Dr. Paul Perito Delivers Inspiring Grand Rounds at Tulane University

Dr. Paul Peritoeducation

Tulane

On Friday, November 22, 2024, Dr. Paul Perito brought his expertise and passion for penile prosthetics to Tulane University’s Department of Urology as he delivered an unforgettable Grand Rounds presentation.

Invited by the esteemed Dr. Lawrence Jenkins and joined by faculty luminaries such as Dr. Wayne J.G. Hellstrom and Dr. Babak Azad, Dr. Perito addressed an audience of 35 urology professionals and residents, sharing his renowned, meticulous approach to penile implant surgery.

A Masterclass in Penile Implants

Dr. Perito’s presentation offered a comprehensive, minute-by-minute retrospective of a virgin penile implant case. 

Through the use of surgical video (show a clip?), he described the intricate steps of his process while emphasizing the critical mindset required for optimal outcomes. 

The session was more than a technical lecture; it was a candid reflection on his years of experience, punctuated with insights that inspired seasoned faculty and young residents alike.

The Grand Rounds exemplified Tulane Urology’s mission to DISCOVER, LEARN, and HEAL by fostering an environment where cutting-edge techniques are shared openly among peers. As leaders in minimally invasive urologic surgery, Tulane continues to advance the field through collaboration and education.

Collaboration with Coloplast and Future Academic Partnerships

Dr. Perito’s Grand Rounds presentation reflects a larger commitment to education and mentorship. In partnership with Coloplast, Perito Urology offers monthly livestream virtual training seminars, ensuring that the next generation of urologists has access to practical, real-time guidance. These sessions frequently focus on the minimally invasive infrapubic technique, a hallmark of Dr. Perito’s approach to penile implant surgery.

Looking ahead to 2025, Perito Urology plans to partner with several academic urology programs nationwide, bringing their expertise directly to residents and faculty eager to refine their skills in penile prosthetics. By inspiring young urologists, these initiatives will help shape the future of urologic care and reaffirm the critical role of mentorship in medicine.

Tulane Urology: Wired for Excellence

As a host for this impactful event, Tulane Urology’s reputation for excellence in education and innovation was on full display. With a long history of leadership in minimally invasive surgery for conditions like erectile dysfunction, prostate cancer, and kidney stones, Tulane remains at the forefront of urologic care. 

The department’s focus on leveraging advanced technology and the expertise of fellowship-trained faculty aligns perfectly with the goals of Perito Urology’s training initiatives.

Advancing the Field of Penile Prosthetics

Dr. Perito’s virtual visit to Tulane was not only an opportunity to share his knowledge but also a celebration of the shared vision between Perito Urology and institutions like Tulane: “To advance the field of urology through education, collaboration, and innovation.” 

As attendees left the session, they carried with them not just technical know-how but a renewed appreciation for the transformative impact of penile prosthetics on patients’ lives.

We look forward to seeing how the seeds of inspiration planted during this Grand Rounds will grow as Tulane Urology and Perito Urology continue their efforts to shape the future of urologic care.

 

Perito Urology at the 25th Annual Fall Scientific Meeting of the Sexual Medicine Society of North America (SMSNA)

Dr. Paul Peritoeducation

SMSNA 2024

This year, the 25th Annual Fall Scientific Meeting of the Sexual Medicine Society of North America (SMSNA) took place in scenic Scottsdale, Arizona, from October 17-20, 2024, and it was an impactful experience for the Perito Urology team. Dr. Paul Perito, Dr. Alfie Suarez-Sarmiento, and Brett Levitt, PA, each played a pivotal role at the conference, showcasing groundbreaking research and innovative techniques, and making their mark among fellow urologists and sexual medicine specialists.

Brett Levitt’s Debut Presentation: “Aggressive Rehabilitation Post-IPP Exchange: We Blew a Gasket”

For Brett Levitt, PA, this SMSNA conference was particularly special as it marked his first SMSNA conference as well as his first time presenting. His presentation, titled “Aggressive Rehabilitation Post-IPP Exchange: We Blew a Gasket,” captured the audience’s attention and garnered impressive feedback. Moderated by Professor Run Wang, a notable figure in the field, Brett delivered his findings with confidence, thoroughly impressing the audience and demonstrating his expertise in penile implant rehabilitation strategies.

