Scholars@Duke
Aaron Claude Lentz

Aaron Claude Lentz

Professor of Urology
Urology
aaron.lentz@duke.edu
3480 Wake Forest Rd, Suite 506, Raleigh, NC 27609
3480 Wake Forest Rd, Suite 506, Raleigh, NC 27609
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Selected Publications

Structural Changes in Brain White Matter Tracts Associated With Overactive Bladder Revealed by Diffusion Tensor Magnetic Resonance Imaging: Findings From a Symptoms of Lower Urinary Tract Dysfunction Research Network Cross-Sectional Case-Control Study.

Journal Article J Urol · August 2024 PURPOSE: Our objective was to investigate structural changes in brain white matter tracts using diffusion tensor imaging (DTI) in patients with overactive bladder (OAB). MATERIALS AND METHODS: Treatment-seeking OAB patients and matched controls enrolled in ... Full text Link to item Cite

Factors Affecting Implant Length in Primary Inflatable Penile Prosthesis Placement.

Journal Article Urology · July 5, 2024 OBJECTIVE: To evaluate predictors of implant length for men undergoing primary IPP placement. METHODS: A multicenter, retrospective cohort study was performed for men undergoing primary IPP placement at 16 high-volume surgical centers. Patient demographics ... Full text Link to item Cite

Does climate impact inflatable penile prosthesis infection (IPP) risk? Assessment of temperature and dew point on IPP infections.

Journal Article J Sex Med · April 30, 2024 BACKGROUND: Variations in climate have been associated with a greater risk of surgical site infections, urinary tract infections, and changes in the skin microbiome; however, limited data exist on the impact of climate on inflatable penile prosthesis (IPP) ... Full text Link to item Cite

Overcoming barriers to immediate penile implant salvage surgery: a narrative review.

Journal Article Transl Androl Urol · April 30, 2024 BACKGROUND AND OBJECTIVE: Since immediate salvage (IS) surgery for infected penile prosthesis (PP) was introduced nearly 30 years ago, an abundance of evidence has emerged in support of its use. IS remains underutilized by the modern urologist despite its ... Full text Link to item Cite

Narrative review of immediate salvage for penile prosthesis infection.

Journal Article Transl Androl Urol · April 30, 2024 BACKGROUND AND OBJECTIVE: Implantation of a penile prosthesis is a reliable option for men with erectile dysfunction (ED) refractory to less invasive therapies. While the frequency of penile prosthesis infections have decreased, they remain a devastating c ... Full text Link to item Cite

Infection rates following urologic prosthetic revision without replacement of any device components compared to partial or complete device exchange: a single-center retrospective cohort study.

Journal Article Int J Impot Res · December 2023 Urologic implant revision carries a higher infection risk than virgin implantation. Historically, exchanging device components at the time of revision was performed to reduce infection risk. We hypothesize that revision without replacement of any parts of ... Full text Link to item Cite

Single Dilation in Primary Inflatable Penile Prosthesis Placement Is Associated With Fewer Corporal Complications Than Sequential Dilation.

Journal Article Urology · November 2023 OBJECTIVE: To assess the difference in outcomes between single dilation (SingD) and sequential dilation (SeqD) in primary penile implantation, hypothesizing that patients who undergo SeqD had higher rates of noninfectious complications. METHODS: We perform ... Full text Link to item Cite

Management of urologic prosthetic reservoirs at the time of inguinal or pelvic surgery.

Journal Article Sex Med Rev · September 27, 2023 INTRODUCTION: The artificial urinary sphincter and 3-piece inflatable penile prosthesis each require a fluid storage component and thus have components in the inguinal and pelvic regions. Because of this, patients with urologic prosthetics sometimes presen ... Full text Link to item Cite

Partial Component Exchange of a Non-Infected Inflatable Penile Prosthesis is Associated With a Higher Complication Rate.

Journal Article Urology · April 2023 OBJECTIVE: To describe the infectious and non-infectious complications in men undergoing Inflatable penile prosthesis (IPP) revision with partial and complete component exchange for mechanical malfunction. METHODS: We performed a multicenter retrospective ... Full text Link to item Cite

AUTHOR REPLY.

Journal Article Urology · April 2023 Full text Link to item Cite

AUA-recommended Antibiotic Prophylaxis for Primary Penile Implantation Results in a Higher, Not Lower, Risk for Postoperative Infection: A Multicenter Analysis.

