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Aaron Claude Lentz

Professor of Urology
Urology
3480 Wake Forest Rd, Suite 506, Raleigh, NC 27609
3480 Wake Forest Rd, Suite 506, Raleigh, NC 27609

Featured Works


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

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 Sex Med Rev · January 2018 Featured Publication INTRODUCTION: Urinary leakage during sexual activity is a prevalent and often distressing condition that is under-addressed despite having a range of reasonable treatment options. AIM: To review the available literature on prevalence, pathophysiology, and ... Full text Link to item 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

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 AdVanceĀ® 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

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