Vacuum Protocol and Cylinders That Lengthen Allow Implantation of Longer Inflatable Protheses Reducing Complaints of Shortened Penile Length

Sellers, T. F.; Dineen, Martin; Wilson, Steven K.

doi:10.1016/s0022-5347(09)61275-1

Cited by 8 publications

(10 citation statements)

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“…We have already demonstrated a statistically significant increase in all 15 penile measurements from 6 to 12 months 22. This was also seen to be statistically significant from 12 to 24 months in the current study.…”

Section: Discussionsupporting

confidence: 84%

“…Sellers showed that 10 min a day of vacuum device application twice a day for 7 weeks promoted visible penile lengthening in the vacuum cylinder when marked weekly in first-time implant patients. This allowed the implanting physician to upsize his cylinder approximately 3 cm when compared to the average implant without vacuum preparation 22. The pressure difference between a hydraulic pump push inside the penis compared with low pneumatic suction on the external penis should be more than a thousand-fold stronger.…”

Section: Discussionmentioning

confidence: 99%

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Patient satisfaction and penile morphology changes with postoperative penile rehabilitation 2 years after Coloplast Titan prosthesis

et al. 2016

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A common complaint after inflatable penile prosthesis surgery is reduced penile length. We previously reported how using the Coloplast Titan inflatable penile prosthesis with aggressive new length measurement technique (NLMT) coupled with postoperative IPP rehabilitation of the implant for 1-year helped to improve patient satisfaction and erectile penile measurements. This is a 2 years follow-up of a prospective, three-center, study of 40 patients who underwent Titan prosthesis placement, with new length measurement technique for erectile dysfunction. Patient instructions were to inflate daily for 6 months and then inflate maximally for 1–2 h daily for 6–24 months. Fifteen penile measurements were taken before and immediately after surgery and at follow-up visits. Measurement changes were improved at 24 months as compared to immediately postoperative and at 12 months. 67.8% of subjects were satisfied with their length at 2 years, and 77% had perceived penile length that was longer (30.8%) or the same (46.2%) as prior to the surgery. 64.3% and 17.9% of subjects had increased and unchanged satisfaction, respectively, with penile length as compared to prior to penile implant surgery. All but one subject (96.5%) was satisfied with the overall function of his implant. This study suggests using the Coloplast Titan with aggressive cylinder sizing, and a postoperative penile rehabilitation inflation protocol can optimize patient satisfaction and erectile penile measurements at 2 years postimplant.

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Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Patient satisfaction and penile morphology changes with postoperative penile rehabilitation 2 years after Coloplast Titan prosthesis

et al. 2016

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“…In their large retrospective analysis, Sellers et al . demonstrated how a preoperative VED application before IPP placement promoted several benefits and in particular this daily traction exercise was associated with increased ease of corpus cavernosum dilation, accommodation of larger cylinders, and finally with improved patient satisfaction with postoperative length …”

Section: Discussionmentioning

confidence: 99%

Non‐ischemic priapism following recurrent idiopathic ischemic priapism treated successfully with selective arterial embolization and postoperative vacuum therapy before delayed inflatable penile prosthesis placement: A single case report

et al. 2018

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Introduction Priapism is defined as a persistent tumescence or erection of the penis not associated to sexual desire and/or stimulation. Idiopathic recurrent priapism may also occasionally follow treatment of veno‐occlusive priapism and represents a diagnostic and therapeutic challenge. Case presentation We report a single case of non‐ischemic priapism that resulted after distal shunting procedure for severe and prolonged ischemic priapism and yet occurred without evidence of a cavernosal–sinusoidal fistula that was successfully treated with a bilateral selective arterial embolization. Our protocol of delayed inflatable penile prosthesis placement after a vacuum erectile device program was implemented. Conclusions The continuing use of a vacuum erectile device represented a bridge and an adjuvant therapy useful to facilitate later prosthesis placement. Anatomical and functional outcomes were optimal. No postoperative complaints or complications were reported.

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“…Moreover, patients whose tissue is not fibrotic should be able to stretch easier, faster, and more safely than those patients with corporal fibrosis. Furthermore, recently, it has been shown that a preoperative vacuum erection device (VED) protocol has resulted in longer cylinder implantation at the time of surgery [21]. The authors of this vacuum protocol feel that regular VED usage can stretch the penile tissue significantly.…”

Section: Discussionmentioning

confidence: 99%

Comparison of a New Length Measurement Technique for Inflatable Penile Prosthesis Implantation to Standard Techniques: Outcomes and Patient Satisfaction

Henry

Houghton

Culkin

et al. 2011

The Journal of Sexual Medicine

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Vacuum Protocol and Cylinders That Lengthen Allow Implantation of Longer Inflatable Protheses Reducing Complaints of Shortened Penile Length

Cited by 8 publications

References 0 publications

Patient satisfaction and penile morphology changes with postoperative penile rehabilitation 2 years after Coloplast Titan prosthesis

Patient satisfaction and penile morphology changes with postoperative penile rehabilitation 2 years after Coloplast Titan prosthesis

Non‐ischemic priapism following recurrent idiopathic ischemic priapism treated successfully with selective arterial embolization and postoperative vacuum therapy before delayed inflatable penile prosthesis placement: A single case report

Comparison of a New Length Measurement Technique for Inflatable Penile Prosthesis Implantation to Standard Techniques: Outcomes and Patient Satisfaction

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