"Make it as long as you can, Doc." Concomitant surgical treatments with penile implant to enhance penile size.


Journal

International journal of impotence research
ISSN: 1476-5489
Titre abrégé: Int J Impot Res
Pays: England
ID NLM: 9007383

Informations de publication

Date de publication:
Sep 2021
Historique:
received: 05 04 2020
accepted: 06 05 2020
revised: 04 05 2020
pubmed: 20 5 2020
medline: 21 9 2021
entrez: 20 5 2020
Statut: ppublish

Résumé

The constant refrain for patients seeking penile implant is, "can you make it bigger?" It is a different request when the patient is young and fully potent compared with the mature individual suffering from erectile dysfunction (ED) for whom conservative therapies don't work. The purpose of this workshop is to review strategies to make the ED patient undergoing inflatable penile prosthesis (IPP) have an enhanced penile appearance by having more of his phallus visible outside his body. Our common procedures are to use a combination of vacuum device preparation, oversizing the cylinders 1-2 cm, and daily aggressive cycling of the device for at least 6 months following implantation. More complex surgical solutions are also covered.

Identifiants

pubmed: 32424302
doi: 10.1038/s41443-020-0306-9
pii: 10.1038/s41443-020-0306-9
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

587-595

Informations de copyright

© 2020. The Author(s), under exclusive licence to Springer Nature Limited.

