Dr. Perito Presents Minimally Invasive Infrapubic Implant in Tampa

Dr. Paul Peritoeducation, erectile dysfunction, IPP TechniqueLeave a Comment

Dr. Perito Presented the Minimally Invasive Infrapubic Implant Technique and Proctored a LAB at a recent Advanced Surgical Skills Workshop in Tampa, FL – March 8-9, 2019

Dr. Rafael Carrion and the team from USF hosted a didactic and surgical skills workshop in Tampa, FL over the weekend of March 8-9, 2019, in which Dr. Perito was honored to be a participant.  Nearly 30 physicians from around the US attended focusing on men’s health and surgical treatments for advanced stage ED.  Dr. Perito participated in a dinner discussion Friday evening where they discussed common challenges faced by physicians during surgery and advancements in reservoir placement and placement techniques.  The following day he presented during a didactic session and proctored the infrapubic implant station in the lab. Seven top implanters and corporate team members joined Dr. Perito in presenting to some of today’s top urologists. Presentation topics included a Men’s Health update from Dr. Perito and step-by-step penoscrotal and infrapubic penile implant techniques.  These workshops provide amazing opportunities urologists throughout the country to learn from one another and share ideas that will help evolve the patient experience and common practices of penile implant surgery.

Dr. Perito to Attend 34th Annual EAU Congress

Dr. Paul Peritoeducation, IPP Technique, penile implantLeave a Comment

EAU

The 34th Annual EAU Congress in Barcelona from 15-19 March is approaching and Dr.
Perito and his collaborators are happy to announce that they will have two presentations at the
biggest Urological event in Europe.

Dr. Perito’s collaborative efforts with the team at Universityof California Irvine has led to their success in presenting their data on Europe’s biggest stage in urology. The abstracts that will be presented this year are: “Immediate preoperative blood glucose and Hemoglobin A1c levels are not predictive of post-operative infections in diabetic men undergoing penile prosthesis placement,” as well as “Adherence to the AUA antibiotic prophylaxis guidelines in diabetic patients is associated with significantly higher risks of penile prosthesis infection.” The schedule for this year’s presentations can be found below:

  • Abstract Title: Immediate preoperative blood glucose and Hemoglobin A1c levels are not predictive of post-operative infections in diabetic men undergoing penile prosthesis placement
    Presenting Author: Linda Huynh
    Type: Poster
    Session: Novel insights and perspectives in penile implant surgery
    Date:Saturday, 16 March 2019
    Time: 16:00 – 17:30
  • Abstract Title: Adherence to the AUA antibiotic prophylaxis guidelines in diabetic patients is associated with significantly higher risks of penile prosthesis infection
    Presenting Author: Maxwell Towe
    Type: Extended Poster
    Session: Novel insights and perspectives in penile implant surgery
    Date:Saturday, 16 March 2019
    Time: 16:00 – 17:30

Two More Abstracts Accepted for American Urological Association Annual Meeting

Dr. Paul Peritopenile implantLeave a Comment

AUA 2019

Dr. Perito is pleased to announce that two submissions he helped coauthor to the 2019 American Urological Association’s Annual Meeting were accepted, for a grand total of 4 abstracts along with his other speaking engagements for the weekend. This year’s meeting will be in Chicago, IL, where they will present their research to an audience of urologists from all around in the world.

The additional abstracts that will be presented are: “Immediate preoperative blood glucose and Hemoglobin A1c levels are not predictive of post-operative infections in diabetic men undergoing penile prosthesis placement,” as well as “Adherence to the AUA antibiotic prophylaxis guidelines in diabetic patients is associated with significantly higher risks of penile prosthesis infection.” These presentations as well as Glans Hypermobility associated with placement of a Penile prosthesis: Incidence and Treatment Options” and “Penile prosthesis implementation while on anticoagulant therapy: a retrospective study,” have The Perito research team excited to share their findings with the urology community at large. The dates, times, and locations of the presentations can be found below.

 

Abstract Title: Penile prosthesis implementation while on anticoagulant therapy: a retrospective study

Abstract ID: 19-6825

Presenting Author: Alfredo Suarez-Sarmiento Jr.

Type: Podium – PD44

Title: Sexual Function/Dysfunction: Surgical Therapy II

Date: Sunday, May 5, 2019

Time: 9:30 AM – 11:30 AM

Building: McCORMICK PLACE

Abstract Title: Glans Hypermobility associated with placement of a Penile prosthesis: Incidence and Treatment Options

Abstract ID: 19-6961

Presenting Author: Alfredo Suarez-Sarmiento Jr.

Type: Moderated Poster – MP27

Title: Sexual Function/Dysfunction: Surgical Therapy I

Date: Saturday, May 4, 2019

Time: 7:00 AM – 9:00 AM

Building: McCORMICK PLACE

Abstract Title: Immediate preoperative blood glucose and Hemoglobin A1c levels are not predictive of post-operative infections in diabetic men undergoing penile prosthesis placement

Abstract ID: 19-7620

Presenting Author: Mohamad Osman

Type: Moderated Poster – MP27

Session: Sexual Function/Dysfunction: Surgical Therapy I

Date: Saturday, May 4, 2019

Time: 7:00 AM – 9:00 AM

Building: McCORMICK PLACE

Abstract Title: Adherence to the AUA antibiotic prophylaxis guidelines in diabetic patients is associated with significantly higher risks of penile prosthesis infection

Abstract ID: 19-7918

Presenting Author: Maxwell Towe

Type: Podium – PD44

Session: Sexual Function/Dysfunction: Surgical Therapy II

Date: Sunday, May 5, 2019

Time: 9:30 AM – 11:30 AM

Building: McCORMICK PLACE

Why Don't More People Know About Peyronie's Disease?

