penile implant Archives

Update on Penile Implants: Best Practice and Taking Care of Complications

by Jesse N. Mills, MD | Oct 2024

Jesse N. Mills, MD, delivers an insightful presentation on the latest advancements and best practices in using penile implants.

In this 14-minute discussion, Dr. Mills reviews prep and surgical techniques. He also discusses both early and late complications associated with penile implants and outlines strategies for addressing issues such as infection and erosion. He stresses the importance of patient follow-up to ensure early detection and management of complications, thereby improving long-term outcomes.

Dr. Mills concludes by emphasizing the need for continuous education and skill development among urologists to keep pace with advancements in penile implant technology and surgical techniques. His presentation is a comprehensive guide for clinicians seeking to enhance their practice in managing penile implants and caring for patients experiencing complications.

Optimizing Success in Penile Implant Surgery

by Jay Simhan, MD, FACS | Apr 2024

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.

The History of Penile Enlargement and the Advent of Penuma

by James J. Elist, MD | Feb 2022

James J. Elist, MD, FACS, a urologist and surgeon in private practice in Beverly Hills, California, explains why a patient may request penile enlargement, lists available treatment options for these patients, and discusses how to screen and select patients for a penile implant. He highlights the importance of the selection and screening process, observing that patients may have unrealistic expectations about how penile enlargement will affect their penis, may need psychological counseling or psychotherapy to address certain feelings about their penis, and may have undergone plastic surgery that affects their options for penile enlargement. Dr. Elist then looks at Penuma®, the first FDA-cleared, patented, and manufactured subcutaneous silicone implant for penile cosmetic corrective surgery. He explains how to perform the quick outpatient surgical procedure, goes over recovery and follow-up details, and considers the benefits of the implant compared to other options. Dr. Elist notes that the Penuma® implant is permanent yet reversible, customizable to patient anatomy, has no effect on erectile function and does not interfere with the urethra, remains accessible across the country, and boasts a strong and long term track record of patient satisfaction and low adverse events.