When it comes to successful treatment of erectile dysfunction, knowledge is power and we believe our patients should be empowered.
Patients at Perito Urology will usually undergo a quick study of the penile vascular system called a penile duplex. With this study, we can immediately start and expedite the algorithm to restore sexual health and function without bouncing the patient back and forth between treatments demonstrating little or no efficacy. The pragmatic work-up allows the patient the convenience to target treatments that will be successful. For example, many patients exhibit a vascular abnormality that they never would have guessed they had: veno-occlusive disease.
This process can only be treated by high dose injection therapy or a penile implant. Many patients believe they are not candidates for penile implant surgery because they consider themselves a “high risk” for any surgery. Thankfully this 15-minute procedure can be performed with any form of anesthesia available: local with IV sedation, spinal or general.
Patients on anticoagulant therapy can be safely treated with the penile implant without stopping their therapy at Perito Urology. This is especially important in patients who have undergone cardiac stent placement. Considering the age range of our patients who have undergone a penile prosthesis (21 to 95) and the co-morbidities of our patients (transplant, diabetics, dialysis, etc.) few patients are considered unsafe for this minimally invasive procedure.
Typical duplex finding on a candidate for penile implantation with “leak”
This episode of MTP answers a long-standing and frequently asked question: What happens when a penile implant fails? As Dr. Paul Perito explains, penile implants have a 1-2% annual failure rate, placing them in the higher-performing echelon of stable and secure medical devices. As long as a patient undergoes the procedure at a dedicated clinic, … Read more
In this episode of MTP, Dr. Perito answers a question from a doctor about the appearance of tubing following penile implant placement. Well-trained expert implanters will do everything within their ability to conceal tubing in their patients. That being the case, the two main approaches to penile implants are infrapubic and penoscrotal; depending on which … Read more
In the latest episode of MTP, Dr. Perito answers a viewer’s question about being able to maintain a “natural” erection with an inflatable penile prosthesis. Penile prostheses are specifically intended for patients who are unable to obtain or maintain an erection, or a penetrating penis. When erections occur with a prosthesis, it means that the … Read more
In this episode of Meet the Penis, Dr. Paul Perito answers a viewer question about the angle of an erection and whether or not a penile implant is capable of restoring or maintaining it at a desired angle. Dr. Perito also discusses venous ligation.
Drs. Perito and Brennan presented Erectile Dysfunction and TRT treatments for men including the Penile Implant at the Nicaraguan American Medical Associations Monthly Dinner Event September 9, 2019 – Drs. Perito and Brennan were formally invited to give a presentation in front of 60 physician members of the Nicaraguan American Medical Association at Morton’s Steakhouse … Read more
In the latest episode of Meet the Penis, Dr. Paul Perito is joined by Dr. Matthew Brennan, who answers a user submitted question about available treatments for patients with spinal cord injuries. Treatments for spinal cord injury patients can vary according to the level, completeness, and time since said injury. That being said, while many … Read more
