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Can J Urol 2022 Jun;29(3):11182-11186

Johns Hopkins School of Medicine Brady Urological Institute, Baltimore, Maryland, USA.

Proximal positioning of the penile prosthesis cylinder is performed during inflatable penile prosthesis surgery. We describe a technique to secure a prosthetic cylinder during inflatable penile prosthesis implantation. Urologists performing prosthetic surgeries employ a variety of surgical techniques to achieve successful outcomes. Read More

Int Braz J Urol 2022 Jul-Aug;48(4):722-723

Unidade de Pesquisa Urogenital - Universidade do Estado do Rio de Janeiro - Uerj, Rio de Janeiro, RJ, Brasil.

Eur Urol Focus 2022 May 7. Epub 2022 May 7.

Laboratory of Experimental Urology, Department of Development and Regeneration, KU Leuven, Leuven, Belgium; Department of Urology, University Hospitals Leuven, Leuven, Belgium. Electronic address:

Background: Systemic treatments for penile squamous cell carcinoma (pSCC) are toxic and inefficient. Patient-based preclinical models are essential to study novel treatments.

Objective: To establish a library of patient-derived tumor xenograft (PDX) models of human papillomavirus-positive (HPV) and -negative (HPV) pSCC and characterize these at the genomic and histological levels. Read More

Investig Clin Urol 2022 05;63(3):316-324

War-Related Injury & Illness Study Center, VA New Jersey Health Care System, East Orange, NJ, USA.

Purpose: The prevalence of erectile dysfunction (ED) and the utilization of inflatable penile prosthesis (IPP) among prostate cancer patients are understudied. The aim of the study was to examine the relationships between ED, prostate cancer treatment type and IPP implantation in a national cohort.

Materials And Methods: We identified a retrospective cohort of Surveillance, Epidemiology, and End Results (SEER)-Medicare patients diagnosed with locoregional prostate cancer between 2006 and 2011 and treated with surgery or radiation. Read More

Urology 2022 Apr 22. Epub 2022 Apr 22.

Urological Research Network LLC, Hialeah, FL; Urologist Specialist Group, Hialeah, FL; Nova Southeastern University, Davie, FL. Electronic address:

Objective: To describe our technique and early results for inflatable penile prosthesis (IPP) deactivation via puncture and drainage in the office setting to avoid penile explanting interventions in high-risk surgical patients.

Methods: A retrospective chart review of patients with high perioperative risk who had undergone IPP prosthesis puncture in the office setting between March 2020 and May 2021 was performed. Variables included age, the reason for penile prosthesis implantation and deactivation, time frame from implantation to deactivation, type of penile implant, follow-up time, and complications. Read More

Int J Surg Case Rep 2022 May 5;94:106976. Epub 2022 Apr 5.

Andrologia Internazionale Rome, Italy.

Peyronie's disease (PD) is a condition characterized by the deposition of scar tissue in the tunica albuginea of the penis. Peyronie's disease often causes pain, worsens the quality of erections, a variable degree of penile deformation and shortening, which can cause severe distress for the patient and the partner and impact negatively on self-esteem and quality of life in general. Surgery still represents the gold standard treatment for PD in the chronic phase, and it aims to guarantee a penis straight and rigid enough to allow the patient to resume penetrative sex with confidence. Read More

J Sex Med 2022 05 1;19(5):852-863. Epub 2022 Apr 1.

Urology Department, Cairo University, Cairo, Egypt. Electronic address:

Background: The utility of penile suspensory ligament release (SLR) in the setting of penile prosthesis implantation (PPI) has received limited attention in the literature.

Aim: To assess the efficacy and safety of penile SLR release, pubic lipectomy (PL), and the utility of penopubic Z-plasty (ZP) during malleable PPI in improving sexual satisfaction compared to that achieved with the conventional method.

Methods: Between August 2018 and April 2020, 61 patients with refractory erectile dysfunction were prospectively randomized into 2 groups; group A included 31 patients who underwent PPI with SLR and PL via ZP, and group B included 30 patients who underwent conventional PPI via a penoscrotal incision. Read More

Arch Ital Urol Androl 2022 Mar 29;94(1):65-69. Epub 2022 Mar 29.

Emergency Department, Complejo Asistencial Sótero del Río, Puente Alto.

Objectives: Evidence regarding demand trends for erectile dysfunction (ED) treatments are scarce in South America. This study aims to evaluate trends in ED treatments in Chile over a 10-year period (2010- 2020) and estimate the potential number of candidates for penile prosthesis.

Materials And Methods: Sales trends of pharmacological treatments and penile prosthesis were obtained from market studies. Read More

J Sex Med 2022 Jun 24;19(6):895-898. Epub 2022 Mar 24.

Duke Urology Men's Health Center, Raleigh, NC, USA; Duke University School of Medicine, Durham, NC, USA; Division of Urology, Duke University Medical Center, Durham, NC, USA. Electronic address:

J Sex Med 2022 05 20;19(5):682-685. Epub 2022 Mar 20.

