Mechanical Failure of the American Medical Systems Ultrex Inflatable Penile Prosthesis: Before and After 1993 Structural Modification

2002 ◽  
Vol 167 (6) ◽  
pp. 2502-2506 ◽  
Author(s):  
AARON J. MILBANK ◽  
DROGO K. MONTAGUE ◽  
KENNETH W. ANGERMEIER ◽  
MILTON M. LAKIN ◽  
SARAH E. WORLEY
2000 ◽  
Author(s):  
Shyh-Jen Wang

Abstract This work investigates the hardness and buckling force of penile prosthesis to further understand the rigidity of penile prosthesis before and after implantation. Evaluated herein are four prosthetic samples (inflatable 3, semi-rigid 1), five realities (inflatable 1, semi-rigid 4), and one after implantation of prosthesis. The hardness is measured with a hardness tester by pressing the tester’s indentor to the surface of the specimen. In addition, a patient after implantation is evaluated with respect to the hardness of penile versus various numbers of pumping. The buckling force of the prosthesis is also determined by a push-pull gauge and special designed sampling table. Results in this study demonstrate that although the inflatable prosthesis could only be pumped to a certain amount of hardness, hardness and buckling force correlate well with each other. After reaching the extreme hardness, prostheses can even be further pumped a few times. However, continuous pumping only puts more tension on the prosthetic material without increasing any hardness and could induce to mechanical failure of prosthesis. Results also indicate that the buckling force decreases with increasing length of the semi-rigid prostheses, and, then, enlarged when the prosthesis has a larger diameter. This in vitro non-invasive mechanical measurement of the rigidity in penile prosthesis can provide not only clinicians with further information about the penile prosthesis before implantation, but also the patients with more confidence in the prosthesis usage after implantation.


2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Adham Zaazaa ◽  
Michaela Bayerle-Eder ◽  
Ramzy Elnabarawy ◽  
Mahmoud Elbitar ◽  
Taymour Mostafa

Forceful corporal dilatation amidst penile prosthesis implantation may injure cavernosal arteries compromising penile vasculature. In this study, we aimed to compare the conventional and cavernosal sparing techniques regarding cavernosal artery preservation. Overall, 33 patients underwent inflatable penile prosthesis implantation with Coloplast Titan Touch® three-piece inflatable penile implants. 16 patients had conventional implantations with serial vigorous dilatations, while 17 patients were implanted with the cavernosal sparing technique, consisting of a single minimal corporal dilatation after an intraoperative intracavernosal injection (ICI) of Alprostadil. Postoperatively, a penile duplex Doppler ultrasound study was performed. Whenever a cavernosal artery was spared and thus successfully probed, its hemodynamics were studied before and after an oral administration of a phosphodiesterase type 5 inhibitor (PDE5i). A cavernosal artery was successfully probed in 16/17 (94%) of patients in the cavernosal sparing group compared to 5/16 (31%) of patients in the conventional group with a significant statistical difference ( P = 0.001 ). This demonstrated that the cavernosal sparing technique was superior to the conventional approach in preserving the cavernosal artery (odds ratio 35.2, 95% IC 3.5–344.2; P = 0.0022 ). Whenever a cavernosal artery could be probed, its hemodynamic responsiveness was also preserved. This trial is registered with NCT03733860.


2012 ◽  
Vol 9 (8) ◽  
pp. 2175-2181 ◽  
Author(s):  
Jamie Bartley ◽  
W. Britt Zimmerman ◽  
Chirpriya B. Dhabuwala

2016 ◽  
Vol 13 (5) ◽  
pp. S219-S220
Author(s):  
P. Oliveira ◽  
T. Oliveira ◽  
S. Gaspar ◽  
D. Martinho ◽  
T. Lopes

2007 ◽  
Vol 177 (4S) ◽  
pp. 313-313
Author(s):  
Anthony J. Bella ◽  
Tom F. Lue ◽  
Surat Phonsombat ◽  
Ajay Nehra

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