Thursday , 30 March 2017
Home » Health » Part Two: Dr. Paul E. Perito Explains the Rest of the Surgical Procedure to Implant the Titan Prosthesis

Part Two: Dr. Paul E. Perito Explains the Rest of the Surgical Procedure to Implant the Titan Prosthesis

Dr. Paul E. Perito

Dr. Paul E. Perito

For Part One of this interview, click here.

InformatioNation Blog: Welcome back, Dr. Paul E. Perito. When we left off, you were just about to explain the cylinder placement process. Can you do that now?

Dr. Paul E. Perito: When placing the cylinders, the stay sutures act as my retractor-less retractor; one simply needs to tell your assistant to pull on the blue or pull on the clear and this eases the placement of the cylinder.

InformatioNation Blog: Do you use RTEs?

Dr. Paul E. Perito: I rarely use rear tip extenders greater than 1 cm so that the axial strength of the erection falls on the cylinder itself. Also, by minimizing the use of RTEs, there is a more physiologic erection with no hinging effect.

InformatioNation Blog: You again utilize the artificial erection here, via rapid inflation. What does that accomplish?

Dr. Paul E. Perito: The rapid inflation allows me to check both the functional and the cosmetic result of the implant. I can make sure that the cylinders are in the mid-glands, that they are in the proper position. It also assists in seeding the implant proximally. If there’s any modeling that needs to be performed, it can be performed at this time.

InformatioNation Blog: What size reservoir do you use?

Dr. Paul E. Perito: I use reservoirs appropriate for the patient. With any of the larger implants, I choose to leave some fluid in their cylinder so the patient does not need to fill the implant with an inordinate amount of effort.

InformatioNation Blog: And the pump, where do you prefer it to reside?.

Dr. Paul E. Perito: The pump is placed in the most dependent portion of the scrotum, with its final position being achieved by gently pulling down on the pump thus releasing the dartos fascia making it easy for a right or left handed patient to operate.

InformatioNation Blog: How do you decrease the incidence of redundant tubing in the infrapubic area?

Dr. Paul E. Perito: The pump is pulled up to mid-scrotum prior to making the connections. This also makes the connections easier for those with big fingers. Once the connection is made, the pump is returned to the most dependent portion of the scrotum, thus disposing of any of the redundant tubing.

InformatioNation Blog: And the drain?

Dr. Paul E. Perito: The drain is placed in a separate stab wound; and we drain the entire wound running from the scrotum all the way up to the infrapubic area. It should be noted that everyone receives a 10-pound sandbag right on the infrapubic area in the recovery room, which is usually left in place for two hours all designed to diminish the amount of post operative swelling.

InformatioNation Blog: Any final words?

Dr. Paul E. Perito: This minimally invasive penile implant procedure is an easily reproducible, safe and efficacious alternative to traditional penile implant placement procedures. I appreciate your allowing me to speak with you today.

InformatioNation Blog: Thank you.

Dr. Paul E. Perito graduated the University Of Maryland School Of Medicine in 1988. His Coral Gables, Florida, urology center, Perito Urology, draws patients from around the globe for its innovative and updated Erectile Dysfunction treatments. Having successfully performed over 3,000 penile implants since 2005, Dr. Paul E. Perito is considered a leader in the field. His signature minimally invasive technique, The Perito Approach, has been taught to surgeons worldwide through travel and at Coral Gables Hospital, where he is Director of Urology. Dr. Paul E Perito has participated in countless medical studies in his quest to simplify the penile implant process and make the procedure safer for his patients.

The information contained in this article is provided by Dr. Paul E. Perito for educational purposes only. It is not intended to treat or diagnose any condition.

10 comments

  1. Your article is the best information I’ve found out there to learn about titan prosthesis, Dr. Paul E. Perito. I hope you keep on writing about your knowledge and expertise in titan prosthesis. Keep up the good work, Dr. Paul E. Perito.

    • Dr. Paul E. Perito

      @Marlon Thank you for leaving a comment! “Part Two: Dr. Paul E. Perito Explains the Rest of the Surgical Procedure to Implant the Titan Prosthesis” -Dr. Paul E. Perito

  2. Thank you for taking the time to explain the procedure of titan prosthesis, Dr. Paul E. Perito. I will surely recommend your blog to my friend. He will be happy to know that his condition can be treated. God bless you, Dr. Paul E. Perito.

  3. This is a great article to those who wants to know about the Surgical Procedure to Implant the Titan Prosthesis. Thanks to Dr. Paul E. Perito for his knowledge and expertise – we will be able to get help and feel normal again. Good luck Dr. Paul E. Perito I hope you keep on helping us with information like this.

    • Dr. Paul E. Perito

      Hi @Antone – thank you so much for leaving a comment on my post ‘Part Two: Dr. Paul E. Perito Explains the Rest of the Surgical Procedure to Implant the Titan Prosthesis” -Dr. Paul E. Perito

  4. Hi Dr. Paul E. Perito, I have been searching for so long about the titan prosthesis but a friend of mine found your blog. Amazing job discussing the surgery of titan prosthesis, Dr. Paul E. Perito. It’s about time that we have this procedure especially those who have the condition. Thank you so much, Dr. Paul E. Perito. You do not know how much you have helped me.

  5. Hi Dr. Paul E. Perito! Thank you for taking the time to explain the surgical procedure of titan prosthesis. I am learning a lot when reading your articles. If it is possible though, can you write more information about the surgery and the implant of titan prosthesis?

    • Dr. Paul E. Perito

      @Lendon Sure, I’ll keep you updated with my latest procedure. “Part Two: Dr. Paul E. Perito Explains the Rest of the Surgical Procedure to Implant the Titan Prosthesis” Thank you for leaving a comment, I really appreciate it. -Dr. Paul E. Perito

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