Journal Article J Urol · February 2023 PURPOSE: Our aim was to determine if the AUA-recommended prophylaxis (vancomycin + gentamicin alone) for primary inflatable penile prosthesis surgery is associated with a higher infection risk than nonstandard regimens. MATERIALS AND METHODS: We performed ... Full text Link to item Cite

Indications and Outcomes for Intermittent Catheterization following Bulbar AUS Cuff Placement.

Journal Article Urology · January 2023 OBJECTIVE: To evaluate the functional and surgical impact of CIC protocols in men with a bulbar AUS in place. Stress urinary incontinence (SUI) and poor bladder emptying are both sequelae of prostate cancer treatment, though there is sparse data to guide c ... Full text Link to item Cite

Safety outcomes of the first Rigi10™ malleable penile prostheses implanted worldwide

Journal Article International Journal of Impotence Research · January 1, 2023 Implantation of penile prosthesis is considered when conservative measures fail or are unacceptable to patients’ wishing treatment for erectile dysfunction. In the United States (US), inflatable penile prostheses are more often used than malleable penile p ... Full text Cite

Current Techniques for the Objective Measures of Erectile Hardness.

Journal Article Sex Med Rev · October 2022 INTRODUCTION: One of the most discussed topics in the urology provider's office is that of the male penile erection. Moreover, this is also a frequent basis for consultation by primary care practitioners. As such, it is essential that urologists are famili ... Full text Link to item Cite

Synchronous Surgical Management of Erectile Dysfunction and Stress Urinary Incontinence: A Systematic Review and Meta-Analysis of Reoperation Rates.

Journal Article Sexual medicine reviews · October 2022 IntroductionThe efficacy, safety, and postoperative outcomes of synchronous surgery for concomitant erectile dysfunction (ED) and stress urinary incontinence (SUI) remain unclear.ObjectivesWe performed a systematic review and meta-analysi ... Full text Cite

Synchronous Surgical Management of Erectile Dysfunction and Stress Urinary Incontinence: A Systematic Review and Meta-Analysis of Reoperation Rates.

Journal Article Sex Med Rev · October 1, 2022 INTRODUCTION: The efficacy, safety, and postoperative outcomes of synchronous surgery for concomitant erectile dysfunction (ED) and stress urinary incontinence (SUI) remain unclear. OBJECTIVES: We performed a systematic review and meta-analysis to evaluate ... Full text Link to item Cite

Structural Changes in Brain White Matter Tracts Associated With Overactive Bladder Revealed by Diffusion Tensor Magnetic Resonance Imaging: Findings From a Symptoms of Lower Urinary Tract Dysfunction Research Network Cross-Sectional Case-Control Study.

Journal Article J Urol · August 2024 PURPOSE: Our objective was to investigate structural changes in brain white matter tracts using diffusion tensor imaging (DTI) in patients with overactive bladder (OAB). MATERIALS AND METHODS: Treatment-seeking OAB patients and matched controls enrolled in ... Full text Link to item Cite

Factors Affecting Implant Length in Primary Inflatable Penile Prosthesis Placement.

Journal Article Urology · July 5, 2024 OBJECTIVE: To evaluate predictors of implant length for men undergoing primary IPP placement. METHODS: A multicenter, retrospective cohort study was performed for men undergoing primary IPP placement at 16 high-volume surgical centers. Patient demographics ... Full text Link to item Cite

Does climate impact inflatable penile prosthesis infection (IPP) risk? Assessment of temperature and dew point on IPP infections.

Journal Article J Sex Med · April 30, 2024 BACKGROUND: Variations in climate have been associated with a greater risk of surgical site infections, urinary tract infections, and changes in the skin microbiome; however, limited data exist on the impact of climate on inflatable penile prosthesis (IPP) ... Full text Link to item Cite

Overcoming barriers to immediate penile implant salvage surgery: a narrative review.

Journal Article Transl Androl Urol · April 30, 2024 BACKGROUND AND OBJECTIVE: Since immediate salvage (IS) surgery for infected penile prosthesis (PP) was introduced nearly 30 years ago, an abundance of evidence has emerged in support of its use. IS remains underutilized by the modern urologist despite its ... Full text Link to item Cite

Narrative review of immediate salvage for penile prosthesis infection.

