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
Contraindications behavioral Quite 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
medical Incontinence: 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 surgery n/a
Risks during surgery Nerv cutting.
short term Infection, hemorrhage, urethral obstruction, stress urinary incontinence, urge incontinence, urinary retention
long term Sling 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.
restrictions Sling 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.
Failures n/a, too many varieties
Material autologous fascia lata fresh frozen/freeze dried,
solvent-dehydrated
irradiated
fat
allogenic human dermis
collagen bovine
porcine collagen Fortagen® CuffPatch™
xenogenous dermis porcine
small intestinal submucosa porcine
alloplastic Silicone
Polymethylsiloxane
Polyethylene Marlex®,
Polypropylen Prolene®
Acellular Collagen Matrix Pelvicol®
Polyglactin 900 Vicryl mesh
Expanded polytetrafluoroethylene PFTEe Gore-Tex
Polyethylene terephthalate Mersilene
Hydroxyapatite Coaptite®
Belladerm matrix graft (penis widening)
Titanium beads with magnetic cores Effectiveness has not been demonstrated
Implantable bladder pacing system, bladder stimulator
Statistics Incontinence 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
Literature Basic Materials for Reconstructive Gynecologic Surgery, Dooley et al. 2009

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

Problems n/a
Science/ Future n/a
Medical societies see here
Criticism Urinary incontinence: n/a
Penis Enlargement: Does it work?
Selected Patient Information Urinary 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 Patients n/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

 

 

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