Steward of the Penis™ Professionals and their Qualifications and Standards

Dr. Paul Peritoerectile dysfunction, girth enhancement, penile implant

Steward of the Penis™

Dr. Perito often refers to himself and his most esteemed colleagues in the medical field of urologic surgery as “Stewards of the Penis™.” But what does this mean exactly, and how is a steward different from a standard medical or cosmetic provider?

  • Stewards of the Penis™ professionals are in the elite of medical professionals: Whether it’s for treatment of ED, a cosmetic procedure, incontinence, or Peyronie’s Disease, anyone that’s a true Steward of the Penis™ professional is highly educated with years of hands-on experience, often with sixteen years of additional training. One must look for certifications from medical organizations and societies, accolades and recognition from other professionals in the field.
  • Stewards of the Penis™ professionals understand their physiology: The human body is extremely complicated, and the penis is a complicated system unto itself. A general practitioner or less-skilled surgeon will not know the many nuances of how the penis functions, and what telltale signs are of potential injury or dysfunction. Only years of education, training and patient care can provide the level of understanding of true stewardship.
  • Stewards of the Penis™ professionals understand what it means for patients: Treatment of a penis isn’t just medical: It has psychological, emotional, cultural and sexual value that’s key to many men’s identities and overall well-being. A Steward of the Penis™ professional understands that any kind of treatment has a psychological component to be taken into consideration. A patient isn’t just a piece of meat and neither is their penis!
  • Stewards of the Penis™ professionals never stop learning: Any steward of a medical field or specialty knows that they’re never going to stop learning. As scientific knowledge expands, more research is conducted, new devices and procedures come to the market and new specialists enter the field, there’s always something new to be learned, tested and verified. A Steward of the Penis™ professional knows this and is constantly training, researching and collaborating with their peers and colleagues. It takes a lot of work, but it’s worth it to make sure patients receive the absolute best care and treatment options.

Just as you wouldn’t climb into a helicopter with an amateur pilot, you wouldn’t want to leave treatment and diagnosis of your penis to an amateur or beautician. If you have a medical problem or simply want to enhance the appearance of your penis, be sure that you’re going to one of the experts: You deserve nothing less than a true “Steward of the Penis™” professional.

 

Perito Urology Hosts Prosthetic Urology Event

Dr. Paul Peritoeducation, IPP Technique, penile implant

Perito

On Friday, February 3rd, top faculty gathered together at Perito Urology for dinner and drinks to share their prosthetic journey.

In attendance were surgeons from around the country with experience ranging from novice to experienced implanter.

The course continued the next day at M.A.R.C Institute in Doral, FL with 26 fellows and residents in attendance. After an informative didactic session with a panel of top prosthetic urologists, we moved on to a hands-on technical training. Six cadaver lab stations were set up to focus on penoscrotal and infra pubic techniques, reservoir placement, complicated cases, and placement of Virtue male sling.

The course, sponsored by Coloplast, was a complete success for fellows looking to expand their skill sets within prosthetics for men’s health.

 

Dr. Perito Contributes to Medical Study for New Three-Piece Inflatable Penile Prosthesis

Dr. Paul Peritoeducation, IPP Technique

BJUI International

Dr. Perito co-published a report on the Rigicon Infla10® Inflatable Penile Prosthesis. The article, Initial Safety Outcomes for Rigicon Infla10® Inflatable Penile Prosthesis was co-written by Drs.  Steven K Wilson, Lexiaochuan Wen, Mariano Rossello, Pedro Maria, Rafael Carrion, David Ralph, Gabriele Antonini, Alejandro Carvajal, Metin I Ozturk, and Eric Chung in BJUI international.

See the article here.

Perito Urology Live Streams Implant Under Local Anesthesic to Six Countries

Dr. Paul Peritoeducation, IPP Technique, penile implant

At noon, Perito Urology live streamed across six different countries and time zones their Minimally Invasive Penile Implant under local anesthetic. Local anesthesia is truly a game changer for penile implantation and allays the fears many partners have regarding risk to their loved ones. Thirty-eight registrants from Colombia, Brazil, Australia, Mexico, Canada, and the United States shared in the experience and challenged nuances of the case.

For more information about why local anesthesia represents an important advance for penile implants, check out the episode of MTP below:

Shockwave Treatment: Don’t Believe the Hype

Dr. Paul Peritoerectile dysfunction, girth enhancement, Meet the Penis, penile implant, Peyronie's Disease

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 always a certain level of excitement around a newer type of treatment, where Shockwave is concerned, “new” does not equate to “improved.”

For erectile dysfunction, Shockwave simply isn’t as efficacious as a penile implant procedure (60% according to Shockwave providers), which has a 95% success rate, low complications and can last for years without the need for replacement or adjustment (especially when performed at a dedicated facility). Shockwave therapy also requires 1-2 treatments per week for 6-8 weeks, rather than the one-time procedure of an penile implant placement. In other words, it’s less effective and takes longer to see results. 

As far as Peyronie’s disease is concerned, the science simply isn’t there, either. As medical research has shown, Shockwave therapy can actually cause an increase in transforming growth factor-beta, or TGFB, which can lead to fibrosis in the penile area. In plain English: Shockwave may actually raise your likelihood of Peyronie’s disease by stimulating more fibrosis in the penile tissue. In plainer English: not good.

Peyronie’s can be more effectively treated in milder cases with prescription drugs, and in more severe cases via the penile “scratch” technique to remove plague in conjunction with a penile implant to restore erectile function and hyaluronic injections to restore normal appearance. (See this video for more information on how the three treatments work together.)

As far as penile girth enhancement is concerned, Shockwave therapy theoretically increases blood flow to the penis shaft–it doesn’t actually add girth. While this is perhaps a safer option than highly questionable techniques such as silicon injections, hyaluronic acid filler as performed by a highly trained surgeon in a significantly more efficacious treatment with lower complication rates and higher patient satisfaction overall.

Finally, Shockwave therapy is not FDA-approved and is still considered “investigational” by the American Urological Association. 

We encourage you to do the research and explore your treatment options, but do not recommend Shockwave therapy as a better option than standard, time-tested, effective treatments developed and tested by board-certified urologists. 

Dr. Perito Kicks Off SMSNA / ISSM with Panel on Peyronie’s Disease

Dr. Paul Peritoeducation, IPP Technique, penile implant, Peyronie's Disease

SMSNA

Dr. Paul Perito was joined by Georgios Hatzichristodoulou to speak at a panel of the Sexual Medicine Society of North America (SMSNA) and the International Society for Sexual Medicine (ISSM) titled “Panel on Tips and Tricks for IPP in Peyronies: Tough Cases I Have Managed.”

“I would first like to thank the SMSNA and ISSM for inviting academicians, private practice and hybrid Urologists to speak within their forum.  Both Georgisos and I were somewhat shocked to be invited to speak about Peyroines Disease.  I have always quoted one of my mentors, Dr SK Wilson, “If the patient is over 50, put an implant in him!”  The beauty of this meeting is exemplified in our freedom to introduce some new as well as aged techniques related to the assigned topic and I believe, and hope, that it was a success.  Those attending and speaking at the meeting are stewards of the penis.  I listen to them.  It should be noted that one of the speakers, Dr. Gary Alter, addressed the problems with beauticians or non-urologists attempting cosmetic surgery on the male genitalia.  Go Urofill!  Stick with the experts!”

-Dr. Perito