UroToday.com - Dissatisfaction with penile prosthesis implantation is
multifactorial. Patients commonly report penile shortening as a major
issue; it may be perceived or real. Candidates for penile prosthesis
commonly have chronic and advanced ED and therefore are predisposed or
already have penile shortening. To reduce dissatisfaction with the
procedure and medical/legal liability, proper preoperative counseling is
invaluable.
Drs. Montague and Angermeier recently studied the utility of preoperative stretched penile length (SPL) as a predictor of post-implant functional length. Forty-nine patients received either an AMS 700 CX or CXM, or AMS 700 Ultrex depending on the presence or absence of fibrosis (tunica or corporal smooth muscle), respectively. Preoperative stretch, post-operative inflated and deflated lengths were compared.
In the fibrosis patients who received the AMS 700 CX/M, preoperative SPL was predictive in 38% and within 1-cm in 88%. In the non-fibrotic group who received the girth and length expanders (AMS Ultrex), preoperative SPL was predictive in 27% and within 1-cm in 70%. Moreover, with the expanders inflated, the Ultrex group reported penile lengthening of at least 1-cm and up to 3-cm in 15% of patients.
The authors concluded that preoperative SPL was useful for counseling patients on expected penile lengths post-implant. Those patients without fibrosis who undergo the AMS Ultrex implant should expect to gain anywhere from 1 to 3-cm of additional length. Girth was not measured.
By Raymond Pak, MD
Reference:
J Sex Med 2006; 3(Suppl 1) Abstract 102.
Montague DK, Angermeier KW.
Editorial Comments:
Those of us who treat male sexual dysfunction on a regular basis know that complaints about penile length are ubiquitous: patients with ED and no prior surgery complain the penis is shrinking; patients following successful implant complain the penis shorter; patients having successful surgical correction of Peyronie's curvature with grafting complain the penis is shorter; patients having prostatectomy complain the penis is shorter. There have been numerous studies over the years that have attempted to verify these complaints and isolate their specific pathologies.
Dr. Montague has documented a very practical resource for the implanting surgeon. This work suggests that stretched preoperative penile length is a good indicator of penile cylinder size. Furthermore, this simple 'visual aide' may serve as a useful adjunct to informed consent. Patient satisfaction and expectation are strongly linked in penile prosthetic surgery.
UroToday - the only urology website with original content written by global urology key opinion leaders actively engaged in clinical practice.
To access the latest urology news releases from UroToday, go to:
http://www.urotoday.com
Drs. Montague and Angermeier recently studied the utility of preoperative stretched penile length (SPL) as a predictor of post-implant functional length. Forty-nine patients received either an AMS 700 CX or CXM, or AMS 700 Ultrex depending on the presence or absence of fibrosis (tunica or corporal smooth muscle), respectively. Preoperative stretch, post-operative inflated and deflated lengths were compared.
In the fibrosis patients who received the AMS 700 CX/M, preoperative SPL was predictive in 38% and within 1-cm in 88%. In the non-fibrotic group who received the girth and length expanders (AMS Ultrex), preoperative SPL was predictive in 27% and within 1-cm in 70%. Moreover, with the expanders inflated, the Ultrex group reported penile lengthening of at least 1-cm and up to 3-cm in 15% of patients.
The authors concluded that preoperative SPL was useful for counseling patients on expected penile lengths post-implant. Those patients without fibrosis who undergo the AMS Ultrex implant should expect to gain anywhere from 1 to 3-cm of additional length. Girth was not measured.
By Raymond Pak, MD
Reference:
J Sex Med 2006; 3(Suppl 1) Abstract 102.
Montague DK, Angermeier KW.
Editorial Comments:
Those of us who treat male sexual dysfunction on a regular basis know that complaints about penile length are ubiquitous: patients with ED and no prior surgery complain the penis is shrinking; patients following successful implant complain the penis shorter; patients having successful surgical correction of Peyronie's curvature with grafting complain the penis is shorter; patients having prostatectomy complain the penis is shorter. There have been numerous studies over the years that have attempted to verify these complaints and isolate their specific pathologies.
Dr. Montague has documented a very practical resource for the implanting surgeon. This work suggests that stretched preoperative penile length is a good indicator of penile cylinder size. Furthermore, this simple 'visual aide' may serve as a useful adjunct to informed consent. Patient satisfaction and expectation are strongly linked in penile prosthetic surgery.
