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BMC Urol 2019 Jan 16;19(1). Epub 2019 Jan 16.

Adams Urology Clinic, 513, Teheran-ro, Gangnam-gu, Seoul, 06169, Republic of Korea.

Background: The purpose of this study was to report the outcomes of patients who underwent penile implantation with AMS 700 LGX inflatable penile prosthesis (IPP) in a single center by a single surgeon.

Methods: A total of 342 patients with erectile dysfunction who underwent AMS 700 LGX IPP implantation between October 2014 and April 2016 were included in this study. All patients were evaluated using the International Index of Erectile Function questionnaire preoperatively and at 3, 6, and 12 months postoperatively. Read More

Eur Urol Focus 2019 Jan 10. Epub 2019 Jan 10.

Department of Urology, Tulane University Health Sciences Center, New Orleans, LA, USA. Electronic address:

In patients presenting with early ischemic priapism, proceeding with the conventional paradigm is recommended. In those presenting late (>48 h), penile prosthesis placement can easily be performed 2-6 wk later, with no increase in surgical difficulty or morbidity. Immediate penile prosthesis implantation should be reserved for motivated patients who understand the increased associated risks, have evidence of corporal fibrosis on imaging, and are being treated in a center of excellence. Read More

J Sex Med 2019 Jan 9. Epub 2019 Jan 9.

Department of Urology, Centre hospitalier Lyon-Sud, Hospices Civils de Lyon, Pierre-Bénite, France; Hospices Civils de Lyon, Pôle IMER, Universite de Lyon, Lyon, France. Electronic address:

Introduction: The ZSI 475FtM is a new prosthesis that has recently been specifically designed for phalloplasty. It has several functions that have been conceived to answer the challenges of implantation after phalloplasty: a large base for pubic bone fixation, realistically shaped hard glans, and a pump shaped like a testicle.

Aim: To assess the safety, feasibility, and patient satisfaction of the ZSI 475 FtM. Read More

Case Rep Urol 2018 4;2018:3479202. Epub 2018 Dec 4.

Division of Urology, Virginia Commonwealth University Medical Center, West Hospital, 7th Floor, 1200 E. Broad Street, Richmond, VA 23298-0118, USA.

Despite the known nephrotoxicity of gentamicin, in 2008 the American Urological Association published guidelines recommending single high-dose weight-based gentamicin prophylaxis of 5 mg/kg for procedures involving urologic prostheses. These guidelines are based on the theoretical renal safety and improved antimicrobial activity of a single large dose of gentamicin. However, the risk of nephrotoxicity after weight-based gentamicin prophylaxis specifically in penile prosthetic surgery has never been established with evidence-based studies. Read More

J Urol 2019 01;201(1):14-15

J Sex Med 2018 Dec;15(12):1818-1823

Department of Andrology, Kasr El Aini Faculty of Medicine, Cairo University, Egypt; Kamal Shaeer Hospital, Cairo, Egypt.

Introduction: A shorter penis is a frequent complaint following penile prosthesis implantation (PPI), and a large redundant suprapubic fat pad can conceal the penis and possibly compromise patient and partner satisfaction with length.

Aim: To evaluate feasibility and outcome of same-session, same-incision, PPI and suprapubic lipectomy (SPL).

Methods: In 22 patients, SPL was performed through an abdominal crease incision. Read More

Transl Androl Urol 2018 Dec;7(6):960-967

Scott Department of Urology, Baylor College of Medicine, Houston, TX, USA.

Infections are among the most feared and devastating complications of penile prosthesis infections, often requiring surgical exploration and explantation are prosthesis infections. While the rate of infections have decreased due to antibiotic prophylaxis, antiseptic device preparation, increased sterility in implantation techniques and device modifications, infections still occur at a rate of 1-3%. This article reviews the formation of biofilms on penile prostheses and novel, experimental methods to prevent and eradicate them. Read More

Sex Med Rev 2019 Jan 30;7(1):189-197. Epub 2018 Nov 30.

Florida Hospital Tampa Urology, Tampa, FL, USA. Electronic address:

Background: Penile prosthesis for erectile restoration remains the only surgical option for medical refractory erectile dysfunction. Many expert prosthetic surgeons recommend special care when placing a reservoir in a patient who has undergone prior radical pelvic surgery (PRPS) due to distortion of anatomy and obliteration of the dead space in the traditionally used space of Retzius.

