Emerging Roles of Penile Traction Therapy and Vacuum Erectile Devices

Mehr, Justin; Santarelli, Shana; Green, Travis P.; Beetz, John; Panuganti, Saravan; Wang, Run

doi:10.1016/j.sxmr.2021.12.003

Cited by 7 publications

(3 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In addition to the actual PLP, there are numerous pre-operative and post-operative protocols that can be used to augment PLP for optimal outcomes. Vacuum erection devices (VEDs) and penile traction therapy (PTT) are non-surgical treatment options that have been used in the treatment of PD and ED for penile lengthening, and as adjunct to surgical interventions such as PP surgery and radical prostatectomy ( 44 ). Several pre-operative protocols using a VED as well as PTT were found for penile length preservation and enhancement.…”

Section: Resultsmentioning

confidence: 99%

A contemporary systematic review of penile lengthening procedures with penile prosthesis

Roadman,

Feng,

Salkowski

et al. 2024

Transl Androl Urol

View full text Add to dashboard Cite

Background Penile prosthetic devices are the standard treatment for erectile dysfunction (ED) after failure of maximum medical therapy and conservative options. Several penile lengthening procedures (PLPs) can be performed concurrently with penile prosthesis (PP) insertion in patients with severe ED, penile shortening, and/or Peyronie’s disease to help combat negative emotional and psychological concerns from penile length loss with penile prosthetic device placement. Methods An extensive, systematic literature review of the various pre-, intra-, and post-operative techniques that can be applied to preserve, restore or enhance penile length at the time of penile prosthetic implantation. Results Numerous pre-operative and post-operative inflation protocols exists with vacuum erection devices and penile traction therapy. Intraoperative surgical techniques include cavernosal sparing and channeling without dilatation, subcoronal incision with circumferential penile degloving and grafting, the sliding technique, the modified sliding technique, the multiple-slit technique, the tunical expansion procedure (TEP), modified TEP, and the auxetic expansion procedure. These approaches can be meaningful to restore and/or preserve length for patients undergoing PP insertion. Conclusions PLPs can be performed by surgeons who have extensive penile reconstruction experience and have been trained to do these procedures, as there is significant risk to the patient and limitations to what can be expected. Each patient must be counseled in detail about the risks and benefits of these procedures and have their expectations managed as the average postoperative penile length recovery is around 3 cm and can range from 0–4.0 cm. Future research is needed to identify the appropriate candidate for each approach, and how much length gain the patient can expect.

show abstract

Section: Resultsmentioning

confidence: 99%

A contemporary systematic review of penile lengthening procedures with penile prosthesis

Roadman,

Feng,

Salkowski

et al. 2024

Transl Androl Urol

View full text Add to dashboard Cite

show abstract

“…недостатками устройств первого поколения оказались неудобство приложения тракции и боль, обусловленная несовершенством фиксационного механизма (зажима). Всё вышеперечисленное стало стимулом для создания устройства второго поколения, принципиальным отличием которого является наличие системы динамической регулировки силы натяжения, возможность осуществления разгибания в сторону, противоположенную искривлению, и наличие модифицированного зажима, который позволяет равномерно распределять прикладываемую силу [32].…”

Section: анализ данных и обсуждениеunclassified

“…тт, наряду с VED, может быть использована для лечения самых различных урологических заболеваний. В рамках Бп тт может применяться как в монотерапии, так и в комбинации с другими методами для коррекции укорочения и искривления полового члена [32]. Ранее тт не исследовалась в рамках лечения Эд, однако в недавнем исследовании A. Toussie et al, оценивающем применение тт в рамках пР больных, перенёсших радикальную простатэктомию, были получены многообещающие результаты [36] удлинения коррелировала со временем ежедневного ношения экстендера [37].…”

Section: анализ данных и обсуждениеunclassified

Penile rehabilitation in patients following surgical treatment of Peyronie’s disease

et al. 2023

View full text Add to dashboard Cite

Peyronie's disease (PD) is an acquired disease, which is based on a violation of the wound healing process, which results in the formation of fibrous plaques in the tunica albuginea of the cavernous bodies. The prevalence of erectile dysfunction (ED) among patients with PD ranges from 22% to 54%, according to various studies. Surgical treatment remains the "gold standard" for correcting penile curvature in PD. It is important to note that the existing methods of PD surgery (techniques with shortening or lengthening of the tunica albuginea) carry the risks of developing ED or aggravating its severity. At the same time, the absence of adequate sexual rehabilitation following PD surgery is associated with a significant deterioration in functional outcomes. In view of the above, the article is aimed to systematise information on penile rehabilitation methods in patients following PD surgery, which showed that the problem remains relevant to the present day. Most existing penile rehabilitation methods are currently not sufficiently investigated, and it is therefore impossible to give clear recommendations on the use of any method. The small number of well-designed and randomised studies on this problem is noteworthy, most likely due to the relative rarity of the disease.

show abstract

Penile Lengthening; Penile and Testicular Implants; Penile Straightening (Peyronie’s Disease; Scrotoplasty; Complications of Circumcision; Webbing

Weinstein,

Alba,

Rezania

et al. 2024

A Comprehensive Guide to Male Aesthetic and Reconstructive Plastic Surgery

View full text Add to dashboard Cite

Emerging Roles of Penile Traction Therapy and Vacuum Erectile Devices

Cited by 7 publications

References 42 publications

A contemporary systematic review of penile lengthening procedures with penile prosthesis

A contemporary systematic review of penile lengthening procedures with penile prosthesis

Penile rehabilitation in patients following surgical treatment of Peyronie’s disease

Penile Lengthening; Penile and Testicular Implants; Penile Straightening (Peyronie’s Disease; Scrotoplasty; Complications of Circumcision; Webbing

Contact Info

Product

Resources

About