (> 90%) for patients and their partners after penile prosthesis (PP) implantation.

Aim: To describe and critically discuss the current evidence regarding the assessment of patient and partner satisfaction after penile implant surgery.

Methods: A critical narrative review of the studies investigating the patient and partner satisfaction after PP implantation was designed. Read More

Int J Impot Res 2021 Apr 12. Epub 2021 Apr 12.

Jessa Hospital, Hasselt, Belgium.

Literature concerning corporotomy location in multicomponent inflatable penile prosthetic surgery via a penoscrotal approach is scarce if not nonexistent. Aim of our study was to report practices in low-, moderate-, and high-volume penile implant centers regarding corporotomy location and evaluate its potential impact on intraoperative and short-term postoperative complications. Data from 18 (13 European and 5 American) implant centers were collected retrospectively between September 1st, 2018 and August 31st, 2019. Read More

J Int Med Res 2021 Apr;49(4):300060520985365

Department of Urology, the Second People's Hospital of Nantong City, Nantong City, Jiangsu Province, China.

Objective: To investigate the therapeutic effect of implanting a three-piece inflatable penile prosthesis (IPP) combined with the phosphodiesterase-5 inhibitor sildenafil in severe erectile dysfunction (ED) patients.

Methods: This randomized controlled study included 123 ED patients. Sixty-two patients received the IPP implantation and 61 patients received the IPP implantation and the phosphodiesterase-5 inhibitor sildenafil. Read More

BMJ Case Rep 2021 Apr 1;14(4). Epub 2021 Apr 1.

Cardiology, Galway Clinic, Galway, Ireland.

This case report summarises the case of a 56-year-old man with low-flow, ischaemic priapism requiring urgent insertion of a penile prosthesis following prophylactic anticoagulation with tinzaparin. Low-molecular-weight heparin (LMWH) has been proposed as a cause of ischaemic priapism, although reported cases of this are rare. This particular side effect of tinzaparin has been reported once in a case report in 2018, and there are scant other reports of LMWH-induced priapism. Read More

Int J Impot Res 2021 Mar 9. Epub 2021 Mar 9.

Department of Urology, Institute for Urologic Excellence, La Quinta, CA, USA.

Penile prosthesis infection remains a rare but devastating complication of implantation. Historically, management of device infection was always extirpation. While certainly effective, device removal leaves an unhappy patient with a shortened penis. Read More

J Sex Med 2021 Apr 17;18(4):830-836. Epub 2021 Mar 17.

Hospices Civils de Lyon, Hôpital Lyon Sud, Service d'urologie, Chemin du Grand Revoyet, 69310 Pierre-Benite, France.

Background: Metoidioplasty is a possibility for penis reconstruction in transmen that could be enhanced by a semi-rigid prosthesis support.

Aim: Describe the surgical technique of metoidioplasty with implantation of a specifically designed semi-rigid prosthesis -the ZSI100D4- and analyze preliminary results.

Methods: Implantation of semi-rigid prosthesis was proposed to transmen who chose metoidioplasty for genital gender affirming surgery in a specialized university hospital. Read More

Transl Androl Urol 2021 Feb;10(2):841-850

Head of Urology Department, Federal University of Pernambuco, Recife, Brazil.

Background: Penile prostheses are the third option in the treatment of erectile dysfunction, however, despite their proven effectiveness, the occurrence of infections, advanced age of patients and comorbidities are the main limiting factors for this treatment modality. In the continuous search for biointegrated, clinically durable and minimally invasive treatment options, a possible model of penile prosthesis was sought through the use of intracavernous bacterial cellulose (BC) gel, in an experimental model of orchiectomized rabbits.

Methods: Thirty adult New Zealand rabbits were equally distributed into three groups: BC; vehicle and control. Read More

J Pediatr Urol 2021 Feb 20. Epub 2021 Feb 20.

Division of Pediatric Urology, CACAU-NUPEP-AACD, São Paulo, Brazil. Electronic address:

Introduction: We present a different salvage procedure for penile prosthesis implantation in a De Castro neophallus.

Methods: A patient with congenital aphallia had been operated at the age of 11. Ten years later he had two non successful attempts of prosthesis implantation. Read More

Sex Med 2021 Apr 11;9(2):100311. Epub 2021 Mar 11.

Urologist, Chief professor, Urology Department, Faculdade de Medicina do ABC, Santo André (SP), Brazil.

Background: Patients may remain dissatisfied after penile prosthesis implantation for the treatment of erectile dysfunction. Studies showing the results of standardized protocols for preoperative psychological evaluation are lacking.

Purpose: To estimate the rate of patients considered psychologically unfit for penile prosthesis implantation and to compare their characteristics with those considered fit after the implementation of a standardized psychological profile evaluation protocol for men with erectile dysfunction. Read More

Urology 2021 Mar 8. Epub 2021 Mar 8.