Aim: Review all the current literature on penile prosthesis implantation in patients with prior pelvic surgery, with an emphasis on tips and tricks for reservoir placement in this unique population. Read More

Sex Med Rev 2019 Jan 30;7(1):178-188. Epub 2018 Nov 30.

Division of Urologic Surgery, Duke University, Durham, USA.

Introduction: Penile prosthesis (PP) implantation is associated with high patient satisfaction and improved sexual quality of life (SQoL). The SQoL benefits of PP implantation are generalizable across subpopulations of PP implant patients, but the literature is heterogeneous in design and largely without instruments to specifically measure SQoL changes due to PP, requiring extrapolation from less granular measures.

Aim: To provide a comprehensive review of available literature regarding SQoL with a penile prosthesis. Read More

Int J Impot Res 2018 Nov 26. Epub 2018 Nov 26.

Department of Urology, Korea University College of Medicine, Seoul, Republic of Korea.

Despite the controversy regarding penile augmentation (PA), glans penis augmentation (GPA) is used in penile reconstructive surgery in selected patients with small glans penis. Since 2003, injectable hyaluronic acid (HA) gel has been used for GPA. The attractiveness of HA gel fillers and interest in this technique have led to the use of other fillers for GPA, particularly irreversible fillers that improve the longevity of HA gels. Read More

Int J Impot Res 2018 Nov 16. Epub 2018 Nov 16.

FRCSC, Consultant Urologist, Amiri Hospital, Kuwait City, Kuwait.

J Pediatr Urol 2018 Sep 25. Epub 2018 Sep 25.

Division of Urology, Department of Surgery, Sidra Medical and Research Center, Doha, Qatar. Electronic address:

Introduction: Penile ischemic injury is a reported catastrophic complication after complete primary repair of exstrophy (CPRE). Aiming to improve the bladder exstrophy-epispadias repair outcomes, the study institution adopted a modified staged exstrophy repair to incorporate the advantages of CPRE by avoiding concurrent epispadias repair and adding bilateral ureteral re-implantation and bladder neck tailoring (staged repair of bladder exstrophy with bilateral ureteral re-implantation [SRBE-BUR]) at the initial repair. It was hypothesized that such modifications minimize penile complications and prevent upper tract deterioration while enhancing bladder resistance and consequent capacity. Read More

J Urol 2018 Sep 1;200(3):491. Epub 2018 Jun 1.

BJU Int 2018 Oct 30. Epub 2018 Oct 30.

King's College, London, UK.

Objective: To investigate if there is a correlation between penile size measured preoperatively and erect penis after penile implant surgery (PI). A common cause of patient dissatisfaction after PI is caused by patients complaining that surgery has shortened the penis. It has been suggested that stretched penile length preoperatively is almost the same after surgery when the prosthesis is in erect status. Read More

J Urol 2018 Oct 23. Epub 2018 Oct 23.

University of Texas Health Science Center- McGovern Medical School at Houston, Texas; University of Texas MD Anderson Cancer Center, Houston, Texas. Electronic address:

Purpose: Alternative, or ectopic, reservoir placement (ARP) has recently gained popularity among prosthetic surgeons in order to avoid injury to pelvic structures during inflatable penile prosthesis (IPP) implantation. However, the true incidence of complications associated with these new techniques remain understudied. We carried out a 5-year multi-center retrospective study with the aim to evaluate complications related to alternative reservoir placement. Read More

Int J Impot Res 2018 Oct 18. Epub 2018 Oct 18.

Department of Andrology, Kasr El Aini Faculty of Medicine, Cairo University, Cairo, Egypt.

Many patients complain of shortened length following penile prosthesis implantation. Dorsal phalloplasty (DP) can accompany prosthesis placement to mitigate this complaint by resulting in more visible penis outside the plane of the patient's body. DP is done through the same incision. Read More

Rev Int Androl 2018 Jul - Sep;16(3):112-118. Epub 2017 Oct 16.

Serviço de Urologia, Centro Hospitalar São João, Porto, Portugal; Departamento de Urologia, Faculdade de Medicina da Universidade do Porto, Porto, Portugal.

Introduction: Erectile dysfunction (ED) is one of the most prevalent male sexual disorders worldwide. When conservative treatment is unsuccessful, contraindicated or causes unacceptable side effects penile prosthesis implantation is a definitive option for the management of ED. Although considered a third-line therapy, it achieves the highest satisfaction rates as compared with non-surgical treatment. Read More

World J Urol 2018 Sep 24. Epub 2018 Sep 24.