Références

Ghanem HM, Glina S, Assalian P, Buvat J. Position paper: management of men complaining of small penis despite an actually normal size. J Sex Med. 2013;10:294–303.
doi: 10.1111/j.1743-6109.2012.02725.x
Deveci S, Martin D, Parker M, Mulhall JP. Penile length alterations following penile prosthesis surgery. Eur Urol. 2007;51:1128–31.
doi: 10.1016/j.eururo.2006.10.026
Habous M, Muir G, Soliman T, Farag M, Williamson B, Binsaleh SElhadek W, et al. Outcomes of variation in technique and variation in accuracy of measurement in penile length measurement. Int J Impot Res. 2018;30:21–6.
doi: 10.1038/s41443-017-0013-3
Wang R, Howard G, Hoang A, Yuan JH, Lin HC, Dai YT. Prospective and long-term evaluation of erect penile length obtained with inflatable penile prosthesis to that induce by intracavernosal injection. Asian J Androl. 2009;11:411–5.
doi: 10.1038/aja.2009.35
Osterberg EC, Maganty A, Ramasamy R, Eid JF. Pharmacologically induce erect penile length and stretched penile length are both good predictors of post-inflatable prosthesis penile length. Int J Impot Res. 2014;26:128–31.
doi: 10.1038/ijir.2013.50
Xie D, Nicholas M, Gheiler V, Perito D, Siano L, Kislinger I, et al. A prospective evaluatin of penile measures and glans penis sensory changes after penile prosthetic surgery. Transl Androl Urol. 2017;6:529–33.
doi: 10.21037/tau.2017.05.34
Rajpurkar A, Dhabyuwala CB. Comparison of satisfaction rates and erectile function in patients treated with Sildenafil, intracavernosus prostaglandin E1 and penile implant surgery for erectile dysfunction in urology practice. J Urol. 2003;170:159–63.
doi: 10.1097/01.ju.0000072524.82345.6d
Sellers T, Dineen M, Salem EA, Wilson SK. Vacuum preparation, optimization of cylinder length and postoperative daily inflation reduces complaints of shortened penile length following implantation of inflatable penile prosthesis. Adv Sex Med. 2013;3:14–8. https://doi.org/10.4236/asm.2013 .
Canguven O, Talib RA, Cambell J, et al. Is the daily use of a vacuum erection device for a month before penile prosthesis implantation beneficial? A randomized controlled trial. Andrology. 2017;5:103–6.
doi: 10.1111/andr.12258
Montague DK, Angermeier KW. Cylinder sizing; less is more. Int J Impot Res. 2003;15:S132–5.
doi: 10.1038/sj.ijir.3901088
Wilson SK, Delk J, Mulcahy JJ. Upsizing of inflatable penile implant cylinders in patients with corporal fibrosis. J Sex Med. 2006;3:736–42.
doi: 10.1111/j.1743-6109.2006.00263.x
Henry GD, Carrion R, Jennermann C, Wang R. Prospective evaluation of postoperative penile rehabilitation: penile length/girth maintenance 1 year following Coloplast Titan inflatable penile prosthesis. J Sex Med. 2015;12:1298–304.
doi: 10.1111/jsm.12833
Welliver C, Kottwitz M, Ahmad A, Wilson SK, Kohler TS. Manufacturers’ data show increasing implanted cylinder sizes and measured corporal lengths in inflatable penile implants. World J Urol. 2016;34:993–8.
doi: 10.1007/s00345-015-1705-2
Miranda-Sousa A, Keating M, Mireira S, Baker M, Carrion R. Concomitant ventral phalloplasty during penile implant surgery: a novel procedure that optimizes patient satisfaction and their perception of phallic length after penile implant surgery. J Sex Med. 2007;4:1494–9.
doi: 10.1111/j.1743-6109.2007.00551.x
Shaeer O, Shaeer K, AbdelRahman IFS, Raheem A. Dorsal phalloplasty accompanying penile prosthesis implantation minimizes penile shortening and improves patient satisfaction. Int J Impt Res. 2019;31:276–81.
doi: 10.1038/s41443-018-0085-8
Hakky, TS, Suber J, Henry GD, Smith D, Bradley P, Martinez D, et al. Penile enhancement procedures with simultaneous penile prosthesis placement. Adv Urol. 2012:314612. https://doi.org/10.1155/2012/314612 .
Wilson SK, Simhan J, Wilson’s Workshop. Is modeling an inflatable penile prosthesis obsolete for patients with Peyronie’s disease? Int J Impot Res. 2020. Epub ahead of print.
Wilson SK, Mora-Estaves C, Egydio P, Ralph D, Habous M, Love C, et al. Glans necrosis following penile prosthesis implantation: prevention and treatment suggestions. Urology. 2017;107:144–8.
doi: 10.1016/j.urology.2017.06.020
Clavell-Hernandez j WangR. Penile size restoration with nondegloving approach for Peyronie’s disease: initial experience. J Sex Med. 2018;15:1506–13.
doi: 10.1016/j.jsxm.2018.07.003
Gaffney CD, Pagano MJ, Weinberg AC, Small AC, Kuehas FE, Egydio PH, et al. Lengthening strategies for Peyronie’s disease. Transl Androl Urol. 2016;5:351–62.
doi: 10.21037/tau.2016.04.03
Egydio PH, Kuehhas FE. The multiple slit technique (MUST) for penile length and girth restoration. J Sex Med. 2018;15:261–9.
doi: 10.1016/j.jsxm.2017.11.223
Elist JJ, Baniqued M, Hosseini A, Wilson SK. Correction of retractile penis with subcutaneous soft silicone penile implant. IJIR. 2019. https://doi.org/10.1038/s41443-019-0174-3 .
Shirvanian V, Lemperle G, Pinto CA, Elist JJ. Shortened penis post penile prosthesis implantation treated with subcutaneous soft silicone penile implant: case report. Int J Impot Res. 2014;26:100–4.
doi: 10.1038/ijir.2013.44
Wilson SK, Cleves MA, Delk JR. Ultrex cylinders: problems with uncontrolled lengthening (the S-shaped deformity). J Urol. 1996;155:135–7.
doi: 10.1016/S0022-5347(01)66571-6
Wallen JJ, Madiraju SK, Wang R, Henry GD. Implementation of length expanding inflatable penile prosthesis is not sufficient to prevent postsurgical shortening. Asian J Androl. 2018;21:98–100.
doi: 10.4103/aja.aja_77_18
Scovell JM, Liehui GE, Barrera EV, Wilson SK, Carrion RE, Hakky TS. Longitudinal and horizontal load testing of inflatable penile implant cylinders of two manufacturers: an ex vivo demonstration of inflated rigidity. J Sex Med. 2016;13:175057.
doi: 10.1016/j.jsxm.2016.09.015

Auteurs

Steven K Wilson (SK)

Institute for Urologic Excellence, La Quinta, CA, USA. skwilson@mac.com.

Laurence Levine (L)

Rush University Medical Center, Chicago, IL, USA.

Run Wang (R)

University of Texas Medical School, Houston, TX, USA.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH