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Penile Prosthetic Surgery : Practical Guide to Prosthetic Implant / Andrea Cocci, Marco Capece, Marco Falcone, editors.

Elsevier ScienceDirect eBook - Biomedical Science 2024 Available online

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Format:
Book
Contributor:
Cocci, Andrea, editor.
Capece, Marco, editor.
Falcone, Marco, editor.
Language:
English
Subjects (All):
Genitourinary organs--Surgery.
Genitourinary organs.
Physical Description:
1 online resource (373 pages)
Edition:
First edition.
Place of Publication:
Cambridge, MA : Mica Haley, [2025]
Summary:
Penile Prosthetic Surgery: Practical Guide to Prosthetic Implant describes the different types of penile prostheses and provides step-by-step surgical procedures in diverse patients experiencing erectile dysfunction.Additionally, access to supplemental videos provide enhanced learning through the opportunity to see procedures carried out.
Contents:
Intro
Penile Prosthetic Surgery: Practical Guide to Prosthetic Implant
Copyright
Contents
Surgical video playlist
Contributors
Chapter 1: Introduction
Chapter 2: The etiology of erectile dysfunction
Psychogenic ED
Neurogenic ED
Vascular ED-Arterial disorders
Vascular ED-Cavernous venous-occlusive dysfunction
Metabolic disorders and ED
Diabetes mellitus
Hormonal related ED
Drug-related ED
Antihypertensive agents
Aldosterone receptor antagonists
Thiazide-type diuretics
β-Adrenergic blockers
Angiotensin receptor blockers
Antidepressants drugs
Antipsychotics
Antiandrogens
Andrological urgencies and ED
Penile trauma
Priapism
Ischemic priapism (low-flow priapism)
Stuttering priapism
Nonischemic priapism (high-flow priapism)
References
Chapter 3: Clinical indications for penile prosthesis implantation
Introduction
Indications to penile prosthesis surgery
Penile prostheses revision/re-implantation
Penile prosthesis model: How to choose?
Malleable penile prosthesis
Two-piece inflatable penile prosthesis
Three-piece inflatable penile prosthesis
Discussion and conclusion
Chapter 4: Anatomy: What we need to know
Penile urethra
Nerves
Vessels
Lymphatic drainage
Scrotum
Inguinal canal and lower abdominal wall
Chapter 5: Psychosexual counseling in patients attending penile prosthesis implants
Psychological, sexual, and relational issues in patients with chronic erectile dysfunction
The role of the psychosexologist
Preoperative psychosexual counseling
The vacuum device
The role of the partner
Couple sessions
Postoperative psychosexual counseling
Conclusion
Chapter 6: Preoperative exams and informed consent
Preoperative exams.
Medical history and physical examinations
Drug history
Fasting blood glucose and HbA1c
Culture tests
Urological assessment
Other exams
Informed consent
Definition and general characteristics
Example of informed consent for penile prosthesis implantation
Chapter 7: Counseling, physical, and medical preparation to the penile implant
Selection of the patient
Medical history correlated to penile implant surgery
Previous abdominal surgery
Use of antiplatelet and anticoagulant and optimization
Diabetes and HbA1c optimization, use of steroid, and spinal cord injury patients
Preoperative counseling
Infection
Preoperative optimization
Penile length optimization
Preoperative prophylaxis with antibiotics
Urinalysis and culture
Preoperative skin disinfection
Removal of the hair
Operative considerations
Intraoperative antibiotics
Preparation of the skin
``No-touch´´ technique
Prosthesis reliability
Damage to closer anatomical structures
Explant of the prosthesis
Expectations management
Postoperative satisfaction
Sensitivity erogenous sensations and penile length
Partners satisfaction
Conclusions
Chapter 8: History of penile prosthesis
Before 1974
Acrylic implants
Silicone implants
Polyethylene rods and intracavernosal placement of the prosthesis
1974: New era in penile implant surgery
Three-piece inflatable PP
Single-piece inflatable PP
Two-piece inflatable PP
Noninflatable PP
Latest technological improvements
Parylene coating
Pump
Cylinders
Reservoir
Antiinfective coating
Transgender
Chapter 9: Types of penile prosthesis available
Malleable or semi-rigid prostheses.
Inflatable or hydraulic penile prostheses
Two-piece prosthesis
Three-piece prosthesis
Choosing the best type of prosthesis for the patient
Comparison of inflatable prostheses
Prosthesis for FTM assignation surgery
Final reflection and conclusion
Chapter 10: Semirigid penile prosthesis implantation
Preparation
Surgical technique
