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Erectile Dysfunction – Causes, Diagnosis and Tests – Complete Guide
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02:05

Erectile Dysfunction Diagnosis: Color Doppler and Medical History

Views: 3Erectile dysfunction diagnosis relies on medical history (diabetes, hypertension, dyslipidemia affecting penile arteries), blood tests (testosterone), dynamic color Doppler of corpora cavernosa post-prostaglandin injection to assess arterial flow, erection mechanism, and anatomical anomalies (fibrosis, Peyronie’s plaques with curvature/shortening) .
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How to position the penis after surgery – Penile prosthesis – Post-operative
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05:58

Glande Protesi Peniena: Floppy Glans e Effetto Concord

Views: 7Glande protesi peniena dopo impianto varia indipendentemente dai corpi cavernosi: post-prostatectomia (vascularizzazione ridotta, glande soffice ma funzionale, migliorabile con creme/PDE5 5mg); vascolare (rigonfiamento ottimale con eccitazione); anatomico “floppy glans” (iper-motilità da corpo cavernoso corto, correggibile con glanduloplastica/acido ialuronico); tecnico “effetto Concord” (cilindri mal posizionati, corpo cavernoso distale vuoto, risolve con reintervento). Diagnosi differenziale via […]
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Length of erect penis with prosthesis inflated to maximum realistic expectations
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03:51

Erection Length with Fully Inflated Penile Prosthesis: Realistic Expectations

Views: 36Erection length with penile prosthesis fully inflated matches or exceeds preoperative natural length due to corpora cavernosa preservation and precise cylinder implantation utilizing complete available extension without compression. Daily cycling and postoperative vacuum traction prevent retractions, recovering Peyronie’s/fibrosis losses (up to 1-2 cm), while sexual stimulation adds glans expansion and circumference for more voluminous, […]
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When to resume sports after penile prosthesis surgery: timing and essential precautions
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01:51

Sports After Penile Prosthesis: 45-Day Recovery Protocol

Views: 7Sports after penile prosthesis implantation requires 45-day restriction from intense physical activity to prevent scrotal inflammation, swelling, or abdominal reservoir expulsion from intra-abdominal pressure—similar to inguinal hernia formation. First 20-30 days post-op mandate hand protection over inguinal region during coughing, straining, or defecation to block reservoir migration through the inguinal ring, which would necessitate […]
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After a penile prosthesis, can I have prostate surgery? Yes, here’s how.
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01:03

Prostate Surgery After Penile Prosthesis: Safe Compatibility

Views: 4Prostate surgery after penile prosthesis implantation presents no contraindications—oncologic (prostatectomy) or benign (BPH) procedures via endoscopic, laparoscopic, or robotic approaches proceed safely. Patients must inform the urologist about the implant for procedural facilitation, assuming surgeon competence with prosthetic devices . Prostate surgery after penile prosthesis compatibility stems from anatomical separation: cylinders reside in corpora […]
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Penis length after penile prosthesis – correct preoperative measurement
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03:14

Penile Prosthesis Length: Preoperative Measurement Expectations

Views: 5Penile prosthesis length expectations require honest preoperative counseling before hydraulic or malleable implant surgery. Patients measure stretched flaccid length by pulling penis from glans (without forcing foreskin retraction)—this determines maximum cylinder length matching final inflated/malleable erection. Satisfaction with this measurement predicts postoperative happiness; dissatisfaction warrants surgical deferral to avoid regrets . Penile prosthesis length […]
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Pre-operative preparation for penile prosthesis – examinations and washing – Checklist
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02:29

Pre Operative Penile Prosthesis Preparation Protocol

Views: 3Pre operative penile prosthesis preparation ensures surgical safety through comprehensive medical evaluation and infection prevention. Patients complete blood tests, urine culture (to exclude infections), ECG with cardiology assessment, and chest X-ray for complete clinical picture. Seven days prior: daily genital washes (3-4 minutes with neutral soap up to navel) without cutting hair (clipping done […]
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Hospitalisation and penile prosthesis procedure: step-by-step protocol
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04:17

Post Operative Penile Prosthesis: Immediate Care Protocol

Views: 3Post operative penile prosthesis management begins at clinic arrival: patient completes paperwork, prepares in private room, then enters operating room for genital scrub and surgery. Postoperatively, penis remains erect with scrotal drainage (20-30 ml serum/day) to prevent retraction (1 cm loss), ensure hemostasis, and minimize hematomas; vesical catheter removes after 24 hours . Post […]
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Sensations with penile prostheses: natural preservation and improved performance
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04:03

Sensations with Penile Prosthesis: Preserved Natural Feeling

Views: 3Sensations with penile prosthesis address common patient concerns: the corpora cavernosa tissue remains intact during implantation, preserving arteries for complementary vascular erections (warm penis, partial/morning erections). The mechanical erection via pump activation becomes more physiological with sexual stimulation—increasing circumference and glans engorgement—for results superior to pre-implant natural function: rigid, durable, without changes in sensitivity, […]
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Penile prosthesis management in the immediate post-operative period: initial precautions
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05:33

Post-Operative Penile Prosthesis Management: First Precautions

Views: 33Post-operative penile prosthesis management in the immediate postoperative period requires maintaining penile erection with scrotal drainage (20-30 ml serum/day) to prevent retraction (1 cm loss), hematomas, and promote hemostasis; the vesical catheter removes after 24 hours. Discharge uses loose clothing, mandates 5-6 days bed rest, daily WhatsApp drainage photos every 12 hours to the […]
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Scratch technique for Peyronie’s disease curvature correction with penile prosthesis
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02:45

La Peyronie Prosthesis Implant: Scratch Technique Curvature Correction

Views: 0The La Peyronie prosthesis implant uses the “scratch technique” for Peyronie’s disease (penile induration), where surgeons break the fibrotic plaque with scissors or blade, then implant cylinders into the corpora cavernosa in 20-25 minutes while preserving penile length. The penis initially remains curved but less pronounced; inflated cylinders during cycling gradually straighten the curvature […]
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Penoscrotal vs infrapubic difference – Penile prosthesis – Surgical approaches
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02:56

Infrapubic Approach Penile Prosthesis: Concealed vs Penoscrotal

Views: 11The infrapubic approach penile prosthesis implantation differs significantly from the traditional penoscrotal technique in incision location, tubing routing, and aesthetic outcomes. Penoscrotal approach uses a scrotal incision with short, direct tubes to a superficially placed pump that’s easily visible and palpable. This method remains internationally widespread due to its simplicity and direct access . […]
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