Journal Article Transl Androl Urol · April 30, 2024 BACKGROUND AND OBJECTIVE: Implantation of a penile prosthesis is a reliable option for men with erectile dysfunction (ED) refractory to less invasive therapies. While the frequency of penile prosthesis infections have decreased, they remain a devastating c ... Full text Link to item Cite

Infection rates following urologic prosthetic revision without replacement of any device components compared to partial or complete device exchange: a single-center retrospective cohort study.

Journal Article Int J Impot Res · December 2023 Urologic implant revision carries a higher infection risk than virgin implantation. Historically, exchanging device components at the time of revision was performed to reduce infection risk. We hypothesize that revision without replacement of any parts of ... Full text Link to item Cite

Single Dilation in Primary Inflatable Penile Prosthesis Placement Is Associated With Fewer Corporal Complications Than Sequential Dilation.

Journal Article Urology · November 2023 OBJECTIVE: To assess the difference in outcomes between single dilation (SingD) and sequential dilation (SeqD) in primary penile implantation, hypothesizing that patients who undergo SeqD had higher rates of noninfectious complications. METHODS: We perform ... Full text Link to item Cite

Management of urologic prosthetic reservoirs at the time of inguinal or pelvic surgery.

Journal Article Sex Med Rev · September 27, 2023 INTRODUCTION: The artificial urinary sphincter and 3-piece inflatable penile prosthesis each require a fluid storage component and thus have components in the inguinal and pelvic regions. Because of this, patients with urologic prosthetics sometimes presen ... Full text Link to item Cite

Partial Component Exchange of a Non-Infected Inflatable Penile Prosthesis is Associated With a Higher Complication Rate.

Journal Article Urology · April 2023 OBJECTIVE: To describe the infectious and non-infectious complications in men undergoing Inflatable penile prosthesis (IPP) revision with partial and complete component exchange for mechanical malfunction. METHODS: We performed a multicenter retrospective ... Full text Link to item Cite

AUTHOR REPLY.

Journal Article Urology · April 2023 Full text Link to item Cite

AUA-recommended Antibiotic Prophylaxis for Primary Penile Implantation Results in a Higher, Not Lower, Risk for Postoperative Infection: A Multicenter Analysis.

Journal Article J Urol · February 2023 PURPOSE: Our aim was to determine if the AUA-recommended prophylaxis (vancomycin + gentamicin alone) for primary inflatable penile prosthesis surgery is associated with a higher infection risk than nonstandard regimens. MATERIALS AND METHODS: We performed ... Full text Link to item Cite

Indications and Outcomes for Intermittent Catheterization following Bulbar AUS Cuff Placement.

Journal Article Urology · January 2023 OBJECTIVE: To evaluate the functional and surgical impact of CIC protocols in men with a bulbar AUS in place. Stress urinary incontinence (SUI) and poor bladder emptying are both sequelae of prostate cancer treatment, though there is sparse data to guide c ... Full text Link to item Cite

Safety outcomes of the first Rigi10™ malleable penile prostheses implanted worldwide

Journal Article International Journal of Impotence Research · January 1, 2023 Implantation of penile prosthesis is considered when conservative measures fail or are unacceptable to patients’ wishing treatment for erectile dysfunction. In the United States (US), inflatable penile prostheses are more often used than malleable penile p ... Full text Cite

Current Techniques for the Objective Measures of Erectile Hardness.

Journal Article Sex Med Rev · October 2022 INTRODUCTION: One of the most discussed topics in the urology provider's office is that of the male penile erection. Moreover, this is also a frequent basis for consultation by primary care practitioners. As such, it is essential that urologists are famili ... Full text Link to item Cite

Synchronous Surgical Management of Erectile Dysfunction and Stress Urinary Incontinence: A Systematic Review and Meta-Analysis of Reoperation Rates.

Journal Article Sexual medicine reviews · October 2022 IntroductionThe efficacy, safety, and postoperative outcomes of synchronous surgery for concomitant erectile dysfunction (ED) and stress urinary incontinence (SUI) remain unclear.ObjectivesWe performed a systematic review and meta-analysi ... Full text Cite

Synchronous Surgical Management of Erectile Dysfunction and Stress Urinary Incontinence: A Systematic Review and Meta-Analysis of Reoperation Rates.

Journal Article Sex Med Rev · October 1, 2022 INTRODUCTION: The efficacy, safety, and postoperative outcomes of synchronous surgery for concomitant erectile dysfunction (ED) and stress urinary incontinence (SUI) remain unclear. OBJECTIVES: We performed a systematic review and meta-analysis to evaluate ... Full text Link to item Cite

Current Techniques for the Objective Measures of Erectile Hardness.

