SECTION I General Contents

CHAPTER 1 The History of the Penile Prostheses

- First descriptions and management of erectile dysfunction
- Initial attempts at penile prosthesis for the treatment of ED
- 1974 to Today
- Current considerations and new directions

CHAPTER 2 Historical Aspects of the Artificial Urinary Sphincter

- Early Devices
- Evolution of the American Medical Systems (AMS) devices
- AMS 800

CHAPTER 3 Functional and Surgical Anatomy in Erectile Dysfunction Restoration Surgery

- Smooth Muscle Anatomy
- Tunical anatomy
- Neuroanatomy
- Vascular anatomy
- Space of retzius anatomy
- Extraperitoneal anatomy
- Glans
- Other anatomical considerations

CHAPTER 4 Functional and Surgical Anatomy in Male and Female Incontinence Surgery

- General concepts of stress urinary incontinence
- Female anatomy
- Male anatomy

CHAPTER 5 General Aspects for a Correct Penile Prosthesis Implant Strategy

- Introduction
- Patient selection
- Surgical logistics

CHAPTER 6 How to Set Up a Prosthetic Urology Centre

- Introduction
- The unconditional advantage of a dedicated team
- Pre- and post-operative involvement of dedicated nurses
- The next step: growing and teaching
- Conclusions

SECTION II Erectile Restoration (Inflatable Penil Prosthesis Placement-IPP Placement)

CHAPTER 7 Preoperative Assessment

- Penile prostheses
- Informed consent
- Medical clearance
- Patient personal preparation
- Skin preparation
- Antibiotics
- MRI, metal detectors

CHAPTER 8 Basic Scrotal and Infrapubic Techniques

- Anaesthesia
- Penoscrotal vs. infrapubic approach
- The penoscrotal (PS) approach
- The infrapubic (IP) approach
- Salient features of each approach

CHAPTER 9 Intraoperative Management I

- Antibiotic use
- Foley catheter placement
- Incisions and retractors
- Corporal dilation and implant placement
- Cylinder choice
- Cylinder sizing
- Ambicor-rod width sizing
- Cylinder placement
- Corporotomy closure
- PTFE sleeve

CHAPTER 10 Intraoperative Management II

- Reservoir placement
- Iliac Vessel injury
- Bladder injury
- Pump placement
- Routing of tubing
- Tubing length (inadequate or redundant)
- Use of drains
- Simultaneous surgery
- Skin closure-wound dressing
- Semi-inflation of an IPP
- Special considerations

CHAPTER 11 Postoperative Considerations I

- Antibiotics
- Penile Positioning
- Postoperative visits and wound care
- Cycling the device
- Corporotomy disruption
- Cylinder aneurysm
- Impendingcylinder erosion (laterally or into the urethra)
- Cylinder erosion (laterally or into the urethra)
- Reservoir erosion into the bowel or bladder
- Impending pump or tubing erosion
- Disrupted outer silicone layer
- Presence of calcified matrix (putty) or calcified biofilm
- Scar incased in PTFE sleeve
- Tubing kink
- Connector failure
- Approach to repair of an uninfected implant

CHAPTER 12 Postoperative Considerations II

- Penile necrosis
- Infection
- Bleeding
- Pain

CHAPTER 13 IPP & Corporal Fibrosis

- Introduction
- Etiology of corporal fibrosis
- Surgical strategies in fibrosis
- Other strategies for fibrosis
- Does length matter? Strategies to maximize it

CHAPTER 14 IPP and Peyronie's Disease 169

- Introduction
- Specific features of prosthetic Surgery in Peyronie's disease
- Surgical algorithm
- Residual curvature correction after penile prosthesis implantation
- Lengthening procedures in Peyronie's Disease
- Complications related to penile prosthesis in the Peyronie's population
- Postoperative rehabilitation
- Satisfaction outcomes after penile prosthesis in Peyronie's population

CHAPTER 15 Redo Penile Prosthesis Implantation for Mechanical Failure

- Epidemiology
- Causes of penile prosthesis failure
- Imaging
- Tips and tricks in redo penile implant surgery for mechanical failure

CHAPTER 16 Penile Implants and Priapism

- Clinical features of priapism
- Treatment
- Immediate penile prosthesis placement
- Penile prosthesis with severe corporal fibrosis

CHAPTER 17 IPP in neophallus

- History
- Use of prosthetic implants in the neophallus
- Principles of penile prosthesis insertion in the neophallus
- Preoperative considerations
- Operative / intra-op
- Postoperative care
- Functional outcomes
- Complications
- Device survival
- Explantation for infection or erosion
- Revision surgery

CHAPTER 18 Building an IPP Practice & Peri-Procedural Counseling to Optimize Patient Satisfaction

- Building an IPP practice
- Peri-procedural counseling to optimize patient satisfaction
- Final thoughts on optimizing a high-volume IPP clinic from Dr. Köhler
- Final thoughts on optimizing a high-volume IPP clinic from Dr. Wilson

SECTION III Urinary Incontinence: Artificial Urinary Sphincter (AUS) and Sling

CHAPTER 19 Urinary Incontinence (AUS). Preoperative Assessment (Standard and Troubleshooting)

- Initial evaluation
- Challenging stuations
- Revision surgery

CHAPTER 20 Basic Perineal & Scrotal Techniques

- Anatomy
- Basics
- Surgical procedure
- Comparison of the different approaches

CHAPTER 21 AMS 800 Prosthesis - Intraoperative Management

- Antibiotics
- Foley catheter
- Incisions - retractors
- Double versus single cuff
- Cuff sites
- Measuring for cuff sizing
- Urethral dissection
- Urethral injury
- Transcorporal (TC) cuff with or without penile implant
- Urethral wrap
- Hydraulic testing
- Choice of reservoir pressure
- Reservoir placement - Inguinal, midline, ectopic
- Reservoir filling - technique, volume
- Pump placement
- Routing of tubing
- Wound closure - Dressing
- Urethral catheter removal

CHAPTER 22 Artificial Urinary Sphincter (AUS) Postoperative Considerations

- Initial deactivation (6 - 8 weeks)
- Antibiotics
- Urinary retention
- Wound separation
- Early device infection
- Subsequent post-operative period
- Late complications
- Risk factors
- Device information card and medic alert
- Management of situations after recovery is complete
- Other conditions that complicate artificial sphincter use and longevity
- Concern about the pressure-regulating balloon location

CHAPTER 23 Artificial Urinary Sphincters (AMS 800, Boston Scientific, MA, USA) in Women

- History of the prosthesis and its use in women
- Indication and counterindications
- The AMS 800 device in neurogenic patients
- Surgical procedure
- Results