Department of Urology, University of California, Irvine Medical Center; Orange, CA. Electronic address:

Defining risks associated with diabetes mellitus (DM) in patients undergoing penile prosthesis (PP) implantation remains controversial. This systematic review seeks to assess whether preoperative hemoglobin a1c (HbA1c) or serum glucose have been shown to predict infection following PP implantation in diabetic men. A stepwise literature search was performed. Read More

Basic Clin Androl 2021 Mar 4;31(1). Epub 2021 Mar 4.

Department of Urology, Sorbonne Université, GRC n 5, Predictive Onco-Urology, APHP, Hôpital Pitié-Salpêtrière, F-75013, Paris, France.

Background: Penile prothesis (PP) is the gold-standard treatment of drug-refractory erectile dysfunction (ED). While postoperative outcomes have been widely described in the literature, there are few data about patient satisfaction and intraoperative events. We aimed to assess long-term patient satisfaction and perioperative outcomes after PP implantation in a single-centre cohort of unselected patients using validated scales. Read More

Int Braz J Urol 2021 May-Jun;47(3):663-665

Departamento de Andrologia, Hospital Federal do Andaraí, Rio de Janeiro, RJ, Brasil.

Sex Med Rev 2021 Feb 17. Epub 2021 Feb 17.

Department of Urology, Lenox Hill Hospital, Zucker School of Medicine at Hofstra/Northwell, New York, NY; Advanced Urological Care, PC, New York, NY. Electronic address:

Introduction: Inflatable penile prosthesis (IPP) technology is a mainstay in the treatment of erectile dysfunction refractory to medical management. Technological advancements in the design of 3-piece IPPs have been improved to optimize concealability and surgical placement since the 1980s. Recent advancements over the past 10 years include pump, reservoir, tubing, and cylinder updates. Read More

Prog Urol 2021 Feb 13. Epub 2021 Feb 13.

Département d'Urologie-Andrologie, Hôpital Robert Debré, CHU de Reims, France.

Introduction: Implantation of penile prosthesis is constantly growing but little long-term data is available concerning the associated factors of prosthesis survival. Our aim was to describe the long-term survival of penile prostheses and to identify factors influencing long-term prosthesis survival.

Methods: This is a retrospective, monocentric cohort of patients who underwent their first implantation of a penile prosthesis, between May 2000 and March 2017, at the Reims University Hospital. Read More

Can Urol Assoc J 2021 Feb 12. Epub 2021 Feb 12.

Curr Urol Rep 2021 Feb 8;22(4):20. Epub 2021 Feb 8.

Department of Urology, University of Texas Southwestern Medical Center, Dallas, TX, USA.

Purpose Of Review: To discuss mechanical and surgical innovations in inflatable penile prosthesis (IPP) surgery and their implications on reservoir placement and patient outcomes.

Recent Findings: The past decade has seen a new emphasis on optimizing outcomes and minimizing complications associated with IPP reservoirs. Innovations in device design have accordingly yielded safer, more durable IPP outcomes over the past four decades. Read More

Curr Urol Rep 2021 Feb 3;22(3):17. Epub 2021 Feb 3.

Department of Urology, Einstein Healthcare Network, 1200 Tabor Road, Moss/3 Sley, Philadelphia, PA, 19141, USA.

Purpose Of Review: To review the most recent literature citing opioid-sparing multimodal analgesic strategies used to manage perioperative pain in patients who underwent inflatable penile prosthesis (IPP) surgery and to provide the penile implant surgeon a variety of non-opioid-based pain management strategies for IPP management.

Recent Findings: Interventions performed in the pre-operative, intraoperative, and post-operative arenas have all been shown to effectively lower pain scores and reduce opioid consumption. Certain surgical techniques performed during IPP surgery have helped with post-operative discomfort patients may feel after surgery. Read More

Curr Urol Rep 2021 Feb 3;22(3):16. Epub 2021 Feb 3.

University of Texas McGovern Medical School at Houston, 6431 Fannin Street, MSB 6.018, Houston, TX, 77030, USA.

Purpose Of Review: The goal of this paper is to understand the reasons behind penile length and girth issues after penile prosthesis surgery and review the literature for current strategies employed to decrease these issues.

Recent Findings: Measurement inconsistencies triggering further studies have shown there is a real loss of penile length and girth after prosthesis surgery. There have been varying hypotheses of why this happens, and numerous approaches have been proposed to help combat this in the preoperative, intraoperative, and postoperative settings. Read More

Prog Urol 2021 Mar 21;31(4):223-230. Epub 2021 Jan 21.

Service d'urologie, CHU Lyon-Sud, chemin du Grand-Revoyet, 69495 Pierre-Bénite, France.

Introduction: Penile prosthesis for erectile dysfunction in patients with spinal cord injury or multiple sclerosis is sometimes discussed after failure of drug or instrumental treatments (vacuum). The objective of this study was to evaluate the complications, evolution and patient satisfaction after the implantation of a penile prosthesis in the neurological patient.

