Pseudo-malfunction of the Coloplast Titan Inflatable Penile Prosthesis One-Touch Release Pump

Garber, Bruce B.; Khurgin, Jacob; Stember, Doron S.; Perito, Paul

doi:10.1016/j.urology.2014.06.012

Cited by 12 publications

(2 citation statements)

References 8 publications

(8 reference statements)

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“…One study of the Coloplast OTR pump revealed that the rate of pseudo-malfunction was 7.8% in a study of 550 patients and 5.3% had to be examined by a physician to apply pressure and release the valve disc into the "inflate" position. 11 AMS added description of the "pull-stretch technique" to product labeling in 2013 at direction of the Food and Drug Administration to address this issue. 9 In general, the AMS MS and Coloplast OTR are considered similar in patient satisfaction rates; however, one study did suggest patients with decreased key pinch strength may have difficulty using the Coloplast OTR pump when compared to the AMS MS as evidenced by patient reported preference.…”

Section: Article In Pressmentioning

confidence: 99%

Technological Advances in Penile Implant Surgery

Barnard

Çakır

Ralph

et al. 2021

The Journal of Sexual Medicine

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Background: During the last century, surgical management of erectile dysfunction has evolved from an experimental concept to a core treatment modality with widespread use among the men's health community. Over time, innovations in materials, mechanical design elements, device coatings, and surgical technique have provided patients with low-risk, reliable, and reproducible erectile function with high satisfaction rates. Aim: To provide a foundation for future innovation by improving understanding of historical penile prosthetics and the rationale behind incremental technological improvements for the contemporary Men's Health physician. Methods: Literature review was conducted to generate a comprehensive review of historical technological innovations in penile implant surgery. Companies with FDA approved penile prosthetics in use in the United States were contacted for information regarding technological innovations in the past and future devices in development. A separate literature review was performed to identify any significant future device design elements being tested, even in the ex vivo setting, which may have future clinical applications. Outcomes: Technological innovations in penile implant surgery were described.Results: Current options for the prosthetic surgeon include malleable penile prostheses (MPP), self-contained (2-piece) inflatable penile prostheses, and multicomponent (3-piece) inflatable penile prostheses. Current MPPs consist of a synthetic coated solid core which allow for manipulation of the penis for concealability while maintaining sufficient axial rigidity to achieve penetration when desired. Multi-component (3-Piece) IPPs currently include the Coloplast Titan and Boston Scientific/AMS 700 which consist of a fluid reservoir, intrascrotal pump, and intracavernosal cylinders. The devices have undergone numerous design updates to the cylinders, pump, reservoir, tubing, and external coatings to increase reliability and decrease short-and long-term complications. Clinical Implications: Future innovations in penile prosthetic surgery seek to broaden the indications and applicability to the transgender community and improve both safety and functionality for patient and partner. Strengths & Limitations:The review is limited primarily to penile prosthetics approved for current or historical clinical use in the United States and may not be representative of the global prosthetic environment. Additionally, the research and development of future innovations, particularly those provided by device manufacturers, is likely limited by non-disclosure to maintain a competitive advantage. Conclusions: Penile prosthetic surgery will undoubtedly remain integral to the treatment of erectile dysfunction, and education regarding the current state of technological innovation will empower the prosthetic surgeon and biomedical engineering community to improve contemporary patient care and drive the development of the next generation of implantable penile prosthetics.

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Section: Article In Pressmentioning

confidence: 99%

Technological Advances in Penile Implant Surgery

Barnard

Çakır

Ralph

et al. 2021

The Journal of Sexual Medicine

View full text Add to dashboard Cite

show abstract

“…Most urologists consider that replacing the entire device will give the patient added longevity in all parts [24]. Nevertheless, pseudo‐malfunction of IPP has been related, and it should be diagnosed in order to avoid reoperations [59].…”

Section: Penile Implant Surgerymentioning

confidence: 99%