Synchronous penoscrotal implantation of penile prosthesis and artificial urinary sphincter after radical prostatectomy.
CONCLUSION: Synchronous implantation of PP and AUSP is a safe and effective treatment option for patients with severe ED and moderate to severe UI after RP. PMID: 28422042 [PubMed - in process]
Prostate cancer is the second most common cancer in men worldwide , and is the fifth leading cause of cancer death in men with 307,500 deaths in 2012 . Approximately two-thirds of prostate cancer cases are disproportionately diagnosed in the developed world, largely due to prostate cancer screening practices . However, some detected cancers are so low grade and slow growing that they are unlikely to affect the individual in his lifetime . Treatment with radical prostatectomy, brachytherapy, or external bean radiotherapy carries risks including erectile dysfunction and urinary incontinence .
Conclusions Overall, receipt of genitourinary prosthetic surgery for incontinence (1.5%) or erectile dysfunction (1.6%) was rare following radical prostatectomy. However, diabetic and older men demonstrated a greater likelihood of device placement.
BOSTON (CBS) — A leading task force has come out with new recommendations when it comes to prostate cancer screening in men. The U.S. Preventative Services Task Force (USPSTF) now recommends that men between the ages of 55 and 69 without symptoms be offered a PSA test if they have been educated on the pros and cons of testing. The USPSTF also recommends against PSA screening in men aged 70 and older. The PSA test is a simple blood test that attempts to identify men at risk of prostate cancer, but false-positive results can lead to over-diagnosis and unwanted side effects like incontinence and erectile dysfunction. Re...
Conclusions Gay and bisexual men treated for prostate cancer want a recovery curriculum that explicitly addresses the sexual challenges they face before, during and after treatment. While differences were identified across race and treatment type, they were relatively few and minor in magnitude, suggesting that a single online curriculum could advance rehabilitation for this population.
Helfand et al present data on urinary incontinence on 477 men taking part in the LURN study. Post-void dribbling occurred in 41% of the men with 29% reporting urge urinary incontinence. Overall 51% subjects reported urinary incontinence. Erectile dysfunction, depression and anxiety scores were also associated with urinary incontinence. Significant predictors of urinary incontinence were age, race, sleep apnea and clinical site. This important study demonstrates a higher than expected incidence of male incontinence.
AbstractPurpose of ReviewDue to the proximity of the rhabdosphincter and cavernous nerves to the membranous urethra, reconstruction of membranous urethral stricture implies a risk of urinary incontinence and erectile dysfunction. To avoid these complications, endoscopic management of membranous urethral strictures is traditionally favored, and bulboprostatic anastomosis is reserved as the main classical approach for open reconstruction of recalcitrant membranous urethral stricture. The preference for the anastomotic urethroplasty among reconstructive urologists is likely influenced by the familiarity and experience with tr...
We aim to evaluate the safety and efficacy of low intensity shockwave treatment (LISWT) for erectile dysfunction (ED). Further, we sought to report 1 month and 3 months post-treatment follow-up data from an ongoing phase II randomized clinical trial.
Stress urinary incontinence (SUI) and erectile dysfunction (ED) can persist following radical prostatectomy (RP). Combined placement of artificial urinary sphincter (AUS) and penile prosthesis (IPP) addresses both problems, but there is a dearth of information regarding complication rates and device survival rates for combined procedures. We sought to compare these outcomes among men undergoing a combined procedure and those undergoing either AUS or IPP alone.
Men who undergo treatment for prostate cancer may develop erectile dysfunction, urinary incontinence, or both. Conservative management is generally first-line, with surgical intervention reserved for those who fail or are unable to continue with medical management. While artificial urinary sphincter (AUS) and inflatable penile prosthesis (IPP) are the most technically-challenging of the options, patient satisfaction associated with these is often the highest. We set out to evaluate outcomes in men who underwent both AUS and IPP insertion versus each individually in a contemporary, statewide cohort.
We present an anatomic model of persistent PPUI and PPED in nonhuman primates (NHP) and test the feasibility of periurethral injection of the chemokine CXCL-12.