Cadaveric Penile Prosthesis Workshop training improves surgical confidence levels of urologists: South Asian Society for Sexual Medicine course survey

Krishnappa, Pramod; Srini, Vasan S; Shah, Rupin; Lentz, Aaron; Garaffa, Giulio; Martínez-Salamanca, Juan Ignacio; Moncada, Ignacio

doi:10.1111/iju.14338

Cited by 3 publications

(1 citation statement)

References 17 publications

(40 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As this barrier precedes all others, efforts should be made to bridge the current knowledge/skill gap amongst urologists to allow for better patient access to IS. Potential solutions include increased instruction on salvage technique in residency training, attendance at cadaveric prosthesis courses, virtual instruction seminars, and improved guidelines that encourage salvage for infected PP over other treatment options ( 19 - 22 ).…”

Section: Resultsmentioning

confidence: 99%

Overcoming barriers to immediate penile implant salvage surgery: a narrative review

Grimaud,

Barquin,

Kurnot

et al. 2024

Transl Androl Urol

View full text Add to dashboard Cite

Background and Objective Since immediate salvage (IS) surgery for infected penile prosthesis (PP) was introduced nearly 30 years ago, an abundance of evidence has emerged in support of its use. IS remains underutilized by the modern urologist despite its distinct advantages. While some medical literature proposes reasons for the underuse of IS, no comprehensive review attempts to address the numerous factors limiting its implementation. Our objective is to analyze the barriers to IS surgery for infected PP with the goal of expanding utilization of this technique through a practical and standardized approach for treating urologists. Methods A narrative review of available English, peer-reviewed, medical literature relevant to the barriers to IS was completed. Searches were expanded to include literature from surgical specialties in general if hypothesized barriers were incompletely described in available PP publications. Key Content and Findings The major barriers that are likely contributing to the low rates of IS for PP surgery can be broadly classified into three major categories: institutional/systemic, medical/surgical, and patient preference. Institutional/systemically driven barriers include surgeon comfort with PP surgery, low national availability of urologists, inaccessibility of prosthetics or critical ancillary staff at the time of patient presentation and limited operating room (OR) access. Medical/surgical barriers primarily relate to reinfection fears, perceived contraindications to IS, and overall patient stability at the time of presentation. Patient preference factors inhibiting IS involve loss of trust in the medical team, psychosocial distress, dissatisfaction with the initial device prior to infection and anxiety regarding postoperative recovery. Many of the identified barriers can be overcome with increased surgical training, improved patient and surgeon understanding of PP infection, or precautionary planning. Conclusions Of the factors that contribute to low utilization of IS, many are misunderstood or unknown. Recognition of these barriers may equip urologists to provide better care to patients with prosthesis infection.

show abstract

Section: Resultsmentioning

confidence: 99%

Overcoming barriers to immediate penile implant salvage surgery: a narrative review

Grimaud,

Barquin,

Kurnot

et al. 2024

Transl Androl Urol

View full text Add to dashboard Cite

show abstract

Psychosexual Disorders in Bangladesh: From Bench to Community

Maruf,

Mubassara,

Ahsan

2024

Mental Health in Bangladesh

View full text Add to dashboard Cite

Editorial Comment to Cadaveric Penile Prosthesis Workshop training improves surgical confidence levels of urologists: South Asian Society for Sexual Medicine course survey

Matsushita

2020

Int J of Urology

View full text Add to dashboard Cite

Increasingly, cadaver models are being accessed for the delivery of open urological surgical training programs to facilitate technical surgical skill set acquisition and for competency assessment. 1 This study by Krishnappa et al. elegantly addresses the topic of surgical training of inflatable penile prosthesis. 2 This experimental cadaveric work provides interesting results on which to build, challenging the scientific community to answer the implicit question: In a clinical setting, which surgical training improves penile prosthesis outcomes? In my opinion, the authors leave us with two unaddressed issues. Is cadaveric hands-on workshop training the optimal education system in Asia, including Japan, where there are few cases of penile prosthesis? Even more important, how do the experimental results of this study translate in real-life clinical settings? Clearly, more clinical data are required. Independent, sufficiently powered, prospective, randomized clinical trials would be useful, but difficult. Since their popularization, genitourinary prosthetics have remained a gold standard therapy for the treatment of erectile dysfunction and stress urinary incontinence. They have also represented an area of significant innovation, which has contributed to excellent long-term outcomes. Beyond device innovation, the future of prosthetics is also one of expanding geographic boundaries, which necessitates variable cost modeling and regulatory considerations. Surgical trends are also changing, with a greater emphasis on non-narcotic, postoperative pain control, outpatient surgeries, and adjunctive techniques to lengthen the penis and address concomitant stress incontinence, among others. Concomitant with device and surgical changes, future considerations also include a greater need for education and training, particularly given the rapid expansion of sexual medicine into developing nations.

show abstract

Cadaveric Penile Prosthesis Workshop training improves surgical confidence levels of urologists: South Asian Society for Sexual Medicine course survey

Cited by 3 publications

References 17 publications

Overcoming barriers to immediate penile implant salvage surgery: a narrative review

Overcoming barriers to immediate penile implant salvage surgery: a narrative review

Psychosexual Disorders in Bangladesh: From Bench to Community

Editorial Comment to Cadaveric Penile Prosthesis Workshop training improves surgical confidence levels of urologists: South Asian Society for Sexual Medicine course survey

Contact Info

Product

Resources

About