MTP 75: Life After Prostatectomy

MTP 75: Life After Prostatectomy

In this episode of MTP, Dr. Perito answers a viewer question about patients who experience ED following a prostatectomy. While many surgeons recommend waiting one year before considering penile implant surgery following the removal of the prostate, in certain cases, veno occlusive disease manifests in the penis within three months. Case studies have officially found … Read more

MTP 74: Which Penile Implant Technique Best Conceals Tubing?

MTP 74

One question we often receive is whether or not there’s a specific type of penile implant that best conceals tubing. While Perito Urology performs hundreds of infrapubic penile prosthesis procedures (IPP) each year, the fact of the matter is that any dedicated implanter, using any kind of approach (IPP, penoscrotal or sub-coronal) will be able … Read more

MTP 73: Anorgasmia

Anorgasmia

Anorgasmia is the inability to achieve an orgasm and can have several causes and treatments. Among the causes are: psychological issues; neuropathy associated with diabetes, where nerve damage affects the ability to orgasm; and age. The good news is that there are several avenues for treatment: The psychological component may be treated by a qualified … Read more

MTP 72: Penile Implant Upsizing

Upsizing a penile implant

In this episode of MTP, Dr. Perito answers a viewer’s question about whether or not it’s appropriate to revise a penile implant procedure in order to use a larger implant. Penile prostheses are meant to last indefinitely; the act of removing one and replacing it with another greatly increases the risk of complications and infections … Read more

Shockwave Treatment: Don’t Believe the Hype

Shockwave

“If something is 95% effective in curing or reversing ED and Peyronie’s and has been available for 20 years, why isn’t the world following this platform?” Shockwave therapy has been generating a great deal of buzz (no pun intended) as a new and promising treatment for erectile dysfunction, Peyronie’s Disease, and girth enhancement. While there’s … Read more

MTP #71: Shockwave Treatment Q and A

MTP 71

Shockwave treatment is increasingly touted as a treatment for ED, girth enhancement and Peyronie’s Disease. In this episode, Dr. Perito dispels many of the misconceptions people have about its effectiveness as a treatment for any of them. The reality is that Shockwave treatment is not very efficacious for treating ED, especially in comparison to the … Read more

MTP #70: Peyronie’s and the UroFill™ Technique

Peyronie's and UroFill™

Peyronie’s Disease can be devastating for patients, leaving many with deformities rendering the penis unrecognizable. As the existing medications to treat it have questionable efficacy, surgery is often the best outcome. For patients who have undergone treatment early, it’s possible to fill in penile defects with the UroFill™ technique. If patients are over 50 or … Read more

MTP #69: Penile Implants Under Local Anesthesia

Penile implant under local anesthesia

For our 69th (!) episode, Dr. Paul Perito discusses the usage of local anesthesia for patients undergoing penile implant surgery. Patients and their loved ones are often apprehensive about undergoing general anesthetic, the associated risks and the discomfort of having a tube down the patient’s throat. This is why Dr. Perito uses local anesthetic with … Read more

MTP #68: Penile Implant and the Tight Scrotum

Penile implant with a tight scrotum

In the 68th episode of MTP, Dr. Paul Perito answers a viewer question about whether a tight scrotum resulting from a previous surgical operation would render him ineligible for a penile implant. While a tight scrotum requires a few accommodations for the proper placement of a penile implant, in the hands of a skilled urologic … Read more