Journal Article Sex Med Rev · October 1, 2022 INTRODUCTION: One of the most discussed topics in the urology provider's office is that of the male penile erection. Moreover, this is also a frequent basis for consultation by primary care practitioners. As such, it is essential that urologists are famili ... Full text Link to item Cite

Valsalva leak point pressure (VLPP) greater than 70 cm H2O is an indicator for sling success: a success prediction model for the male transobturator sling.

Conference Int Urol Nephrol · July 2022 INTRODUCTION AND OBJECTIVES: Urodynamic studies are often performed in the evaluation of post-prostatectomy urinary incontinence (PPUI). The male transobturator sling (TOS) is a minimally invasive treatment for PPUI. Others have reported their results with ... Full text Link to item Cite

IPP Salvage in 2021.

Journal Article The journal of sexual medicine · June 2022 Full text Cite

Update on the Medical and Surgical Management of Urethral Condyloma.

Journal Article Sex Med Rev · April 2022 INTRODUCTION: Condyloma acuminata (CA) of the urethra presents a management challenge due to high recurrence rates, difficulty in accessing urethral lesions, risk of stricture formation, and potential for sexual dysfunction. While standard treatment modali ... Full text Link to item Cite

Current practices regarding corporotomy localization during penoscrotal inflatable penile implant surgery: a multicenter cohort study.

Journal Article Int J Impot Res · April 2022 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 r ... Full text Link to item Cite

Small Diameter Penile Implants: A Survey on Current Utilization and Review of Literature.

Journal Article Sex Med · February 2022 BACKGROUND: Inflatable penile prostheses (IPPs) with smaller diameter cylinders have been in use for over 30 years, yet the literature is sparse on their utilization patterns amongst prosthetic surgeons. AIM: To understand current usage of small diameter p ... Full text Link to item Cite

Immediate preoperative blood glucose and hemoglobin a1c levels are not predictive of postoperative infections in diabetic men undergoing penile prosthesis placement.

Conference Int J Impot Res · April 2021 Defining the risks associated with diabetes mellitus in patients undergoing penile prosthesis implantation remains controversial. Our study aims to assess whether preoperative hemoglobin a1c and preoperative blood glucose levels are associated with an incr ... Full text Link to item Cite

Prospective analysis of cultures from the Furlow insertion tool: a possible etiology for penile prosthesis infections.

Journal Article Int J Impot Res · April 2021 Featured Publication The most dreaded complication of penile prosthesis (PP) implantation is device infection. We sought to assess whether inadequate cleaning and sterilization of the reusable Furlow inserter may represent one of the last etiologies of infection in PP patients ... Full text Link to item Cite

Update on Intraoperative Cultures, Biofilms, and Modifiable Factors During Revision of Clinically Non-Infected Penile Implants.

Journal Article Sex Med Rev · January 2021 INTRODUCTION: Penile implants have a limited lifespan, and as the population using inflatable penile prostheses ages, revision surgery has become increasingly common. Devices are frequently cultured during non-infectious revision surgeries, providing a bur ... Full text Link to item Cite

Comparison of Penile Prosthesis Cultures Within Individual Patients After Removal/Replacement and Subsequent Salvage.

Journal Article Sex Med · December 2020 INTRODUCTION: Infection rates for virgin inflatable penile prostheses (IPPs) range from 1 to 3%; however, this can increase to 7-18% after IPP revision or removal/replacement (RR) for mechanical malfunction. Although studies have reported various RR and sa ... Full text Link to item Cite

Counter incision is a safe and effective method for alternative reservoir placement during inflatable penile prosthesis surgery.

Journal Article Transl Androl Urol · December 2020 BACKGROUND: Alternative reservoir placement is increasingly popular during inflatable penile prosthesis (IPP) surgery to prevent intraperitoneal positioning, bowel, bladder, or vascular injury in patients with prior pelvic surgeries. Counter incision (CI) ... Full text Link to item Cite

Cadaveric Penile Prosthesis Workshop training improves surgical confidence levels of urologists: South Asian Society for Sexual Medicine course survey.