Penoscrotal approach
Infrapubic approach
Postoperative care
Complications
Chapter 11: Step-by-step bicomponent inflatable prosthesis implant
Device description
Device function: Inflation
Device function: Deflation
Contraindications
Preoperative setting
Step-by-step operational instructions
Preparation of the patient
Procedural instructions
Topographic anatomy
Implant the cylinders
Implant the pump
Postprocedure information
Immediately postoperative
After the patient is released from the hospital
Chapter 12: Infrapubic surgical approach for implantation of three-piece hydraulic penile prosthesis
Chapter 13: Step-by-step three-piece inflatable prosthesis scrotal approach implant
Background
Procedure description
General considerations
Patient positioning, shaving and scrubbing
Surgical field preparation and incision
Cavernotomy
Dilation
Measuring the corpora cavernosa
Device preparation
Cylinders insertion
Pump placement
Reservoir placement
Connecting the tubes
Incision closure and drainage?
Chapter 14: Step-by-step double implantation of penile prosthesis and male sling or mini-jupette for urinary incontinence
Preoperative workup and patient selection
Step-by-step manual of IPP placement with mini-jupette
Material
Procedure.
Step-by-step manual of IPP placement with male sling
Procedure
At the hospital
At home
Usage of the IPP
Functional results
Combined implant with mini-jupette
Combined implant with male sling
Future perspectives
Scientific research
Financial considerations
Chapter 15: Step-by-step double implantation of penile prothesis and urinary sphincter
Devices components and placement
AUS
Penile prosthesis
Step-by-step surgical technique dual implantation
Synchronous dual implantation
Sequential dual implantation
Chapter 16: The use of TachoSil to correct residual curvature during inflatable penile prosthesis implantation: The PICS ...
Surgical procedure: The PICS technique
Chapter 17: Transgender neophallus implant
History and different kinds of existing prosthesis
Surgical timing
Preoperative antibiotics
Description of inflatable prosthesis implant surgical technique
Results
Satisfaction report in literature
Complication report
Chapter 18: Step-by-step implant in Peyronies disease
Preoperative assessment
Intraoperative assessment
Addressing the penile deformity and correction/reconstruction of the cavernosal bodies
Inserting the penile prosthesis
Chapter 19: Enhancing size and function with nongrafting tunica expansion
The TEP nongrafting strategy in seven steps
Step 1. Accessing the corpora
Subcoronal [19,20]
Penoscrotal [21]
Ventral [22]
Step 2. Dissecting the NVB without urethral detachment.
Step 3. Using mathematical formulas for tissue expansion
Step 4. Intraoperative selection of cylinder size
Step 5. Preventing buckling with biomechanical solutions
Step 6. Refining penile geometry with TEP
Step 7. Optimization of axial rigidity
Postoperative management and follow-up
Glans ischemia prevention [38]
Summary of the TEP strategy for penile prosthesis implantations
Chapter 20: Step-by-step plaque incision with patch grafting and inflatable penile implant via subcoronal incision for Pe ...
Indications for IPP with PIG
Surgical risk
Preoperative workup
Advantages of the surgical technique
Alternatives
Clinical case presentation
Surgical procedure
Chapter 21: Step-by-step implant in severe fibrosis
Surgical strategies
Cavernotomes
Other technical options
Which device should be used in patients with corpora fibrosis?
Is the cosmetic result the same as in first implantation?
Can we make suggestions?
Chapter 22: Step-by-step penile prosthesis implant postpriapism
Conservative treatment
Early penile prosthesis implantation
Step by step
Delayed penile prosthesis implant postpriapism
Step-by-step procedure
Chapter 23: Step-by-step penile implant with cosmetic surgery for short penis*
PP placement techniques that maximize corporal length
Cavernosal sparing and channeling without dilatation
Subcoronal incision with circumferential penile degloving
Concurrent PP implant and corpora cavernosa lengthening
Circumferential incision
Postoperative management
Sliding technique
MoST
MUST
Postoperative management.
Techniques that improve perceived penile length when implanting a PP.
Notes:
Includes bibliographical references and index.
Description based on publisher supplied metadata and other sources.
Description based on print version record.
ISBN:
9780443152443
0443152446
OCLC:
1468527257

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