Penile Plication for Peyronie's Disease: The Iterative 8-Dot Technique.

Introduction: Penile plication is a minimally invasive and effective technique for managing mild to severe curvature from Peyronie's disease.

Methods: Retrospective chart review of all patients undergoing penile plication for Peyronie's disease by one surgeon at one academic institution from November 2016-December 2020 was conducted. Those occurring during IPP placement were excluded.

Factors Impacting Postoperative Opioid Use Among Patients Undergoing Implantation of Inflatable Penile Prosthesis.

Background: While there is an increasing burden of chronic postoperative opioid use and opioid abuse in the United States, opioid use following inflatable penile prosthesis (IPP) surgery has not been well described.

Aim: Describe postoperative opioid use following IPP surgery.

Methods: Seventy-four consecutive patients undergoing IPP implantation by a single surgeon were enrolled.

Orchidopexy and Split-thickness Skin Graft for Scrotal Defects After Necrotizing Fasciitis.

Objective: To demonstrate a technique for performing orchidopexy and split-thickness skin graft for patients with deficient scrotal skin after debridement for Fournier's gangrene. This is an alternative strategy to healing by secondary intention, flaps, or testicular thigh pouches.

Methods: Orchidopexy was performed after initial debridement using interrupted Vicryl sutures to bring the testicles and inferior penis together.

Challenging Ethical Scenarios in the Surgical Treatment of Erectile Dysfunction: A Survey of High-Volume Penile Prosthesis Surgeons.

Objective: To investigate how surgeons approach ethically challenging scenarios that arise in penile prosthesis surgery and identify patient-related factors that impact their approach.

Methods: A survey was distributed to the Society for Urologic Prosthetic Surgeons membership consisting of 6 ethically challenging scenarios: an HIV+ patient, a patient with cognitive disability, a registered sex offender, a nonverbal patient, a litigious patient, and an uncontrolled diabetic patient whose insurance will lapse soon. Additional clinical information was provided to assess how the likelihood to offer surgery might change.

A national cross-sectional survey of financial toxicity among bladder cancer patients.

Objective: Financial toxicity (FT) has been defined as the patient-level impact of the costs of cancer care. Our objective was to better characterize FT among bladder cancer patients as well as oncologic, demographic and insurance characteristics related to FT.

Methods: We conducted a cross-sectional survey of the Bladder Cancer Advocacy Network Patient Survey Network using the validated COST (COmprehensive Score for financial Toxicity) questionnaire.

Excision and Circumferential Buccal Graft for Severe Meatus and Fossa Navicularis Strictures.

Objective: To demonstrate our technique for glans sparing transurethral excision and circumferential buccal graft for severe strictures of the meatus and fossa navicularis.

Materials And Methods: Key steps of the procedure are use of a fixed retractor and stay sutures to retract the glans skin laterally, preplacing urethral sutures to improve visualization, and dividing the buccal graft in half so that dorsal and ventral portions of the anastomosis can be performed separately.

Results: As demonstrated in the video, this approach allows for the effective treatment of challenging meatus and fossa navicularis strictures while avoiding postoperative glans dehiscence and minimizing disruption of glans vasculature and sensation.

Systematic Review and Meta-Analysis of Cycling and Erectile Dysfunction.

Introduction: Conflicting evidence exists on the relationship between bicycle riding and erectile dysfunction (ED). A major limitation to several prior studies is the lack of a validated measure of ED.

Objective: To assess the relationship between cycling and clinically validated ED based on existing literature.

Innovating Incrementally: Development of the Modern Inflatable Penile Prosthesis.

Purpose Of Review: The inflatable penile prosthesis (IPP) was introduced in 1973. Since that time, the fundamental design of the IPP has not changed, but numerous improvements to the device, surgery, and peri-operative management have resulted in a modern IPP with excellent reliability, infection control, safety profile, and user experience.

Recent Findings: We describe important modifications to the IPP and review available data assessing the impact of these changes.

Preoperative Ultrasound-Guided Wire Localization of the Lateral Femoral Cutaneous Nerve.

Background: Difficulty and sometimes inability to find the lateral femoral cutaneous nerve (LFCN) intraoperatively is well known. Variabilities in the course of the nerve are well documented in the literature. In a previous paper, we defined a tight fascial canal that completely surrounds the LFCN in the proximal thigh.

Immunohistochemical assessment of rat nerve isografts and immunosuppressed allografts.

Objective: Autologous peripheral nerve grafts are commonly used clinically as a treatment for peripheral nerve injuries. However, in research using an autologous graft is not always feasible due to loss of function, which in many cases is assessed to determine the efficacy of the peripheral nerve graft. In addition, using allografts for research require the use of an immunosuppressant, which creates unwanted side effects and another variable within the experiment that can affect regeneration.

Basic techniques for long distance axon tracing in the spinal cord.

The regeneration of axons after a spinal cord injury or disease is attracting a significant amount of interest among researchers. Being able to assess these axons in terms of morphology, length and origin is essential to our understanding of the regeneration process. Recently, two specific axon tracers have gained much recognition; biotinylated dextran amine (BDA) 10 kDa as an anterograde tracer and cholera toxin-B as a retrograde tracer.