Director of Sexual Medicine Fellowship Program, University of Texas McGovern Medical School and MD Anderson Cancer Center, Houston, TX. Electronic address:

J Sex Med 2022 Jun 21;19(6):887-889. Epub 2022 Mar 21.

El Camino Hospital Health System, Mountain View, CA. Electronic address:

Curr Urol Rep 2022 May 5;23(5):75-81. Epub 2022 Mar 5.

WK Advanced Urology, Bossier City, LA, USA.

Introduction: Management protocols for treatment of severe erectile dysfunction have changed little in the last 20 years. Most algorithms consider penile prostheses as the last option of treatment in patients who have failed medical management. Despite multiple advances in current devices, prosthetic infection remains the most feared complication by implanting surgeons and patients. Read More

J Sex Med 2022 04 1;19(4):641-649. Epub 2022 Mar 1.

Crane Center for Transgender Surgery; Austin, TX, USA. Electronic address:

Background: Penile prostheses may be used as a component of genital gender affirmation surgery for the purpose of achieving penile rigidity after phalloplasty, and transgender individuals experience higher complication rates than cisgender individuals.

Aim: To observe complications with transmasculine penile prosthesis surgery over time and across surgical conditions.

Methods: Retrospective chart review of all transmasculine patients with phalloplasty undergoing penile prosthesis placement between 4/14/2017 and 2/11/2020 (80 patients). Read More

Urol Int 2022 Mar 2:1-7. Epub 2022 Mar 2.

Manchester Andrology Centre, Manchester Royal Infirmary, Manchester University NHS Foundation Trust, Manchester, United Kingdom.

Objective: The aim of this study is to review the literature on the use of antifungal prophylaxis in penile prosthesis (PP) surgery and provide a summary on its efficacy as an adjunct to current prophylactic regimes in patients undergoing PP surgery.

Materials And Methods: PubMed, Medline, and EMBASE databases were systematically searched up to May 2020. All included studies were analysed and the information extracted included author, title of study, year of publication, type of study, journal of publication, and main findings regarding post PP implantation fungal infections. Read More

Int J Impot Res 2022 Feb 26. Epub 2022 Feb 26.

Università degli Studi dell'Insubria, Varese, Italy.

J Sex Med 2022 04 23;19(4):669-675. Epub 2022 Feb 23.

Department of Urology, University of Arkansas for Medical Sciences, Little Rock, AR, USA. Electronic address:

Background: The use of plaque incision and graft techniques (PIG) for the treatment of severe Peyronie's disease (PD), may lead to erectile dysfunction (ED); graft size is 1 of the contributing factors for post-PIG ED. Recently the iGrafter software APP was introduced using a mathematical algorithm to distribute the incisions along the penile length resulting in a smaller grafting area.

Aim: Compare 2 PIG techniques, the Double-Y(DY) and iGrafter, in 3 main aspects: (i) Total grafting area; (ii) The variation in calculating the grafting to be used; (iii) time to perform the PIG. Read More

Sex Med 2022 Apr 23;10(2):100486. Epub 2022 Feb 23.

Urology Department, Menofia University, Egypt.

Background: One of the most common complaints after malleable prosthesis implantation (MPI) is thinning of the penis and decreasing girth. Some surgeons try to insert the largest diameter they can to improve patient satisfaction AIM: To investigate if malleable rod diameter (MRD) has an impact on outcome and patient satisfaction METHODS: Consecutive malleable prosthesis implantation (MPI) was assessed in a high-volume center over 1 year. The same preoperative, intraoperative, and postoperative protocols were used for all patients and one brand of the malleable device was used only. Read More

J Sex Med 2022 05 17;19(5):879-886. Epub 2022 Feb 17.

Department of Urology, University College London Hospital, London W1G 8PH, UK.

Background: In 2016, we reported the first case of high flow priapism and arteriocavernosal fistula caused by penile prosthesis insertion that mimicked device autoinflation.

Aim: To raise awareness amongst implanters, we describe further cases from our institution and perform a systematic review of the literature to understand the rarity of this phenomenon.

Methods: Patient demographics, management and outcomes were extracted retrospectively. Read More

Med Devices (Auckl) 2022 10;15:27-36. Epub 2022 Feb 10.

Division of Urology, Rush University Medical Center, Chicago, IL, USA.

Erectile dysfunction (ED) is a common problem, and prevalence rates are expected to rise as life expectancy increases worldwide. In more severe cases of ED, penile prosthesis implantation has been an excellent option for patients. Over the past few decades, significant design improvements have been made to the penile prosthesis and modifications to surgical technique to improve clinical outcomes. Read More

Can Urol Assoc J 2022 Feb;16(2):47

Section of Urology, Department of Surgery, University of Manitoba, Winnipeg, MB, Canada.

