Intro -- Preface -- Contents -- Contributors -- Chapter 1: Patient andDevice Selection -- Patient Selection -- Modifiable Risk Factors -- Smoking -- Diabetes Mellitus (DM) -- Obesity -- Pre-existing Basic Infection Screening -- Fungal Infection intheGroin -- Nasal Swab Testing forStaphylococcus aureus -- Urine Culture -- Age -- HIV Status -- Solid Organ Transplantation (SOT) -- Neurological Impairment -- Simultaneous Artificial Urinary Sphincter (AUS) Implantation -- Revision Surgery -- Counselling -- Patient andPartner Involvement -- Consent Form -- Device Selection -- The Following Are theList ofCurrently Available PP Models ofTwo Major Companies -- Approach -- Reservoirs -- The Following Are Some oftheTips inChoosing theRight Device (PP) inSpecific Clinical Scenarios -- References -- Chapter 2: Critical Analysis ofManeuvers toReduce Infection inPenile Implant Surgery -- Introduction -- Risk Factors Clearly Associated withPenile Prosthesis Infection -- Biofilm, Complete Implant Removal, andCulture Sensitivity -- Quick Preoperative Considerations -- Revision Washout -- Antibiotic-Coated Implant -- Prevention ofHematoma Formation -- Suction Drain -- Mummy Wrap -- Minimization ofDevice Skin Contact ("No Touch") -- Strict Operative Sterile Technique -- Future Research, Ideas, andAdvancements -- References -- Chapter 3: Strategies forOptimal Pain Control inthePenile Implant Patient -- Introduction -- Literature Challenges -- Preoperative Strategies -- Education andPatient History -- Pre-op Medication: Acetaminophen, NSAID/COX-2, andGabapentin/Pregabalin -- Intraoperative Strategies -- Local Anesthesia -- Surgical Technique -- Alternative Approaches -- Postoperative Strategies -- Multimodal Analgesia -- Limitations -- Summary -- Conclusions -- References

Chapter 4: Perioperative Management of Antithrombotic Therapy in Penile Implant Surgery -- Introduction -- Periprocedural Evaluation -- Antiplatelet Therapy -- Aspirin -- Indications/Prevalence -- Mechanism ofAction -- Perioperative Management ofAspirin -- ADP Receptor Inhibitors (Clopidogrel, Prasugrel, Ticagrelor) -- Indications/Prevalence -- Antithrombotic Mechanism ofAction -- Perioperative Management ofADP Receptor Inhibitors -- Anticoagulation Therapy -- Warfarin -- Indications/Prevalence -- Mechanism ofAction -- Perioperative Management ofWarfarin -- Direct Thrombin Inhibitor (Dabigatran) -- Indications/Prevalence -- Mechanism ofAction -- Perioperative Management ofDabigatran -- Direct Factor Xa Inhibitors (Apixaban, Rivaroxaban) -- Indications/Prevalence -- Mechanism ofAction -- Perioperative Management ofDirect Factor Xa Inhibitors -- Perioperative Management -- Conclusion -- References -- Chapter 5: Management ofResidual Curvature inMen withPeyronie's Disease Following Penile Prosthesis Implantation -- Introduction -- Etiology of PD -- Anatomy andPathophysiology -- Surgical Indications for Inflatable Penile Prosthesis (IPP) inPD -- Intraoperative Methods forCorrection ofResidual Curvature -- Manual Modeling -- Technique -- Complications -- Summary -- Plication -- Technique -- Complications andConsiderations -- Plaque Incision or Partial Excision andGrafting (PIG/PEG) -- Technique -- Scratch Technique -- Technique -- Postoperative Management -- Length Restoration -- Sliding Technique -- Technique -- Complications andConsiderations -- Modified Sliding Technique (MoST) -- Technique -- Postoperative Management -- Multiple-Slit Technique (MuST) -- Technique -- Postoperative Management -- Outcomes -- Postoperative Techniques forStraightening -- Home Manual Modeling -- Penile Traction Therapy andVacuum Erection Devices

