Jay Simhan, MD, FACS, presented “Optimizing Success in Penile Implant Surgery” during the 1st International Functional and Reconstructive Urology Update on August 28, 2024, in Denver, Colorado.

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How to cite: Simhan, Jay. Optimizing Success in Penile Implant Surgery.” August 28, 2024. Accessed Oct 2024. https://grandroundsinurology.com/optimizing-success-in-penile-implant-surgery/

Optimizing Success in Penile Implant Surgery – Summary

Jay Simhan, MD, FACS, focuses on optimizing outcomes in penile implant surgery, emphasizing technical performance and perioperative management. In this 17-minute presentation, Simhan suggests that reconstructive urologists should focus on patient outcomes in addition to technical aspects of surgery. 

Simhan outlines a multimodal approach to pain management, combining neuropathic pain control, anti-inflammatories, and intraoperative pain blockades rather than relying on opioids alone. Further, he discusses the challenges of managing patients with priapism-related erectile dysfunction, highlighting the difficulties of delayed penile implantation in these cases. The presentation also critiques existing guidelines for antibiotic prophylaxis in penile implants, noting that the American Urological Association’s (AUA) recommendations fail to cover certain pathogens like anaerobes and fungi. 

Dr. Simhan stresses the importance of collaboration across institutions to address these complex issues. He introduces the Prosthetic Urology Multi-institutional Partnership (PUMP), a coalition of urologists who address penile implant questions.

About The 1st International Functional and Reconstructive Urology Update (IFRUU)

The International Functional and Reconstructive Urology Update is a multi-day meeting focused on functional and reconstructive urology (FRU). FRU is a rapidly expanding subspecialty with the vision to improve the lives of all patients with urinary disorders. The IFRUU conference aims to equip practitioners with the tools to manage patients with functional urologic disorders effectively. The inaugural IFRUU conference took place from August 28-30, 2024 in Denver, Colorado.

For further educational activities from this conference, visit our collection page.