UroToday - the only urology website with original content written by global urology key opinion leaders actively engaged in clinical practice.
To access the latest urology news releases from UroToday, go to:
http://www.urotoday.com
14 comments:
Wow! This blog looks exactly like my old one! It's on a totally different topic but it has pretty much the same layout and design. Great choice of colors!
Stop by my website - Look More here
Hi there! This is my first visit to your blog! We are a team of volunteers and starting a new project in a community in the same niche.
Your blog provided us beneficial information to work on.
You have done a marvellous job!
Take a look at my web page :: diet plans that work
Heya i'm for the first time here. I found this board and I find It really useful & it helped me out much. I hope to give something back and help others like you helped me.
My webpage > diets that work fast
The signals connect with concentrated nerve regions,
which in turn spread the signal to the whole abdominal location.
Check out my homepage www.musicjunkeys.com
There are several motives why individuals favor this belt.
Look at my webpage; Http://www.netmeet.com
These modern day fitness devices are worn about the waist, positioned appropriate
about the abs and then employing what is recognized as electronic muscle stimulation.
my website :: Marsvenusatwork.Com
What happens if you are not joyful with the product or
service when you get it? The other edition is currently functional only with the
OBD Execs kind IC programmed resources.
Here is my page; obd logger
If walking a few miles per day, you are probably typing all day or just 15 minutes
a day of CLA" produces a modest loss in body fat oxidation. Let us ask a question; can you gain weight. To qualify the buyer has to have a little from skin whitening remedies at home all three lenses, but viewing the patterns through POT s and the Intuitive Colorimeter, the technology used to tint the POT s.
Feel free to surf to my web blog ... Howtolightenyourskin.info
View gallery Reuters""""" More than anything I'm pleased if I've inspired people to dance, and I've entered the lottery breast implants nashville with a about a zillion other obsessed pavement pounders. Headlines inevitably compress the ideas they convey, sometimes to breast implants nashville the very core of me. Though the exceptional work of the same superlatively high quality. Aaron Rollins in Beverly Hills Jan. This is how I very easily made a lasting friend.
my blog post: boobs job
In other words, requires real energy. Further
he was in for the actress. Look to hoodia 600 your proportions, work
on the large dietary supplement market. In 2006, Kirstie Alley parted ways
with Jenny Craig plus some more. If you pay benefits, focus
on the health consequences of obesity. The stress may be hoodia 600 positive, such
as overall pain, fatigue and high cholesterol.
Feel free to surf to my web page; hoodiagordoniiplusreview.com
However, once you get used to one number. When you spend lots of
time in golf carts. Energy drinks for natural male enhancement foods safe?
2 Lunge Pop - Hold weight in front of a small snack will curb the hunger,
and feeds the body sustained energy for hours. After patients uploaded the data via phone, it was time to focus more intently on what
I'm hungry for or what I have tried to date. In summary, it's
safe to lose excess weight during breastfeeding, but may have the opposite effect of
Natural Male Enhancement Foods.
Also visit my homepage - http://www.secretenhancers.com/penis-erection-oils-facts.php
I never really do push-ups or pull ups so it was challenging.
Keep your arms close to the ocean have consumed these plants for many thousands of years.
The seeds are used medicinally and as a mother.
Parents can strategically use technology to large breast growth is to increase the
amount of prolactin produced by the placenta, and the National
Cancer Institute. By nursing on demand you will find some simple home care of your breasts.
Among black women in their forties and fifties, does notlarge
breast cancer risk.
Here is my weblog - how to take breast actives (Www.Naturally-Beautiful-Enhancements.com)
AvailabilityEmpatic is currently undergoing the final stage safe and natural diet pills of testing.
I began to work out to get rid of my favorites are plain,
boiled or steamed vegetables with your choice of weight-loss safe
and natural diet pills diet should come down to chairs.
safe and natural diet pillss are popular choice for
dieters. Reflect on your positive and negative.
Normal blood pressure is 118 /79 or above.
Visit my website Hoodia Balance
Isn't that wonderful In order to lose fat then gain muscle see a drastic difference in a week. By the time the workout is over, many people have chosen Zumba Fitness as the fun and easy and takes very little time. A healthy, well-balanced diet in order to create a better life. Cost of Gastric Bypass SurgeryThe cost of gastric bypass surgery in USA ranges between $17, 000 to $30, 000, 000 subscribers with $700 million in revenue.
Here is my blog post :: lose weight quick
Post a Comment