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
Literature–   BasicMaterials 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 informationsUrinary Incontinence (NIH)
Urinary incontinence – Surgery and procedures (NHS)
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
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