Dr. Paul Peritoerectile dysfunction, Peyronie's DiseaseLeave a Comment

Why don't more people know about Peyronie's?

Peyronie’s Disease will affect 8-10% of men in their lifetimes, and by many accounts, that number is both underreported and increasing. Compare this to the 11% of men who will be diagnosed with prostate cancer in their lifetimes, or the 5-15% of men between 40 and 70 diagnosed with ED.

This raises the question: why is Peyronie’s Disease unfamiliar to the general public when it afflicts a similar range of men as these other diagnoses?

What is Peyronie’s?

For those not aware, Peyronie’s Disease is a disorder where scar tissue forms inside the soft tissue of the penis. This often causes penile pain and misshaping, and in some cases, erectile dysfunction, loss of girth / length and a severe curvature or deformity that prevents intercourse. It’s typically caused by trauma to the penis, such as sex (any kind of sex), athletic injuries, bending, or hitting.  I like to describe to my patients the process where some penises respond to inflammation worse than others.  Significant trauma, like a fracture of the penis, will cause a “Peyronie’s-like” plaque on anyone.  Others may develop severe curvature with Masters and Johnsonian  like sex:  5 minutes and missionary only.

Awareness of Peyronie’s

One of the most obvious reasons for the lack of awareness of Peyronie’s is the relative ineffectiveness of oral medications – while the current prescription treatments on the market perform better than placebos and may work for mild cases, surgery is the most effective approach to fully treat the disease and achieve a positive patient outcome.

Erectile dysfunction, on the other hand, while not unheard of, definitely gained more awareness and acceptance with the advent of prescription drugs to more effectively treat it, along with a massive publicity push by pharmaceutical companies. The sheer frequency of advertisements in popular media for ED treatment has more or less pushed it in the mainstream over the past few decades, and has proven to be extremely profitable for their manufacturers.

Prostate cancer has also received more publicity than Peyronie’s Disease, but with good reason: neglecting to get checked for it could result in death. There has been a concerted effort on the parts of medical professions, non-profit organizations, health insurance companies and others to “get the word out” for men past a certain age to regular check-ups of their prostates (and colons) to check for potential signs of cancer.

While Peyronie’s Disease is a serious diagnosis and can represent a major decline in life satisfaction for men, it doesn’t represent a preventable fatal outcome, and as such hasn’t gotten as much in the way of public awareness campaigns.

The Less Obvious Reason

There’s another reason that may not be initially apparent for the lack of awareness of Peyronie’s Disease, one that is related to one of the more common factors which may lead to it: an active and vigorous sex life.

For many men, their sex lives are a large part of their identities and their relationships. Admitting a sexual problem to a partner or spouse can be difficult, especially if it’s following a longer pattern of physically vigorous activity with one another.

This reticence to discuss concerns about one’s penis can exacerbate the symptoms of Peyronie’s Disease: as it typically presents as penile pain before curvature or deformity, some may choose to ignore their symptoms and try to continue with their current level of activity, unaware that the continuing trauma is causing more scar tissue to form.

If talking frankly about sexual dysfunction is difficult for men, the appearance of lumps, an hourglass shape, or a severe curvature of the penis is even more so (I have seen penises that look like something out of an Dr. Seuss illustration).  Thus, Peyronie’s Disease is very likely underreported, often untreated, and simply not talked about, leaving men to suffer privately.

What Can Be Done?

As with many other urology-related issues, helping to overcome the initial awkwardness of seeking help is key. Men should be willing to take responsibility for their health, especially if they’re suffering physically and emotionally, as well as to share their experiences on online forums or with friends and family who may be experiencing similar symptoms. Men’s partners should be willing to provide support and to speak frankly when they think medical treatment is a good idea.  Quite frankly, I am sick of the recent pill-peddler commercials that suggest that using their services can help one avoid these difficult conversations.  Shout from the mountain top about your penis because, Oh! the places you will go!

The good news is that surgical treatment of Peyronie’s Disease is effective, and when used in tandem with a penile implant, can restore sexual function to patients, even those displaying severe indications. Seek medical treatment before symptoms worse, and support the efforts of websites like the Association of Peyronie’s Disease Advocates to help educate the general public about it.

Awareness of Peyronie’s is the first step in treating it.

 

 

 

 

 

 

 

 

 

 

 

Dr. Perito's Submissions to American Urological Assocation Accepted

Dr. Paul Peritoeducation, penile implantLeave a Comment

AUA 2019

Dr. Perito, along with his research fellows, Dr. Alfredo Suarez-Sarmiento, Jr. and Dr. Matthew Brennan were pleased to announce that their submissions to the 2019 American Urological Association’s Annual Meeting were accepted. This year’s meeting will be in Chicago, IL, where they will present their research to an audience of urologists from around in the world.

Abstracts to be presented include “Glans Hypermobility Associated with Placement of a Penile Prosthesis: Incidence and Treatment Options,” with a podium presentation titled “Penile Prosthesis Implementation While on Anticoagulant Therapy: a Retrospective Study.”

This abstract may be the most important to patients in that findings support surgeons who perform penile implants on anti-coagulated patients who cannot stop their medication. Previously, some patients were required to wait up to two years before undergoing the elective procedure (The Perito Implant TM). The research team at Perito Urology is excited to share these findings with the urology community at large!