Penile Implant Surgery Contemporary Challenges and Controversies

Penile implants have been an effective treatment for erectile dysfunction (ED) for more than 40 years. However, there is now a growing interest in this treatment option, as the number of procedures is expected to increase in the future. This book offers a reference guide for all those practitioners interested in understanding and/or performing this procedure. It will also benefit those in medical education who want to obtain specialized and high-quality knowledge regarding the complexities involved in penile implant surgery.

Although the basic description of penile implant surgery is well documented in the literature, a detailed and comprehensive guide with a special focus on the most challenging and controversial aspects is lacking. The few books available on the topic provide a broad overview of prosthetic surgery in general, mainly discuss basic principles, and fail to provide a more detailed perspective.

This comprehensive book discusses various aspects of penile implant surgery, ranging from indications to long-term complications. It addresses the most common and serious challenges regarding penile implants, which are rarely discussed elsewhere. The respective chapters were written by internationally respected experts on the controversies of penile prosthetic surgery. The book is intended for all those who plan to specialize in penile implant surgery, which include, but are not limited to, residents and fully trained urologists, as well as fellows and practitioners in sexual medicine and reconstructive urology.

1. Patient and Device Selection

2. Critical Analysis of Maneuvers to Reduce Infection in Penile Implant Surgery

3. Strategies for Optimal Pain Control in the Penile Implant Patient

4. Implant Surgery in the Anticoagulated Patient

5. Management of Residual Curvature in the Patient with Peyronie’s Disease Undergoing Penile Implant Surgery

6. Considerations in Reservoir Placement

7. The Hostile Penis: Managing the Patient with Penile Fibrosis

8. The Role of Penile Lengthening Procedures at the Time of Penile Implant Surgery

9. Considerations in the Management of Visceral Perforation During Penile Implant Surgery

10. Implant Surgery in the Patient with Neophallus

11. Approach to Managing the Patient with Impending Erosion

12. Management of Long-term Complications of Penile Implant Surgery

13. Medicolegal Aspects of Penile Implant Surgery

Eduardo Miranda

Dr. Miranda received his MD degree from the Universidade Federal do Ceará in 2008 and completed his residency training in Urology at the University of São Paulo from 2010 to 2015. After receiving his PhD in Urology from the University of São Paulo in 2016, he completed his fellowship training in Sexual & Reproductive Medicine at the Memorial Sloan Kettering Cancer Center (MSKCC) in 2017. Dr. Miranda is involved in various clinical and research activities in the fields of Andrology, Sexual Medicine and Male Infertility, and is currently working as a research coordinator for the Urology Division at the Universidade Federal do Ceará.

John Mulhall

Dr. Mulhall is an Attending Physician and Director of the Male Sexual Medicine Program in the Urology service at Memorial Sloan Kettering Cancer Center (MSKCC). His clinical research is currently focused on predictors of post-prostatectomy erectile function recovery, pelvic radiation associated ED, penile structure imaging and penile implant surgery, as well as the design and conduct of drug trials in sexual medicine. He is a past president of the Sexual Medicine Society of North America and the Editor-in-Chief of the Journal of Sexual Medicine. Dr. Mulhall is the recipient of numerous awards, including a Career Development Award from the Veterans Administration (1998), the Robert P. Nelson Award from the Sexual Medicine Society of North America (2001), a Young Investigator Award (2000) and the Jean François Ginestié Award (2002) from the International Society for Sexual Medicine (ISSM). In 2005 he was honored with the Gold Cystoscope Award from the American Urological Association.