Urology 2022 Jun 1;164:255-261. Epub 2022 Feb 1.

Department of Urology, Vanderbilt University Medical Center, Nashville, TN.

Objective: To determine whether a patient's health literacy impacts patient satisfaction following inflatable penile prosthesis (IPP) or artificial urinary sphincter (AUS) placement.

Materials And Methods: A retrospective study of patients who underwent IPP or AUS between January 1, 2016 and July 31, 2020 was performed. A telephone questionnaire assessed overall satisfaction and if patients would undergo surgery again. Read More

Int J Impot Res 2022 Jan 22. Epub 2022 Jan 22.

Section of Urology, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.

Spinal Cord Ser Cases 2022 01 21;8(1):12. Epub 2022 Jan 21.

Department of Radiology, District General Hospital, Southport, PR8 6PN, United Kingdom.

Introduction: Spinal cord injury patients with indwelling urethral catheters are at high risk for erosion of urethra by penile prosthesis. Repeated misplacement of a Foley catheter with the balloon inflated in the urethra produces additional compression, thus predisposing to erosion of urethra by the prosthesis.

Case Presentation: A 22-year male sustained tetraplegia in 1980. Read More

Res Rep Urol 2022 14;14:1-6. Epub 2022 Jan 14.

Department of Urology, AOU Federico II, University Hospital, Naples, Italy.

Ischemic priapism accounts for more than 95% of all priapic episodes. It has to be considered a urological emergency because its time extension may lead to necrosis of smooth muscle cells of the corpora cavernosa, resulting in a complete erectile dysfunction, penile shortening and loss of girth. In the present systematic review, we perform an up-to-date literature search for patients suffering from refractory ischemic priapism who undergo penile prosthesis implantation with particular interests to the patients characteristics. Read More

Radiother Oncol 2022 02 6;167:244-251. Epub 2022 Jan 6.

Mount Vernon Cancer Centre, Northwood, UK; University of Manchester, Manchester, UK. Electronic address:

This is an evidence-based guideline for prostate brachytherapy. Throughout levels of evidence quoted are those from the Oxford Centre for Evidence based Medicine (https://www.cebm. Read More

Int J Impot Res 2022 May 5;34(4):369-374. Epub 2022 Jan 5.

Department of Urology, MEC, Beverly Hills, CA, USA.

The Penuma® implant is a medical-grade silicone implant surgically inserted subcutaneously to provide cosmetic improvement of the penile aesthetic. The principal author was invited to provide an update on the usage of the Penuma® implant for penile aesthetics. He collected as yet unpublished data, which is undergoing synchronous submission to Urologic meetings and peer-reviewed publications by a variety of authors for this communication. Read More

J Sex Med 2022 02 27;19(2):394-400. Epub 2021 Dec 27.

Department of Urology, University of Miami, Miller School of Medicine, Miami, FL, USA.

Background: Submuscular reservoir placement has fulfilled a critical need for patients desiring multicomponent penile implants following pelvic surgery and radiation therapy. Passage of the reservoir through the inguinal canal into the submuscular space is often challenging and carries the risk of the reservoir being placed unknowingly outside of the targeted space.

Aim: To evaluate the safety and accuracy of a direct vision, transfascial (DVT) approach to submuscular reservoir placement. Read More

J Sex Med 2022 02 26;19(2):356-363. Epub 2021 Dec 26.

WK Advanced Urology, Bossier City, LA, USA.

Background: Next-generation sequencing (NGS) is an emerging technology that may allow for more sensitive and sophisticated microbial testing of the microbiota of penile prostheses (PP).

Aim: To describe the microorganism profiles of PP explanted for infection, erosion, and mechanical malfunction using NGS.

Methods: All patients who underwent PP removal by two physicians at two institutions were identified. Read More

Ann Chir Plast Esthet 2022 Feb 20;67(1):49-56. Epub 2021 Dec 20.

Hospices civils de Lyon, Lyon, France.

Introduction: Antebrachial phalloplasty is considered as the standard technique in total penile reconstruction. This technique allows the creation of a phallus and a neourethra in one step at the cost of significant sequelae of the donor site. Thus, this technique has been replaced in some centers by other techniques such as the MSLD flap or the ALT flap. Read More

Urology 2022 02 10;160:136-141. Epub 2021 Dec 10.

Department of Urology, University of Texas Southwestern Medical Center, Dallas, TX. Electronic address:

Objective: To evaluate the distance from critical pelvic structures (CPS, defined as bladder and iliac vessels) among inflatable penile prosthesis (IPP) reservoirs placed into the space of Retzius (SOR) and high submuscular (HSM) locations using cross-sectional imaging. IPP reservoir placement into the HSM location has been proposed as a strategy to prevent injury due to greater distance from CPS.

Methods: Our institutional database was retrospectively reviewed to identify men who underwent IPP insertion between 2007 and 2020 and had available cross-sectional abdominopelvic imaging after the time of surgery. Read More