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Traction therapy for men with shortened penis prior to penile prosthesis implantation: a pilot study.

Published on Jul 1, 2011in The Journal of Sexual Medicine3.649
· DOI :10.1111/j.1743-6109.2011.02285.x
Laurence A. Levine51
Estimated H-index: 51
(Rush University Medical Center),
James Rybak4
Estimated H-index: 4
(Rush University Medical Center)
Abstract
ABSTRACT Introduction Loss of penile length after penile prosthesis implantation is one of the most common complaints. There is no recognized reliable technique to gain length once the device is placed. Aims This noncontrolled pilot study was designed to evaluate the efficacy and safety of external penile traction therapy in men with a shortened penis used before inflatable prosthesis implantation. Methods Ten men with drug refractory erectile dysfunction and a complaint of a shorter penis as a result of radical prostatectomy in four, prior prosthesis explantation in four, and Peyronie's disease in two were entered into this trial. External penile traction was applied for 2–4 hours daily for 2–4 months prior to prosthesis surgery. Main Outcome Measures Baseline stretched penile length (SPL) was compared with post‐traction SPL and postimplant inflated erect length. A non‐validated questionnaire assessed patient satisfaction. Results All men completed the protocol. Daily average device use was 2–4 hours and for up to 4 months. No man had measured or perceived length loss after inflatable penile prosthesis placement. Seventy percent had measured erect length gain compared with baseline pre‐traction SPL up to 1.5 cm. There were no adverse events. Conclusion External traction therapy appears to result in a preservation of penile length, as no man had measured or perceived length loss following prosthesis placement, but in fact, a small length gain was noted in 70% of the subjects with no adverse events. The protocol is tedious and requires compliance to be effective. External traction therapy prior to inflatable penile prosthesis placement appears to preserve and possibly result in increased post‐prosthesis implant erect length. Levine LA and Rybak J. Traction therapy for men with shortened penis prior to penile prosthesis implantation: A pilot study. J Sex Med 2011;8:2112–2117.
  • References (26)
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#1Daniel J. Moskovic (Columbia University)H-Index: 7
#2Alexander W. Pastuszak (BCM: Baylor College of Medicine)H-Index: 18
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ABSTRACT Introduction Erectile dysfunction, a common consequence of radical prostatectomy (RP), can be managed with placement of a penile prosthesis. Patient satisfaction and functional outcomes have been related to penile length after prosthesis placement. Aim We report a case demonstrating the impact of daily penile traction therapy in a patient with a previously placed penile prosthesis with the goal of enabling revision with a longer device. Methods A post‐RP patient who underwent inflatable...
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Introduction. Following implantation of a penile prosthesis, some couples are dissatisfied with penile length, girth, shaft, or glans engorgement. This may be delusional because of the procedure per se or preexisting risk factors such as neglected priapism, Peyronie’s disease, radical prostatectomy, or overhanging suprapubic fat. Aim. In this work, we try to enhance penile size in patients dissatisfied with its dimensions following implantation of a penile prosthesis, using various augmentation ...
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#1Run Wang (University of Texas MD Anderson Cancer Center)H-Index: 23
#2Galen E. Howard (University of Texas MD Anderson Cancer Center)H-Index: 2
Last. Yutian Dai (NU: Nanjing University)H-Index: 14
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We compared erect penile length after inflatable penile prosthesis (IPP) implantation with that induced by intracavernosal injection (ICI) before surgery. A total of 11 patients with full erections induced by ICI of 0.25 mL of Trimix (papaverine, phentolamine and prostaglandin E1) at the time of penile color duplex Doppler ultrasonography were enrolled in this study. The patients subsequently underwent IPP implantation as the ultimate treatment for their erectile dysfunction (ED). Erect penile l...
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#1Run Wang (University of Texas MD Anderson Cancer Center)H-Index: 23
#2Galen E. Howard (University of Texas Health Science Center at Houston)H-Index: 1
Last. Yu Tian Dai (NU: Nanjing University)H-Index: 4
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We compared erect penile length after inflatable penile prosthesis (IPP) implantation with that induced by in-tracavernosal injection (ICI) before surgery. A total of 11 patients with full erections induced by ICI of 0.25 mL of Trimix (papaverine, phentolamine and prostaglandin E1) at the time of penile color duplex Doppler ultrasonography were enrolled in this study. The patients subsequently underwent IPP implantation as the ultimate treatment for their erectile dysfunction (ED). Erect penile ...
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Introduction. Pilot experiences have suggested that tension forces exerted by a penile extender may reduce penile curvature as a result of Peyronie's disease. Aim. To test this hypothesis in a Phase II study using a commonly marketed brand of penile extender. Methods. Peyronie's disease patients with a curvature not exceeding 50° with mild or no erectile dysfunction (ED) were eligible. Fifteen patients were required to test the efficacy of the device assuming an effect size of >0.8, consistent w...
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#1Laurence A. Levine (Rush University Medical Center)H-Index: 51
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