Publications by authors named "P Perito"
Background: Inflatable penile prosthesis (IPP) insertion is recommended for the treatment of patients with Peyronie's disease (PD) and significant erectile dysfunction (ED); adjunctive procedures can be used for residual curvature after IPP placement.
Aim: To assess the management of penile curvature correction in PD patients undergoing IPP procedures within a large multinational, multicenter cohort.
Methods: A retrospective analysis was conducted on PD patients treated with IPP by 11 experienced prosthetic surgeons.
Article Synopsis
- The study aimed to analyze pre- and intraoperative factors influencing the integrity of corporal bodies after placing an inflatable penile prosthesis (IPP), focusing on the occurrence of intraoperative and postoperative complications.
- Researchers reviewed a database of over 5,400 IPP surgeries conducted between 2016 and 2021, identifying significant predictors for complications linked to corporal integrity.
- Key predictors for complications included revision surgery, older age, and medical conditions like coronary artery disease or peripheral vascular disease, indicating the need for consideration of these factors during IPP placement to reduce risks.
Background: The ventral and distal aspects of the corpora cavernosa are the thinnest, increasing the likelihood of cylinder extrusion or crossover complications pertaining to inflatable penile prosthesis procedures. A double distal corporal anchoring double stitch can be used to robustly secure impending lateral extrusions and crossovers of implant cylinders. It is a novel, effective corrective measure for the uncommon complication of migrated cylinders in inflatable penile prosthesis placement.
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- The study reviews the use of hyaluronic acid as a nonsurgical treatment in urology, highlighting its potential and the current state of research.
- A comprehensive analysis was conducted on 33 studies, focusing on metrics such as penile girth and ejaculatory latency, with most studies showing positive outcomes and rare complications.
- Despite encouraging results, variability in study quality is noted, emphasizing the need for standardized approaches in future randomized controlled trials.
Article Synopsis
- - The study aimed to identify factors influencing the length of penile implants in men undergoing primary inflatable penile prosthesis (IPP) placement at multiple surgical centers from July 2016 to July 2021.
- - Findings revealed that older age, Asian ethnicity, history of radical prostatectomy, and the infrapubic surgical approach were linked to shorter implant lengths, while Black or African American ethnicity was associated with longer implants.
- - Understanding these associations can help doctors better counsel patients about potential implant lengths and set realistic expectations for postoperative outcomes.