Materials And Methods: Multi-center retrospective study of 27 consecutive patients including 18 spinal cord injured patients and 9 patients with multiple sclerosis benefiting from the implantation of a penile prosthesis for erectile dysfunction purposes in two French centers between 2009 and 2019. Read More

Urologe A 2021 Mar 22;60(3):351-360. Epub 2021 Jan 22.

Klinik und Poliklinik für Urologie, Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden, Fetscherstraße 74, 01307, Dresden, Deutschland.

Background: Treating urinary incontinence and erectile dysfunction improves quality of life for many patients. In particular, sphincter and penile prostheses achieve very good results when conservative therapy options are exhausted. The aim of this study is to present the development and current state of sphincter and penile prosthesis implantation in Germany. Read More

Int J Impot Res 2021 Jan 15. Epub 2021 Jan 15.

Department of Urology, Martha-Maria Hospital Nuremberg, Nuremberg, Germany.

Grafting for the treatment of Peyronie's disease (PD) can be performed with autologous grafts, allografts, xenografts and synthetic grafts, with all available materials presenting their own characteristics. Still, there is a current arising interest in the use of collagen fleece (TachoSil) as grafting material. We generated an extensive literature review, aiming to assess the use of TachoSil in the treatment of PD. Read More

Sex Med 2021 Feb 8;9(1):100300. Epub 2021 Jan 8.

Department of Surgery, Division of Urology, University of Texas McGovern Medical School at Houston, Houston, TX, USA; MD Anderson Cancer Center, Houston, TX, USA. Electronic address:

Introduction: Penile prosthesis implantation is a widely used treatment option for erectile dysfunction. Data is limited with regard to patient satisfaction with a penile prosthesis following radical prostatectomy/cystoprostatectomy vs patients with erectile dysfunction of other etiologies.

Aim: To examine patient satisfaction with penile prosthesis implantation and determine if a difference in satisfaction exists in post-prostatectomy/cystoprostatectomy patients vs patients with erectile dysfunction of other etiologies. Read More

J Sex Med 2021 02 7;18(2):363-375. Epub 2021 Jan 7.

Department of Urology, Mayo Clinic, Rochester, MN, USA. Electronic address:

Background: Peyronie's disease (PD) is a challenging clinical entity. To assist clinicians with diagnosis and management, four separate organizations have published PD guidelines over the past five years, but there remains a lack of consensus and data-driven recommendations for many aspects of diagnosis and treatment.

Aim: To compare and contrast PD guidelines, highlighting key similarities and differences among the guideline panel recommendations and identify areas for further research. Read More

Curr Urol Rep 2021 Jan 9;22(2). Epub 2021 Jan 9.

Department of Urology, University of South Florida Morsani College of Medicine, 2 Tampa General Circle, STC6, Tampa, FL, 33606, USA.

Purpose Of Review: To review the most current literature on how the treatment for penile cancer can affect quality of life and to discuss current treatment options to overcome sexual dysfunction and ultimately improve patient wellbeing.

Recent Findings: Multiple medical and surgical therapies exist to address the high incidence of sexual dysfunction following penile cancer treatment. Advancements and refinements in the neophalloplasty, penile prosthesis, and penile lengthening procedures have opened the door to improved long-term outcomes. Read More

Curr Urol Rep 2021 Jan 9;22(2):10. Epub 2021 Jan 9.

Tampa General Hospital, 1 Tampa General Circle, Tampa, FL, 33606, USA.

Purpose Of Review: The goal of this paper was to discuss the issues and/or overt complications associated with the 3-piece inflatable penile prosthesis (3-IPP) pump. We also addressed how to resolve such issues with or without surgical intervention.

Recent Findings: Numerous modifications of the 3-IPP pump have been introduced with multiple techniques to place the pump. Read More

Curr Urol Rep 2021 Jan 9;22(2). Epub 2021 Jan 9.

Tampa General Hospital, 1 Tampa General Circle, Tampa, FL, 33606, USA.

Purpose Of Review: The goal of this paper was to evaluate the current use of semirigid penile prosthesis (SRPP), surgical techniques for insertion of SRPP, and how to prevent and approach surgical complications.

Recent Findings: SRPP is a valid option for those who are refractory to medical therapy for erectile dysfunction (ED) and even more appropriate for specific subsets of patient populations. It is important for urologists to know which patient population SRPP is preferred for. Read More

J Sex Med 2021 02 1;18(2):376-384. Epub 2021 Jan 1.

Andrology Department, University College London Hospital, London, United Kingdom.

Background: A chief complaint of men with stuttering priapism (SP) and sleep-related painful erections (SRPE) is bothersome nocturnal erections that wake them up and result in poor sleep and daytime tiredness. SP and SRPE are rare entities that have similarities in their clinical features, but that require different treatment approaches.

Aim: The aim of this study was to describe the clinical features, investigations, and effective management options for men with SP and SRPE. Read More