Dr. Perito’s Symposium and Collaborative Presentation

Dr. Paul Perito, a pioneer in the field of penile implants and male enhancement, brought his wealth of knowledge and experience to two significant events at the meeting. Dr. Perito presented at the Coloplast Implanter Lunch Symposium, discussing cutting-edge techniques in penile implantation that are helping to improve outcomes and patient satisfaction. Additionally, he shared his insights and advice in a presentation titled “Lessons Learned From Starting My Own Practice,” where he joined Dr. Jonathan Clavell from Houston. Together, they shared valuable experiences and strategies to guide emerging urologists who are interested in launching independent practices.

Dr. Alfie Suarez-Sarmiento’s Impressive Eight Presentations

Dr. Alfie Suarez-Sarmiento had the monumental task of giving eight presentations during the meeting. With four presentations in English and four in the SLAMS (Latin American Section of SMSNA) in Spanish, Dr. Suarez-Sarmiento’s expertise reached a diverse audience of urologists from North and South America. His bilingual presentations were a key part of the SLAMS section, where he contributed to discussions and knowledge-sharing among Spanish-speaking professionals in sexual medicine, emphasizing Perito Urology’s commitment to collaboration and innovation across borders.

Medical Student Senthooran Kalidoss’s Contribution

Perito Urology’s medical student collaborator, Senthooran Kalidoss, also presented at the meeting. Senthooran’s surgical video presentations showcased some of the groundbreaking procedures and techniques he’s been helping to develop with Perito Urology. His contribution was both well-received and a testament to the collaborative spirit fostered within the clinic.

Perito Urology’s 12 Abstracts

The team presented a total of twelve abstracts, each highlighting crucial advancements in the field of penile implants, penile injections, and the innovative UroFill® technique for enhancing penile girth. Here is a summary of the abstracts presented:

  1. Post-IPP Enhancement Using UroFill® Technique – Safety and Feasibility
  2. Penile Hyaluronic Acid Injections Using UroFill Technique: Complications and their Management
  3. Concurrent No-Scalpel Vasectomy and Infrapubic Inflatable Penile Prosthesis Placement: Single-Incision Approach
  4. Aggressive Rehabilitation Post-IPP Exchange: We Blew a Gasket
  5. Spurious Spout: Antimicrobial Practices During IPP Insertion – Single Center Experience
  6. Inyecciones de Ácido Hialurónico en el Pene Usando la Técnica UroFill: Complicaciones y su Manejo
  7. Rehabilitación Agresiva después del Intercambio de Implante de Pene: Hemos Excedido los Límites
  8. Prácticas Antimicrobianas Durante la Inserción de IPP – Experiencia de Centro Único
  9. Optimización del Implante de Pene Mediante la Técnica UroFill®
  10. Modified Local and Regional Pudendal Nerve Block at Time of Penile Prosthesis Insertion
  11. Concurrent No-Scalpel Vasectomy and Infrapubic Inflatable Penile Prosthesis Placement: Single-Incision Approach
  12. Exploring How BMI Shapes the Success of Inflatable Penile Prosthesis Surgery: Multi-Center Study Insights

Each abstract offered insight into innovative practices aimed at advancing patient care and improving clinical outcomes. These presentations underscored Perito Urology’s commitment to pushing the boundaries of male sexual health and wellness.

Looking Ahead

The SMSNA meeting provided an invaluable opportunity for the Perito Urology team to share their work, learn from others, and continue building connections within the field of sexual medicine. From Brett Levitt’s first presentation to Dr. Suarez-Sarmiento’s international contributions, each member of the team represented Perito Urology with pride and distinction.

We’re excited to bring these insights and developments back to Perito Urology, where they will continue to drive us toward even greater advancements in male sexual health.

Recovery Timeline for Penile Implant Surgery at Perito Urology

Dr. Paul Peritopenile implant

penile implant recovery

At Perito Urology we aim to provide comprehensive guidance to patients undergoing penile implant surgery. 