Brigham and Women's Hospital, 45 Francis St, Boston, MA, 02115, USA.

Purpose: This study aims to analyze patient demographics, hospital characteristics, and clinical risk factors which predict penile prosthesis removal. We also examine costs of penile prosthesis removal and trends in inflatable versus non-inflatable penile prostheses implantation in the USA from 2003 to 2015.

Methods: Cross-sectional analysis from Premier Perspective Database was completed using data from 2003 to 2015. Read More

Prog Urol 2018 Dec 13;28(16):921-926. Epub 2018 Sep 13.

Service d'urologie, CHU Henri-Mondor, AP-HP, 51, avenue du Maréchal de Lattre de Tassigny, 94010 Créteil, France. Electronic address:

Objective: To study the impact of changing the technique of radical prostatectomy [pure laparoscopic radical (PR-Lap) to robot-assisted radical prostatectomy (RP-Rob)] on the rate of secondary procedures for urinary incontinence (UI) and erectile dysfunction (ED).

Material: Retrospective study evaluating the number and type of surgical procedures for post-RP UI and DE between 2008 and 2015, according to the technique of (RP-Lap or RP-Rob).

Results: Between 2008 et 2015, 2046 RP were performed in our department including 372 RP-Lap and 1674 RP-Rob. Read More

Transl Androl Urol 2018 Aug;7(4):603-617

Columbia University Division of Urology at Mount Sinai Medical Center, Miami Beach, FL, USA.

Numerous treatments have been proposed for Peyronie's disease (PD). As the evidence base has expanded, the field of operative and non-operative options for patients has narrowed. Collagenase clostridium hystolyticum (CCH) injection now comprises the medical option, and surgical possibilities entail penile plication, plaque incision/excision and grafting, and prosthesis implantation. Read More

J Sex Med 2018 Oct 31;15(10):1506-1513. Epub 2018 Aug 31.

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

Introduction: The sliding technique (ST), commonly done with a subcoronal circumcising incision with penile degloving, has been used to restore penile size in patients with severe Peyronie's disease (PD) and erectile dysfunction, but with a potential risk of ischemic injury to the glans penis.

Aim: To provide detailed surgical techniques regarding the nondegloving ventral incision and report our initial experience with this approach to perform the ST and penile prosthesis placement in patients with severe PD.

Methods: This was a retrospective review of patient outcomes after penile prosthesis placement with penoplasty for severe PD and erectile dysfunction from January 2015 to December 2017. Read More

Sex Med 2018 Dec 24;6(4):291-296. Epub 2018 Aug 24.

Department of Urology, Juntendo University Urayasu Hospital, Chiba, Japan. Electronic address:

Introduction: Phosphodiesterase type 5 inhibitors (PDE5i) are first-line therapy for most men with erectile dysfunction (ED). If ineffective, vacuum erection devices, intracavernous injections, and penile prosthesis implantation are suitable as second- or third-line therapies. However, very few patients select these therapies. Read More

J Sex Med 2018 Sep 23;15(9):1216-1223. Epub 2018 Aug 23.

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

Background: Silicone blocks and sleeves are simple devices used in cosmetic surgery. They are generally viewed as safe and effective; however, there is little information on their use in the penis.

Aim: This study evaluates a large single-surgeon series using a novel silicone sleeve penile implant (Penuma) to cosmetically correct the flaccid penis. Read More

Urologe A 2018 Oct;57(10):1208-1213

Klinik für Urologie und Kinderurologie, St.-Antonius-Hospital Eschweiler, Akademisches Lehrkrankenhaus der RWTH Aachen, Dechant-Deckers-Straße 8, 52249, Eschweiler, Deutschland.

Background: Because sick and injured children from war and crisis areas can often only be helped to a limited extent in their countries of origin, those children with the most complex diseases often receive medical treatment in Europe.

Materials And Methods: To evaluate the postoperative outcome of reconstructive interventions in children from war and crisis areas, an evaluation of the clinic's internal database between 1997 and 2017 was carried out. The operative indication, the surgical procedure, any revisions or conversions and the overall mortality were analyzed. Read More

Sex Med Rev 2018 Aug 2. Epub 2018 Aug 2.

Duke University, Division of Urology, Durham, NC, USA.

Introduction: The relative infrequency of urethral injuries during penile prosthesis implantation has caused the event to be understudied relative to the morbidity and cost associated with their management.

Aim: To draw attention to both acute intraoperative and delayed urethral injuries via cylinder erosion by compiling and evaluating the available literature on their cause, diagnosis, and management.

