Journal ArticleJ 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 textLink to itemCite
Journal ArticleUrology · 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 textLink to itemCite
Journal ArticleJ 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 textLink to itemCite
Journal ArticleTransl 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 textLink to itemCite
Journal ArticleTransl 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 textLink to itemCite
Journal ArticleInt 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 textLink to itemCite
Journal ArticleUrology · 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 textLink to itemCite
Journal ArticleSex 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 textLink to itemCite
Journal ArticleUrology · 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 textLink to itemCite
Journal ArticleJ 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 textLink to itemCite
Journal ArticleUrology · 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 textLink to itemCite
Journal ArticleInternational 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 textCite
Journal ArticleSex 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 textLink to itemCite
Journal ArticleSexual 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 textCite
Journal ArticleSex 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 textLink to itemCite
Journal ArticleJ 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 textLink to itemCite
Journal ArticleUrology · 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 textLink to itemCite
Journal ArticleJ 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 textLink to itemCite
Journal ArticleTransl 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 textLink to itemCite
Journal ArticleTransl 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 textLink to itemCite
Journal ArticleInt 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 textLink to itemCite
Journal ArticleUrology · 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 textLink to itemCite
Journal ArticleSex 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 textLink to itemCite
Journal ArticleUrology · 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 textLink to itemCite
Journal ArticleJ 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 textLink to itemCite
Journal ArticleUrology · 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 textLink to itemCite
Journal ArticleInternational 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 textCite
Journal ArticleSex 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 textLink to itemCite
Journal ArticleSexual 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 textCite
Journal ArticleSex 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 textLink to itemCite
Journal ArticleSex 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 textLink to itemCite
ConferenceInt 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 textLink to itemCite
Journal ArticleSex 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 textLink to itemCite
Journal ArticleInt 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 textLink to itemCite
Journal ArticleSex 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 textLink to itemCite
ConferenceInt 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 textLink to itemCite
Journal ArticleInt 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 textLink to itemCite
Journal ArticleSex 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 textLink to itemCite
Journal ArticleSex 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 textLink to itemCite
Journal ArticleTransl 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 textLink to itemCite
Journal ArticleInt 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 textLink to itemCite
Journal ArticleJ 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 textLink to itemCite
Journal ArticleJ 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 textLink to itemCite
ConferenceJ 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 textLink to itemCite
Journal ArticleSex 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 textLink to itemCite
Journal ArticleUrology · 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 textLink to itemCite
Journal ArticleSex 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 textLink to itemCite
Journal ArticleCurr 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 textLink to itemCite
Journal ArticleSex 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 textLink to itemCite
Journal ArticleSex 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 textLink to itemCite
Journal ArticleJ 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 textLink to itemCite
Journal ArticleJ 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 textLink to itemCite
Journal ArticleTransl 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 textLink to itemCite
Journal ArticleJ 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 textLink to itemCite
Journal ArticleSexual 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 textCite
Journal ArticleUrol 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 itemCite
Journal ArticleJ 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 textLink to itemCite
Journal ArticleJ 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 textLink to itemCite
Journal ArticleJ 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 textLink to itemCite
Journal ArticleJ 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 textLink to itemCite
Journal ArticleUrology · 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 textLink to itemCite
Journal ArticleUrol 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 textOpen AccessLink to itemCite
Journal ArticleCurrent 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 textCite
Journal ArticleJ 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 textLink to itemCite
Journal ArticleJ 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 textLink to itemCite
Journal ArticleCurr 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 textLink to itemCite
Journal ArticleWorld 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 textLink to itemCite
Journal ArticleUrol 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 textLink to itemCite
Journal ArticleCurrent 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 textCite
Journal ArticleJ 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 textLink to itemCite
Journal ArticleJ 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 textLink to itemCite
Journal ArticleJ 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 textLink to itemCite
Journal ArticleSeminars 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 textCite
Conference
Surgical technique video that demonstrates a novel technique for penile prosthesis placement in patients with severe corporal fibrosis. ...
Cite