A critical aspect of this process is understanding the recovery timeline, which helps patients set realistic expectations and ensure a smooth healing journey. We’ll break down the recovery process week by week, based on insights from Dr. Alfie Suarez-Sarmiento in the “Penile Implants 102” episode of ‘Meet the Penis’ found on our  Perito Urology YouTube Channel.

Week 1: Immediate Post-Surgery Care

On the day of your penile implant surgery, you’ll be sent home with a Jackson-Pratt (JP) drain in place. This small drainage device helps remove excess blood and fluid from the surgical area, reducing the risk of complications. Managing the JP drain is straightforward—our team will provide you with detailed instructions on how to empty it properly, and you can also refer to Episode 86 of “Meet the Penis” for helpful instructions on how to use your JP drain.

Typically, the JP drain is removed by our staff around 2 to 3 days post-surgery. During this initial recovery period, it’s essential to rest and avoid any strenuous activities. Focus on taking your prescribed medications, following your doctor’s advice, and allowing your body to start healing. 

By the end of the first week, once the drain is out, you may begin light activities like driving short distances or taking brief walks, but remember to take it easy.

Week 2: Gradual Increase in Activity

As you progress into the second week of recovery, you should begin feeling more comfortable moving around. At this stage, longer walks are usually permissible, but listening to your body and avoiding overexertion is crucial. If you experience pain or discomfort, scale back your activities and prioritize rest.

During this week, staples from your surgery will typically be removed, usually around the 12 to 14-day mark. Removing the staples marks a significant step in your healing journey, but keep in mind that your body is still in recovery mode. Continue to avoid intense physical activities.

Week 3: Reintroducing Light Exercise

By the third week, you can reintroduce light exercise into your routine. Gentle stretching and light cardio exercises are generally acceptable, but avoiding anything too strenuous is important. Some patients may be ready to begin cycling their implants or initiate sexual activity during this period, but these steps should only be taken after receiving clearance from our staff at Perito Urology.

Restrictions still apply in Week 3; patients should avoid lifting anything heavier than 25 pounds, as well as abdominal exercises, squats, or any movements that place undue strain on the surgical site. Your body’s recovery remains the top priority.

Week 4: Approaching Full Recovery

Around the 24 to 28-day mark, many patients find that most activity restrictions can be lifted, provided their healing is on track. However, this is contingent upon a follow-up visit with our team at Perito Urology.

We emphasize the importance of listening to your body—if you’re still experiencing soreness or notice anything unusual, don’t hesitate to contact our office. Our goal is to support you through every step of your recovery.

Throughout the entire recovery process, it’s crucial to avoid swimming pools, hot tubs, or any form of submersion until your staples are removed and you receive the all-clear from our staff. This precaution helps prevent infections and ensures proper healing of the surgical site.

A Personalized Approach to Recovery

At Perito Urology, we understand that each patient’s recovery journey is unique. While the timeline outlined here serves as a general guide, your individual experience may vary. Always follow the advice and post penile implant surgery instructions provided by our team, and never hesitate to reach out if you have any questions or concerns.

Our commitment to your health and well-being doesn’t end with surgery. We are here to provide the support and guidance you need throughout your recovery process. Thank you for trusting Perito Urology, and remember, your recovery is as important to us as it is to you. ‘

Stay tuned for more insightful content on men’s health, urology, sexual health and general well-being, and take care of yourself.

2024 SUPS Annual Meeting: A Recap of Innovations and Insights in Urologic Prosthetics

Dr. Paul PeritoSUPS

SUPS

The 2024 Society of Urologic Prosthetic Surgeons (SUPS) Annual Meeting brought together some of the brightest minds in urology for a highly anticipated educational summit in Las Vegas, Nevada. Held at the Delano Las Vegas on August 9-10, this year’s event was a hub of knowledge-sharing, networking, and discussion around the latest developments in urologic prosthetics.

The SUPS Annual Meeting has grown in prominence over the years, drawing participants from around the globe. This year, providers from Mexico, Brazil, Europe, and beyond gathered for the invitation-only event, reflecting the society’s expanding influence and membership. The meeting was packed with insightful presentations from leading urologists, with topics ranging from penile implants to artificial urinary sphincters and more.