Methods: A literature review was performed through PubMed from 1985 to 2018 regarding urethral injuries in the setting of penile prosthesis implantation. Read More

Urology 2018 Oct 3;120:269-270. Epub 2018 Aug 3.

Belgrade Center for Genitourinary Reconstructive Surgery, School of Medicine, University of Belgrade, Serbia.

Objective: To present our technique of musculocutaneous latissimus dorsi (MLD) free-flap total phalloplasty. This technically demanding female-to-male gender reassignment surgery consists of creating a neophallus from extragenital tissue.

Methods: The presented technique included: removal of internal and/or external female genitalia, creation of neophallus using latissimus dorsi free flap, clitoral incorporation into the neophallus, urethral lengthening, and insertion of testicular implants into the newly created scrotum. Read More

J Urol 2019 Jan;201(1):141-146

Department of Urology, Weill Cornell Medicine, New York, New York.

Purpose: Inflatable penile prostheses and artificial urinary sphincters are used to treat men with erectile dysfunction and stress urinary incontinence, respectively. After prostate cancer treatment men often experience erectile dysfunction and stress urinary incontinence. Dual prosthetic implantation can improve the quality of life of these men. Read More

J Sex Med 2018 Sep 26;15(9):1350-1356. Epub 2018 Jul 26.

Department of Andrology, Kasr El Aini Faculty of Medicine, Cairo University, Cairo, Egypt; Kamal Shaeer Hospital, Cairo, Egypt.

Background: Penile prosthesis implantation into scarred corporeal bodies is one of the most challenging procedures in prosthetic urologic surgery, especially following infection and extrusion of a penile implant. Several instruments and techniques have been used for making dilatation of scarred corporeal bodies easier and safer in expert hands. Nevertheless, in some cases, implantation is not possible. Read More

J Feline Med Surg 2018 Jul 30:1098612X18788157. Epub 2018 Jul 30.

1 Department of Animal Medicine, Production and Health, University of Padova, Padova, Italy.

Objectives The objective of this study was to assess duration of efficacy, side effects and return to fertility following use of the 9.4 mg deslorelin implant (Suprelorin 12; Virbac) in cats, and test whether efficacy and duration of action are influenced by implantation site (interscapular vs periumbilical). Methods Sixteen healthy adult tom cats were checked with (1) reproductive examination, (2) gonadotropin-releasing hormone stimulation test and (3) semen collection until achievement of sterility, then with (1) and (2) only at 2, 4, 6 and 12 months, and every 6 months thereafter until treatment effect disappeared. Read More

Ned Tijdschr Geneeskd 2018 May 18;162. Epub 2018 May 18.

VUmc, afd. Urologie, Amsterdam.

Erectile dysfunction is the continuous or recurring inability to get or to maintain an erection rigid enough for sexual activity. Non-urologists will often restrict themselves to counselling, lifestyle advice or the prescription of an erection pill. However, most erection pills are manufactured and traded illegally. Read More

J Sex Med 2018 Aug 13;15(8):1187-1194. Epub 2018 Jul 13.

Department of Urology, Einstein Healthcare Network, Philadelphia, PA, USA; Department of Urology/Urologic Oncology, Fox Chase Cancer Center, Philadelphia, PA, USA. Electronic address:

Background: Inflatable penile prosthesis (IPP) surgery is associated with significant perioperative pain that may reduce patient satisfaction. Though various pain management strategies have been proposed, most implanters manage postoperative patients with only prescription opioids. No protocol to date has been implemented and reported for pain management in IPP patients throughout the entire recovery process following surgery. Read More

Sex Med 2018 Sep 13;6(3):248-254. Epub 2018 Jul 13.

Division of Urology, Department of Surgery, The University of Western Ontario, London, Ontario, Canada; Department of Microbiology and Immunology, Schulich School of Medicine and Dentistry, The University of Western Ontario, London, Ontario, Canada; Canadian Centre for Human Microbiome and Probiotic Research, Lawson Health Research Institute, London, Ontario, Canada. Electronic address:

Background: Inflatable penile prosthetic (IPP) infections are unusual but carry high patient morbidity and healthcare costs.

Aim: To increase the bactericidal effect of IPP tubing material to prevent future bacterial infections and to determine whether this effect is time-dependent.