Journal Article Int J Urol · November 2020 OBJECTIVES: To analyze the impact of South Asia's first cadaveric hands-on workshop on urologists' training in inflatable penile prosthesis surgery. METHODS: A total of 72 urologists/andrologists participated in the 2019 South Asian Society for Sexual Medi ... Full text Link to item Cite

The Absence of a Validated English-Language Survey to Assess Prosthesis Satisfaction: A Prospective Cohort Using the Sexual Quality of Life After Penile Prosthesis.

Journal Article J Sex Med · November 2020 BACKGROUND: Prior assessments of sexual quality of life (SQoL) after penile prosthesis implantation have been performed without validated implant-specific tools. The Quality of Life and Sexuality with Penile Prosthesis (QoLSPP) questionnaire was designed a ... Full text Link to item Cite

Reply by Authors.

Journal Article J Urol · November 2020 Full text Link to item Cite

A Multicenter Investigation Examining American Urological Association Recommended Antibiotic Prophylaxis vs Nonstandard Prophylaxis in Preventing Device Infections in Penile Prosthesis Surgery in Diabetic Patients.

Journal Article J Urol · November 2020 PURPOSE: American Urological Association (AUA) antibiotic prophylaxis recommendations may be insufficient for covering organisms commonly found in penile prosthesis infections. In this study we assess the difference between AUA recommended antibiotic proph ... Full text Link to item Cite

Impact of Antimicrobial Dipping Solutions on Postoperative Infection Rates in Patients With Diabetes Undergoing Primary Insertion of a Coloplast Titan Inflatable Penile Prosthesis.

Conference J Sex Med · October 2020 BACKGROUND: Modern-day penile prostheses use infection retardant coating to decrease rates of postoperative infection, subsequently reducing explantation and revision rates as well. The Coloplast Titan models are dipped into antimicrobial solutions right b ... Full text Link to item Cite

Penile Implant Infection: Experience With Expanded Salvage Criteria and a Shortened Course of Postoperative Antibiotics.

Journal Article Sex Med · September 2020 INTRODUCTION: The preferred treatment for inflatable penile prosthesis (IPP) infection includes antibiotic therapy, device removal, and immediate replacement. While this is an accepted procedure, the delivery and length of postoperative antibiotics are not ... Full text Link to item Cite

Cadaveric Laboratory Simulation Training of Male Stress Urinary Incontinence Treatment Improves Trainee Knowledge and Confidence.

Journal Article Urology · September 2020 OBJECTIVE: To assess whether a focused, simulation training course can improve trainee surgical knowledge and confidence in the treatment of male stress urinary incontinence. MATERIALS AND METHODS: Urology residents participated in a prosthetic education c ... Full text Link to item Cite

Management of Urethral Injury During Penile Prosthesis Surgery

Journal Article Current Sexual Health Reports · March 9, 2020 Full text Cite

Urethral Injury and the Penile Prosthesis.

Journal Article Sex Med Rev · April 2019 Featured Publication 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 intraoperati ... Full text Link to item Cite

Inflatable Penile Prosthesis: Considerations in Revision Surgery.

Journal Article Curr Urol Rep · March 20, 2019 Featured Publication PURPOSE OF REVIEW: To provide an evidence based discussion of preoperative, intraoperative, and postoperative factors that lead to successful outcomes in penile prosthesis surgery. RECENT FINDINGS: In the preoperative period, careful patient selection, app ... Full text Link to item Cite

Sexual Quality of Life and Satisfaction With Penile Prostheses.

Journal Article Sex Med Rev · January 2019 Featured Publication 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 literatu ... Full text Link to item Cite

Simulation Training in Penile Implant Surgery: Assessment of Surgical Confidence and Knowledge With Cadaveric Laboratory Training.

Journal Article Sex Med · December 2018 Featured Publication INTRODUCTION: Constraints on surgical resident training (work-hour mandates, shorter training programs, etc.) and availability of expert surgical educators may limit the acquisition of prosthetic surgical skills. As a result, training courses are being con ... Full text Link to item Cite

Purulent Inflatable Penile Prostheses Can Be Safely Immediately Salvaged in Insulin-Dependent Diabetics.

Journal Article J Sex Med · December 2018 Featured Publication INTRODUCTION: Historically, contra-indications for immediate salvage of an infected penile prosthesis have included purulence on the device, purulent infections in diabetic patients, and severe diabetes. These clinical principles are from the 1990s to earl ... Full text Link to item Cite

Prevalence and Characteristics of Urinary Incontinence in a Treatment Seeking Male Prospective Cohort: Results from the LURN Study.