Featured Speakers and Key Sessions

The 2024 Education Summit featured an impressive lineup of speakers, including SUPS President Dr. Shawn Blick, Dr. O. Lenaine Westney, Dr. Melissa R. Kaufman, Dr. Jeffrey Loh-Doyle, Dr. Steven K. Wilson, and many others. Their presentations covered a wide array of topics essential to the advancement of urologic prosthetics.

One of the most anticipated presentations was scheduled to be given by Dr. Paul Perito, a pioneer in penile implant surgery. He was set to discuss his extensive experience over 28 years in a talk titled, “Penile Implant Experience: What’s in Your Toolbox After 28 Years.” Unfortunately, due to personal reasons, Dr. Perito could not attend this year’s meeting. In his place, Dr. Alfredo Suarez-Sarmiento, Jr. delivered the talk, sharing valuable insights into the current state of penile implants and addressing the latest innovations in the field.

Dr. Suarez-Sarmiento’s presentation was well-received by the audience, which included some of the world’s best penile implanters. His talk emphasized the ongoing evolution of penile implant techniques and highlighted the importance of staying up-to-date with the latest tools and methods in urology.

Saturday’s General Session Highlights

The second day of the summit, Saturday, August 10, was filled with high-caliber presentations that addressed crucial topics in urologic prosthetics:

  • Artificial Urinary Sphincter: Coding Consensus and Developments in Post-Operative Analgesia
    Speaker: Dr. Jeffrey Loh-Doyle
    This session delved into the intricacies of coding for artificial urinary sphincter procedures and the latest advancements in managing post-operative pain.
  • New AUS Devices Coming to Market
    Speaker: Dr. Steven K. Wilson
    Dr. Wilson discussed the emerging technologies in artificial urinary sphincters and how these innovations are set to improve patient outcomes.
  • Review and Update on Irrisept in Prosthetics
    Speaker: Dr. Edward Karpman
    Dr. Karpman provided a comprehensive update on the use of Irrisept in prosthetic surgeries, highlighting its benefits and best practices.
  • New Tricks for Infrapubic IPP Placement Over the Last 5 Years
    Speaker: Dr. Alfredo Suarez-Sarmiento, Jr.
    Despite Dr. Perito’s absence, his topic remained a focal point of discussion, emphasizing the advancements in infrapubic inflatable penile prosthesis (IPP) placement.
  • How to Handle ED and PD at the Same Time
    Speaker: Dr. Rafael E. Carrion
    Dr. Carrion explored the challenges and solutions for managing erectile dysfunction and Peyronie’s disease simultaneously.
  • Fellows Certification Process Update
    Speaker: Dr. Sherita A. King
    Dr. King discussed the updates to the certification process for fellows, underlining the importance of continued education and rigorous standards.
  • APP’s in Men’s Health
    Speaker: Kenneth Mitchell, MPAS, PA-C
    This session focused on the role of Advanced Practice Providers in men’s health and their growing importance in urologic practices.

A Meeting of Minds and Innovations

The 2024 SUPS Annual Meeting was not just an educational summit—it was a celebration of the growth and progress within the field of urologic prosthetics. The event underscored the importance of collaboration among urologists worldwide and highlighted the continuous advancements that are being made to improve patient care. This conference was a great opportunity for our international UroFill providers to meet and discuss all the recent updates to our protocols. Some notable UroFill® providers in attendance were: Drs. Tiago Mierzwa, Gabriel Veber, Clay Williams, and Bernardo Cisneros. UroFill® provider and SUPS member Dr. Gabriel Veber might have had the longest journey, requiring 4 flights and a long bus ride traveling from Port Allegre, Brazil to Las Vegas, NV.

Dr. Paul Perito, who has been a driving force behind SUPS, expressed his pride in the society’s achievements, noting the significant growth in membership and the quality of the educational content provided at this year’s meeting. Although he couldn’t be present, his influence and contributions to the field were certainly felt throughout the event.

As SUPS continues to expand and evolve, the annual meeting remains a cornerstone of innovation and excellence in urologic prosthetics. We look forward to seeing what next year’s summit will bring.