Methods: A modified disk diffusion assay was developed to measure the zones of inhibition against Escherichia coli, Proteus mirabilis, Staphylococcus aureus, and Staphylococcus epidermidis when tubing was immersed in gentamycin, ampicillin, tetracycline, kanamycin, erythromycin, or ciprofloxacin. Read More

BJU Int 2019 Feb 20;123(2):360-366. Epub 2018 Jul 20.

Università Vita-Salute San Raffaele, Milan, Italy.

Objectives: To investigate scores and predictors of patient satisfaction at 1 year after penile prosthesis implantation (PPI) using the validated Quality of Life and Sexuality with Penile Prosthesis (QoLSPP) questionnaire.

Patients And Methods: Analyses were performed for 142 patients prospectively included in the national multicentre registry Italian Nationwide Systematic Inventarization of Surgical Treatment for Erectile Dysfunction (INSIST-ED), which provided 1-year follow-up data. Postoperative patient satisfaction was assessed using the validated QoLSPP tool. Read More

Aging Male 2018 Jun 27:1-7. Epub 2018 Jun 27.

a Faculty of Medicine, Department of Urology , Osmangazi University , Eskisehir , Turkey.

Purpose: It was aimed to evaluate the changes in quality of life in patients with erectile dysfunction (ED) after inflatable penile prosthesis implantation.

Material And Methods: Forty-one patients who underwent to an inflatable penile prosthesis implantation surgery due to ED were included in the study. The age of the patients, the indications for surgery, and the type of prosthesis implanted were recorded. Read More

Turk J Urol 2018 Jul;44(4):351-356

General Pediatric Surgery, Cadi Ayyad University, Mother and Child Unit, Mohamed VI Teaching Hospital, Marrakesh, Morocco.

Objective: Penile injuries are not rare in children. Our aim is to establish their causes and to report our experience in the management of those accidents.

Material And Methods: A retrospective study of all penile injuries presented from January 2009 to January 2017 was performed. Read More

Clin Plast Surg 2018 Jul 1;45(3):407-414. Epub 2018 May 1.

Department of Experimental Medicine and Surgery, Urology Unit, Tor Vergata University of Rome, Via Montpellier 1, Rome 00133, Italy.

Phalloplasty represents the most complete genitoperineal transformation for trans men. Although voiding while standing is a priority for most trans men, most patients want to use the neophallus for sexual experience after they are accustomed to their new voiding abilities. Different techniques have been used to obtain rigidity in the neophallus, often resulting in complications and failure. Read More

BJU Int 2018 Dec 27;122(6):1066-1074. Epub 2018 Jul 27.

Department of Urology, Johns Hopkins School of Medicine, The James Buchanan Brady Urological Institute, Baltimore, MD, USA.

Objectives: To clarify the molecular basis of penile erection at the human level and distinguish the mechanisms underlying vasculogenic and post-radical prostatectomy (RP) erectile dysfunction (ED) subtypes.

Patients And Methods: Erectile tissue was obtained from men without history of ED who underwent penile surgery for Peyronie's disease (control group, n = 5) and from men with ED who underwent penile prosthesis implantation (n = 17). ED was categorized into vasculogenic (n = 8) and post-RP (n = 9) subtypes. Read More

J Sex Med 2018 Jul 31;15(7):1061-1062. Epub 2018 May 31.

Urology Clinic, Città della Salute e della Scienza, University of Turin, Turin, Italy.

J Sex Med 2018 Jun;15(6):925-926

AndroUrology Centre, Brisbane, QLD, Australia; Department of Urology, University of Queensland, Princess Alexandra Hospital, Brisbane, QLD, Australia. Electronic address:

J Sex Med 2018 Jun;15(6):924-925

Men's Health Center, Indianapolis, IN, USA. Electronic address:

Int J Impot Res 2018 Jun 25;30(3):93-96. Epub 2018 May 25.

Urological Research Network, Hialeah, FL, 33016, USA.

Few studies have examined the roles of dorsal penile nerve block (DPNB) and penile ring block (PRB) in surgery of inflatable penile prosthesis (IPP) placement. We sought to compare the postoperative pain outcomes of two different medications used in DPNB plus PRB. We thus carried out a prospective study of patients with erectile dysfunction who underwent "de novo" IPP placement between January 2013 and June 2013. Read More

J Sex Med 2018 Jun 9;15(6):848-852. Epub 2018 May 9.

Urology Clinic, Città della Salute e della Scienza, University of Turin, Turin, Italy.

Background: Although many grafts have been used for plaque incision with grafting (PIG) and penile prosthesis (PP) implantation, there is no evidence that favors 1 specific graft over another.

