William O. Brant

Peyronie’s Disease: Surgical Approaches

William O. Brant, MD, FACS, FECSM, Urologist at the Veterans Affairs Medical Center in Salt Lake City, Utah, presents an analysis of surgical approaches for Peyronie’s disease. With a focus on both shortening and lengthening procedures, Dr. Brant delves into the intricacies of various surgical techniques, providing a thorough examination of each method’s benefits and considerations. In his meticulous exploration, Dr. Brant begins by discussing the placation technique, a procedure aimed at addressing the excessive curvature caused by Peyronie’s disease. He elucidates the surgical process, highlighting its potential for restoring penile function and improving patient satisfaction. Furthermore, Dr. Brant explores the outcomes of placation, including changes in penile length and erectile function, enabling readers to grasp the potential benefits and limitations associated with this approach. Moving forward, the discussion expands to encompass plaque incision and excision techniques, which involve the precise removal of the fibrous plaque responsible for the curvature. Beyond the technical aspects, Dr. Brant also emphasizes the importance of personalized decision-making in the management of Peyronie’s disease. He discusses the significance of considering individual patient needs, taking into account factors such as disease severity, patient preferences, and overall health. The presentation encompasses an array of clinical scenarios and surgical techniques, showcasing Dr. Brant’s wealth of experience and expertise in the field. From the assessment of deformities to the exploration of different incision options, the presentation offers a comprehensive overview of the surgical approaches available for Peyronie’s disease.

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Will Bicycling make you a Stallion or a Gelding?

William O. Brant, MD, FACS, FECSM discusses the cardiovascular and overall health benefits of regular bicycling. He highlights the positive effects on physical fitness, weight management, and mental health, noting how these factors contribute to improved sexual health and performance. The presentation emphasizes the role of aerobic exercise, such as cycling, in enhancing blood flow, which is crucial for erectile function.

Dr. Brant also addresses the concerns regarding the adverse effects of prolonged cycling on male genital health. Dr. Brant examines the anatomical and physiological mechanisms behind these concerns, focusing on the impact of sustained pressure on the perineal nerves and blood vessels.

The presentation includes an analysis of studies investigating the prevalence and severity of cycling-related genital issues. Dr. Brant discusses the role of bicycle design, saddle shape, and cycling posture in mitigating these risks.

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Guidelines and Practical Applications: Artificial Urinary Sphincter

William O. Brant, MD, FACS, FECSM, reviews the 2018 American Urological Association (UAU) guidelines and practical approaches in erectile dysfunction (ED) evaluation, diagnosis, and treatment. He examines methods for evaluation and diagnosis, highlighting the psychological impacts of ED and ED’s connection to cardiovascular disease. Dr. Brant also explores specialized tests and multiple treatment options.

Dr. Brant examines other treatment modalities, such as the vacuum erection device, as a low-cost adjunct treatment. He discusses the intraurethral suppository treatment and warns that up to 30 percent of patients experience urethral pain with this option. Dr. Brant then explains the risks of injection options and surgery. He also analyzes the practicality and commitment inherent in penile prostheses, later transitioning to a discussion on the uncommonly performed arterial reconstruction option.

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