IMPLANT INFORMATION about the Urogenital System

What … for? (Indications)
Urinary tract implants help at
· Female/male stress urinary incontinence (SUI),
· urinary retention
· overactive bladder in patients who have failed or could not tolerate more conservative treatments (Sacral Neuromodulation) and
· Postprostatectomy incontinence (PPI)
Injection of an implantable material to reduce flow at incontinence
Sex organ implants (only male) help at
· Erectile dysfunction
· Micropenis and
· Repair after removal of testicels
Penile Implants (types)
· Non inflatable penile implant
· Two-Piece inflatable penile implant
· Three-piece (multicomponent) inflatable penile implant
Numbers
No reliable statistic numbers.
Penile prosthesis: 20000-30000 devices annualy worldwide (Urology Team, P.A.)
urisex 04 string surgeryPrinciple of string surgery
Times
n/a
ContraindicationsbehavioralQuite a number of incontinence as well as penis problems don´t need surgical intervention and may be treated on a psychological basis Considering the following facts:
· One in three women who have had a baby experience loss of bladder control.
· One in five children wet the bed at some time.
· One in 100 adults never achieve bladder control at night.
· One in 20 adults experience bladder and bowel control problems
medicalIncontinence: Severe incontinence is not likely solved with sling procedures, bladder disorders, inadequate tissue integrity at the bladder neck or urethra, active urinary tract infection, pure urge incontinence, prior radiation therapy, cancer.
Bladder Neurostimulation is not indicated at mechanical obstruction, prostatic hypertrophy, cancer, urethral stricture, no adequate response to test stimulation, unability to operate the tool.
Penis implants: They are not indicated at psychogenic reasons, diseases of the lower urinary tract, internal erosion or adhesion, low reliability for follow-up care.
during surgeryn/a
Risksduring surgeryNerv cutting.
short termInfection, hemorrhage, urethral obstruction, stress urinary incontinence, urge incontinence, urinary retention
long termSling rejection, perforation.
Chronic infection, tearing of skin, scarring, permanent loss of sexual function, loss of sensation in the penis, impotence.
Malfunction of implant, penis implants may stay for 4-8 years.
restrictionsSling surgery: 2-3 days in hospital, 2-4 weeks recovery period, obstipation possible.
Penis implant: pain for about 4 weeks. oral medication, driving is prohibited, no sexual activity for 6 weeks.
Failuresn/a, too many varieties
Materialautologousfascia latafresh frozen/freeze dried,
solvent-dehydrated
irradiated
fat
allogenichuman dermis
collagen bovine
porcine collagenFortagen® CuffPatch™
xenogenousdermis porcine
small intestinal submucosaporcine
alloplasticSilicone
Polymethylsiloxane
PolyethyleneMarlex®,
PolypropylenProlene®
Acellular Collagen MatrixPelvicol®
Polyglactin 900Vicryl mesh
Expanded polytetrafluoroethylene PFTEeGore-Tex
Polyethylene terephthalateMersilene
HydroxyapatiteCoaptite®
Belladerm matrix graft(penis widening)
Titanium beads with magnetic coresEffectiveness has not been demonstrated
Implantable bladder pacing system, bladder stimulator
StatisticsIncontinence surgery: 80-85% success rate (Comiter CV)
Bladder stimulation/Sacral Nerve Stimulation (SNS)/Percutaneous Tibial Nerve Stimulation (PTNS): 63-64% success rate (Anthem)
Penis implant: n/a
LiteratureBasicMaterials for Reconstructive Gynecologic Surgery, Dooley et al. 2009

Opinion on the safety of surgical meshes used in urogynecological surgery (EU Scientific Committee)

Problemsn/a
Science/ Futuren/a
Medical societiessee here
CriticismUrinary incontinence: n/a
Penis Enlargement: Does it work?
Selected Patient InformationUrinary Incontinence (NIH)
Urinary incontinence – Surgery and procedures (NHS)
Opinion on  the safety of surgical meshes used in urogynecological surgery (EU SCENIHR)
Bladder and Urethral Surgery (Intermountain Healthcare) Penis Enlargement Fact vs. Fiction
Penis enlargement
Penile implants
(Statement: We didn´t find any independend, scientific research data about penis enlargement. Beside surgical interventions there are different options)
Register for Patientsn/a, no specific registry known.

In the register of the registries you can check which ones are available.

If your implant is not covered:
The Implant-Register offers registration of implants online (fee) and you can download a printable version (free) for your personal use.
Disclaimer

 

 

The information and links and whatsoever shown on this page are compiled with care. However, Implant-Register can´t take any responsibility for the information given, nor their content, nor their up-to-date nature, particularly in interlinked pages. You may help us with your contribution, granting us the decision to publish or not. Be careful with conclusions for yourself, in doubt double-check and consider medical solutions are individual and have to be found with an educated medical person.
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