SMSNA 31st Scientific Program at AUA - Novel Techniques for Treating ED and UI in Pelvic Patients
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On Friday, May 15, during the SMSNA 31st Annual Scientific Program at AUA, Dr. Run Wang, ISSM President, discussed erectile function following pelvic oncologic therapy.
Dr. Wang, speaking on behalf of the ISSM, introduced several novel techniques for erectile dysfunction and urinary incontinence that could be helpful for patients who've also had pelvic surgery or radiation. He introduced a single perineal incision for inflatable penile prosthesis (IPP) placement and male sling or artificial urinary sphincter (AUS) placement, which can treat erectile dysfunction and urinary incontinence simultaneously; Drs Wang and Tobias Kohler found this method to be clinically significant compared with a penoscrotal approach.
Penile length is important to patients, meaning that focus on reconstruction for length is important to consider. Dr. Wang found that measuring penile stretching before surgery did not affect patient satisfaction post-operatively, and vacuum erection devices can assist with increasing penile length preoperatively. Dr. Wang recommends a sliding technique with ventral incision through the long ventral penile incision - however, the SMSNA states this is an experimental approach only.
Dr. Wang, speaking on behalf of the ISSM, introduced several novel techniques for erectile dysfunction and urinary incontinence that could be helpful for patients who've also had pelvic surgery or radiation. He introduced a single perineal incision for inflatable penile prosthesis (IPP) placement and male sling or artificial urinary sphincter (AUS) placement, which can treat erectile dysfunction and urinary incontinence simultaneously; Drs Wang and Tobias Kohler found this method to be clinically significant compared with a penoscrotal approach.
Penile length is important to patients, meaning that focus on reconstruction for length is important to consider. Dr. Wang found that measuring penile stretching before surgery did not affect patient satisfaction post-operatively, and vacuum erection devices can assist with increasing penile length preoperatively. Dr. Wang recommends a sliding technique with ventral incision through the long ventral penile incision - however, the SMSNA states this is an experimental approach only.
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