Aim: To compare fibrin-coated collagen fleece (TachoSil; Baxter International, Deerfield, IL, USA) with porcine small intestinal submucosa (SIS; Cook Biotech, West Lafayette, IN, USA) as grafts.

Methods: From January 2007 to January 2015, 60 non-randomized consecutive patients affected by end-stage Peyronie disease underwent PIG and PP implantation (AMS 700CX; Boston Scientific, Marlborough, MA, USA). Read More

J Sex Med 2018 Jun 3;15(6):914-919. Epub 2018 May 3.

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

Background: Glanular hypermobility (GH) or supersonic transporter (SST) deformity are occasionally encountered during penile prosthesis (PP) implantation, yet management strategies are underreported with minimal data available on surgical outcomes.

Aim: To describe a modified technique for glanulopexy to correct GH/SST in men undergoing PP placement and assess outcomes associated with this technique.

Methods: Glanulopexy was performed in men with GH/SST identified at the time of or following PP placement. Read More

Sex Med Rev 2018 Oct 2;6(4):631-639. Epub 2018 May 2.

Department of Urology, IRCCS Ca' Granda Ospedale Maggiore Policlinico, University of Milan, Milan, Italy.

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. Read More

Zhonghua Nan Ke Xue 2017 Jul;23(7):656-662

Department of Urology, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, China.

Prostate cancer has the highest incidence among malignant tumors of the urinary system in China. Radical prostatectomy (RP) is the most effective treatment for localized prostate cancer with a good long-term prognosis. Erectile dysfunction (ED) is a common complication after RP, which seriously affects the patient's quality of life. Read More

Urology 2018 Jul 12;117:86-88. Epub 2018 Apr 12.

Cleveland Clinic, Glickman Urological and Kidney Institute, Cleveland, OH.

Objective: To determine whether patients with solid organ transplant (SOT) are at higher risk of developing complications after inflatable penile prosthesis (IPP) implantation.

Methods: We retrospectively reviewed outcomes data for all patients with SOT who underwent IPP placement at our institution. A cohort of age-matched IPP recipients without SOT were used as controls. Read More

Curr Urol Rep 2018 Apr 13;19(6):40. Epub 2018 Apr 13.

Department of Urology, University of Texas Southwestern Medical Center, Dallas, TX, 75390-9110, USA.

Purpose Of Review: To evaluate contemporary rationale and techniques for ectopic reservoir/balloon placement in complex urologic prosthetics patients.

Recent Findings: Recent studies have demonstrated that ectopic reservoir placement is safe and durable when compared to traditional space of Retzius placement. Complex patients exist on a spectrum from those with a previously violated retropubic space, to those with bilaterally obscured external inguinal rings and/or multiple prior prosthetic reservoirs. Read More

J Sex Med 2018 May 10;15(5):786-788. Epub 2018 Apr 10.

Regional Urology, Shreveport, LA, USA.

Background: Although there is a strong correlation between erectile dysfunction and Peyronie's disease (PD), there are limited data on the efficacy and satisfaction of inflatable penile prosthesis (IPP) placement in this population.

Aim: To assess the efficacy and overall satisfaction of IPP placement in men with erectile dysfunction and concomitant PD using the Prospective Registry of Outcomes with Penile Prosthesis for Erectile Restoration (PROPPER).

Methods: Data from the PROPPER study were examined to determine patient baseline characteristics and primary and secondary etiologies before IPP treatment and included type and size of implant received, presence of corporal fibrosis, and operative time. Read More

World J Mens Health 2018 May 26;36(2):132-138. Epub 2018 Jan 26.

Department of Translational Research and New Technologies, University of Pisa, Pisa, Italy.

Purpose: There are many grey areas in the field of penile rehabilitation after radical prostatectomy (RP). The preservation of the full dimensions of the penis is an important consideration for improving patients' compliance for the treatment. We present the first case series of patients treated by laparoscopic extraperitoneal RP and simultaneous penile prosthesis implantation (PPI) in order to preserve the full length of the penis and to improve patients' satisfaction. Read More

Andrologia 2018 Apr 1:e13013. Epub 2018 Apr 1.

Department of Urology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.

Priapism is a urological emergency that needs early intervention and may lead to irreversible cavernosal damage. Ischaemic priapism is the most common type, which is frequently idiopathic and commonly associated with haematological diseases, medications or recreational drugs. Synthetic cannabinoids (SCs) have been increasingly used all over the world, particularly among young-adult population. Read More