Journal Article J Urol · August 2018 Featured Publication PURPOSE: Male urinary incontinence is thought to be infrequent. We sought to describe the prevalence of urinary incontinence in a male treatment seeking cohort enrolled in the LURN (Symptoms of Lower Urinary Tract Dysfunction Research Network). MATERIALS A ... Full text Link to item Cite

Posterior urethral stenosis after prostate cancer treatment: contemporary options for definitive management.

Journal Article Transl Androl Urol · August 2018 Featured Publication Posterior urethral stenosis (PUS) is an uncommon but challenging problem following prostate cancer therapy. A review of the recent literature on the prevalence of PUS and treatment modalities used in the last decade was performed. A summative narrative of ... Full text Link to item Cite

Survey on the Contemporary Management of Intraoperative Urethral Injuries During Penile Prosthesis Implantation.

Journal Article J Sex Med · April 2018 Featured Publication BACKGROUND: Intraoperative urethral injury is an uncommon event during the placement of a penile prosthesis, and alternative management strategies have been proposed with continuation of implantation after urethral injury. AIM: To evaluate surgeon practice ... Full text Link to item Cite

Contemporary Review of Male and Female Climacturia and Urinary Leakage During Sexual Activities.

Journal Article Sexual medicine reviews · January 2018 Featured Publication IntroductionUrinary leakage during sexual activity is a prevalent and often distressing condition that is under-addressed despite having a range of reasonable treatment options.AimTo review the available literature on prevalence, pathophy ... Full text Cite

Nurse-Initiated Telephone Follow Up after Ureteroscopic Stone Surgery.

Journal Article Urol Nurs · 2016 Featured Publication This article presents findings of a quality improvement (QI) project using the DMAIC (define, measure, analyze, improve, and control) model designed to decrease the rate of emergency department (ED) visits and nurse advice line calls after ureteroscopic st ... Link to item Cite

Technological Improvements in Three-Piece Inflatable Penile Prosthesis Design over the Past 40 Years.

Journal Article J Sex Med · November 2015 Featured Publication INTRODUCTION: The advent of the penile prosthesis revolutionized the treatment of erectile dysfunction (ED), resulting in near-complete treatment efficacy and high patient satisfaction rates. While several types of penile prosthesis are available, the infl ... Full text Link to item Cite

The Evolution of the Inflatable Penile Prosthesis Reservoir and Surgical Placement.

Journal Article J Sex Med · November 2015 Featured Publication 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 implan ... Full text Link to item Cite

The Ohmmeter Identifies the Site of Fluid Leakage during Artificial Urinary Sphincter Revision Surgery.

Journal Article J Urol · October 2015 Featured Publication PURPOSE: While the AMS 800 artificial urinary sphincter improves continence in up to 90% of patients, revision surgery may be needed in up to 50%. We determined whether an ohmmeter could accurately assess the site of fluid leak from individual components o ... Full text Link to item Cite

The Artificial Urinary Sphincter is Superior to a Secondary Transobturator Male Sling in Cases of a Primary Sling Failure.

Journal Article J Urol · October 2015 Featured Publication PURPOSE: We compared continence outcomes in patients with post-prostatectomy stress urinary incontinence treated with a salvage artificial urinary sphincter vs a secondary transobturator sling. MATERIALS AND METHODS: We retrospectively reviewed the records ... Full text Link to item Cite

Long-term Artificial Urinary Sphincter Outcomes Following a Prior Rectourethral Fistula Repair.

Journal Article Urology · September 2015 Featured Publication OBJECTIVE: To determine the long-term outcomes of artificial urinary sphincter (AUS) implantation following a successful rectourethral fistula (RUF) repair. MATERIALS AND METHODS: Between January 1, 2006 and January 1, 2012, a total of 26 patients underwen ... Full text Link to item Cite

Percutaneous Revision of a Testicular Prosthesis is Safe, Cost-effective, and Provides Good Patient Satisfaction.

Journal Article Urol Case Rep · September 2015 Featured Publication Office-based percutaneous revision of a testicular prosthesis has never been reported. A patient received a testicular prosthesis but was dissatisfied with the firmness of the implant. In an office setting, the prosthesis was inflated with additional fluid ... Full text Open Access Link to item Cite

Medical Management of Peyronie’s Disease: a 2014 Update

Journal Article Current Sexual Health Reports · September 1, 2014 Peyronie’s disease (PD) is a connective tissue disorder characterized by the development of dense fibrous collagen plaque deposits in the tunica albuginea of the penis, resulting in curvature of the erection and sexual dysfunction. It is both a physically ... Full text Cite

Outcomes following artificial sphincter implantation after prior unsuccessful male sling.

