Translated from the article: The majority of the men who need an artificial urinary sphincter have previously had prostate surgery. During these procedures, muscle control is injured, causing incontinence… Paul Perito, a urologist specializing in men’s health issues, explains that the artificial urinary sphincter consists of three components: a urethral cuff, a pump, and a pressure balloon. All components are hidden inside the body and can’t be seen from the outside.
Dr. Perito Discusses the Treatment of Erectile Dysfunction
Translated from the article: Today there are many methods to facilitate erections in men, such as tablets, gels, and injections among others, allowing for a better sex life for men and their partners. What happens when these methods don’t work to counteract erectile dysfunction or sexual impotence? According to American urologist Paul Perito the solution is the “Balloon”…
Congratulations to Dr. Paul Perito MD, FACS and Dr. Stephen Wilson MD, FACS, FRCS on publishing a new technique in the 2013 Journal of Sexual Medicine to correct penile curvature due to Peyronie’s Plaque.
Peyronie’s Disease (also known as “Induratio penis plastica”,or more recently Chronic Inflammation of the Tunica Albuginea (CITA), is a connective tissue disorder involving the growth of fibrous plaques in the soft tissue of the penis affecting up to 10% of men. Specifically, scar tissue forms in the tunica albuginea, the thick sheath of tissue surrounding the corpora cavernosa causing pain, abnormal curvature, erectile dysfunction, indentation, loss of girth and shortening.
Dr. Pertio’s technique in the correction of this plaque prior to penile implantation:
Modeling (Wilson et al.) allows surgeons to correct most if not all Peyronie’s related curvatures when placing a penile prosthesis without having to use invasive and time-consuming procedures. The accepted rate of urethral disruption from modeling is nearly 5%. To diminish the possibility of this potential complication, the scratch procedure for internal disruption of the Peyronie’s plaque is used as an adjunct to modeling. The procedure can also be used to rid the implanted penis of any hour-glass defects commonly found prior to implantation in Peyronie’s patients.
An artificial erection is accomplished in order to identify the zone of pathology and mark it externally with a pen. An 80-mm nasal speculum is passed across the plaque and opened transversely to fracture the plaque along the x-axis.
A 12-blade scalpel is used to “scratch” the plaque internally along the z-axis, i.e., longitudinally. The depth of the “scratch” further disrupts the plaque along the y-axis, completing the internal three-dimensional disruption of the plaque. An alternative to using a scalpel for the linear incisions is using a pair of sharp Metzenbaum scissors to fracture the plaque.
Once the implant is in place, any additional modeling (Wilson et al.) may be performed. Remember to protect the urethra from distal perforation while modeling by squeezing the fossa. Risk of urethral perforation while modeling after the “scratch” should be diminished.
Below you will find the technique as published in the 2013 Journal of Sexual Medicine with illustrations to help you better understand this pre-implantation technique.
Dr. Paul Perito trained Doctors from around the world at Perito Urology following the AUA (American Urological Association) 2013 meeting. The program, part of a world-wide training facility, welcomed 5 Brazilian and 2 Australian Urologists specializing in Penile Prosthesis Implantation to participate in the event. The symposium comprised a tour of Perito Urology and a catered presentation by Dr. Perito, MD on The Perito Implant TM the evening of May 8th. Surgical training followed on May 9th at Coral Gables Hospital, Florida where the visiting doctors were proctored on 16 penile implant cases. All procedures were completed successfully in less than 7 hours. Dr. Perito and attendees exchanged ideas and all agree that their skills to treat patient’s needing a penile implant have benefited significantly. “I learn something new every time I work with such skilled surgeons”, claims Dr. Perito. Many will take what they learned back to Brazil and Australia where they will continue successfully implanting patients using Dr. Perito’s Minimally Invasive Penile Implant, The Perito Implant TM. Overall the event was fantastic!
As a leader in the field of Penile Enhancement Surgery, Paul Perito was recently quoted in a New York Daily News article about male enlargement surgeries, offering his expert opinion on the risks of specific procedures.
Dr. Paul Perito presents at 2013 American Academy of Cosmetic Surgery, 6th World Congress of the International Society of cosmetogynecology and Foundations of Liposuction Symposium. On January 16th Dr. Perito reviewed over 4000 of his cases utilizing both the penoscrotal and infrapubic technique. The Minimally Invasive technique that he developed was demonstrated to the congress and his results were presented to the congress. Dr. Perito also discussed the pitfalls of current techniques used for penile “cosmetic” surgery.
Dr. Paul Perito makes a special appearance on Telemiami’s Ganando Salud. The show provides audiences with information on health and science featuring prominent, South Florida doctors. Guest physicians guide spectators with advice, promoting prevention and good health encouraging the participation and questions of viewers.
Thursday, January 31st, Dr. Paul Perito guest stars on Radio Ideal Internacional. He joins their panel of professionals: Freddy Castro, Dr. Ana Pando, Dr. Juan Jimenez and Dr. Jorge Bordenave on Pideme Un Consejo. The program aims to improve listeners’ lives by providing useful tips in approaching everyday problems.