Journal Article J Urol · June 2012 Featured Publication PURPOSE: Despite the proven success and durability of the artificial urinary sphincter many patients elect an AdVance® sling as the initial treatment of male stress incontinence. We determined whether sling placement would change the outcome of an ensuing ... Full text Link to item Cite

An outcomes analysis of over 200 revision surgeries for penile prosthesis implantation: a multicenter study.

Journal Article J Sex Med · January 2012 Featured Publication INTRODUCTION: Inflatable penile prosthesis (IPP) implantation is a well-established treatment for medically refractory erectile dysfunction, with long-term reliability. Overall survival is 96% at 5 years and 60% at 15 years for primary (virgin) implantatio ... Full text Link to item Cite

Peyronie's surgery: graft choices and outcomes.

Journal Article Curr Urol Rep · November 2009 Featured Publication Peyronie's disease (PD), a localized fibrosis of the tunica albuginea surrounding the penile corpora, results in penile curvature and sexual dysfunction. Men with significant penile curvature and satisfactory erectile function are often treated with plaque ... Full text Link to item Cite

Impact of marital status in patients undergoing radical cystectomy for bladder cancer.

Journal Article World J Urol · August 2009 Featured Publication PURPOSE: Married (vs. unmarried) individuals have improved health status and longer life expectancies in a variety of benign and malignant disease states, including prostate, breast, head/neck, and lung cancers. We sought to evaluate a cohort of patients u ... Full text Link to item Cite

Clinical use of serum CA-125 levels in patients undergoing radical cystectomy for transitional cell carcinoma of the bladder.

Journal Article Urol Oncol · 2009 PURPOSE: It has recently been reported that serum CA-125 levels may serve as a prognostic indicator of extravesical disease in patients with bladder cancer. This study evaluated the role of CA-125 as a prognostic marker in patients with transitional cell c ... Full text Link to item Cite

Modified salvage for inflatable penile prosthesis revision

Journal Article Current Sexual Health Reports · 2008 Featured Publication Although penile prosthetic implants are reliable and postoperative morbidity is low, infection related to prosthetic surgery is still a concern. Treatment of infected penile prostheses entails considerable medical and surgical costs. Various salvage approa ... Full text Cite

A comparison of the Bricker versus Wallace ureteroileal anastomosis in patients undergoing urinary diversion for bladder cancer.

Journal Article J Urol · September 2007 Featured Publication PURPOSE: In recent years few studies have evaluated the success and complications of the 2 most common types of ureteroenteric anastomotic techniques, the Bricker and the Wallace anastomosis. We evaluated the complications of the Bricker and Wallace techni ... Full text Link to item Cite

Incidence and risk factors of stomal complications in patients undergoing cystectomy with ileal conduit urinary diversion for bladder cancer.

Journal Article J Urol · September 2007 Featured Publication PURPOSE: In this study we examined the incidence and associated factors of stomal complications in patients undergoing radical cystectomy with ileal conduit urinary diversion for bladder cancer. In addition, we evaluated the treatment and outcomes of surgi ... Full text Link to item Cite

Acute and chronic dosing of Lepidium meyenii (Maca) on male rat sexual behavior.

Journal Article J Sex Med · March 2007 Featured Publication INTRODUCTION: The use of natural remedies for the treatment of sexual disorders is under current investigation. For generations people of the rural community in Peru have used Lepidium meyenii Walpers (Maca), because of their belief that it improves fertil ... Full text Link to item Cite

Does the new herbal supplement "Maca" enhance erectile function or female sexual function?

Journal Article Seminars in Preventive and Alternative Medicine · 2006 Featured Publication Lepidium meyenii or "Maca is an herbal product from the highlands of Peru that is used for sexual dysfunction. The use of Maca in men is safe with no recognized adverse effects. Placebo-controlled trials in humans and animals have suggested that Maca leads ... Full text Cite

Corporal Excavation and Penile Prosthesis Placement for Severe Corporal Fibrosis

Conference Surgical technique video that demonstrates a novel technique for penile prosthesis placement in patients with severe corporal fibrosis. ... Cite