Residual Curvature Algorithm -- Conclusions -- References -- Chapter 6: Considerations on Inflatable Penile Prosthesis Reservoir Placement -- Introduction -- Preoperative Considerations -- Surgical Technique -- Intraoperative Complications -- Bladder Injury -- Bowel Injury -- Vascular Injury -- Postoperative Complications -- Infection -- Organ andTissue Damage -- Herniation -- Mechanical Failure -- Leakage -- Auto-Inflation -- Tubing Torsion -- Palpability -- Explantation ofIPP -- Conclusion -- References -- Chapter 7: The Hostile Penis: Managing thePatient withCorporal Fibrosis -- Introduction -- Prevention -- Preoperative Management -- History -- Physical Exam -- Imaging -- Patient Counseling -- Operative Management -- Surgical Instruments andEquipment -- Retraction -- Scissors -- Cavernotomes -- Narrow-Base Inflatable Penile Prosthesis -- Operative Technique -- Patient Positioning andPreparation -- Incision -- Penoscrotal Dissection andCorporotomy Creation -- Corporal Dilation +/− Excavation -- Selection ofCylinder Length -- Cylinder Insertion -- Corporotomy Closure -- Reservoir Insertion andFill -- Tubing Passage andConnection -- Pump Insertion -- Drain Insertion -- Postoperative Care -- Management ofSelected Complications -- Injury totheVentral Corpus Spongiosum +/− Urethra -- Proximal (Crural) Perforation -- Distal Urethral Perforation -- Distal Crossover -- Infection -- Supersonic Transformer (SST) Deformity andIntrinsic Glanular Hypermobility (IGH) -- Distal or Lateral Extrusion -- Conclusions -- References -- Chapter 8: Considerations intheManagement ofVisceral andVascular Injury During Penile Implant Surgery -- Introduction -- Anatomy -- Normal Anatomy -- Altered Anatomy -- Post-prostatectomy -- Post-cystectomy -- Radiation -- Renal Transplant -- Inguinal Hernia Repair -- Reservoir Placement

Traditional Reservoir Placement -- Alternate Reservoir Placement -- Posterior toTransversalis Fascia (PTF) -- Anterior totheTransversalis Fascia (ATF) -- High Submuscular (HSM) -- Trans-Fascial Placement of HSM -- Intraperitoneal -- Epigastric -- Lateral Retroperitoneal -- Preperitoneal -- Scrotal -- Subcutaneous -- Reservoir Removal -- Traditional Reservoir Removal -- Alternative Reservoir Removal -- Intraoperative Injuries -- Bladder Injuries -- Vascular Injury -- Bowel Injuries -- Conclusion -- References -- Chapter 9: The Role ofPenile Lengthening Procedures at theTime ofPenile Implant Surgery -- Introduction -- PPI Procedures That Maximize Corporal Length -- Cavernosal Sparing PPI Insertion without Dilatation -- Subcoronal Incision withCircumferential Penile Degloving -- Surgical Techniques That Determine aReal Penile Shaft Lengthening -- Penile Prosthesis Implantation withSimultaneous Tunica Albuginea (TA) Incisions -- PPI andCircumferential Grafting or Sliding Technique -- Penile Prosthesis Implantation andMUST -- Egydio's Tunica Expansion Procedure (TEP): TheLast Innovation inLengthening Strategies -- Surgical Techniques That Improved Perceived Penile Length -- Prepubic V-Y Plasty -- Suspensory Ligament Division -- Apronectomy or Suprapubic Lipectomy -- Ventral Phalloplasty (VP) or Scrotoplasty -- Discussion andConclusion -- References -- Chapter 10: Implant Surgery inPatient withaNeophallus -- Rationale forProstheses inPhalloplasty -- Phalloplasty Techniques -- History ofProstheses inPhalloplasty -- Timing forPlacement of Prostheses -- Penile Implant: Surgical Technique -- Approach: Cis-males -- Approach: Trans-males -- Pubis Dissection andProximal Fixation: Trans-males -- Phallus Dilatation -- Choosing aProsthesis andtheNumber ofCylinders -- Sock andCap Formation -- Insertion oftheImplant -- Post-operative Care

Future Outlook -- Testicular Prosthesis -- Patient Satisfaction -- Implant Survival -- Summary -- References -- Chapter 11: The Approach toPrevention andManagement ofDevice Extrusion andErosion -- Introduction -- Corporal Dilation -- Impending Cylinder Erosion -- Repairs withDistal Counter-incision -- Repairs Without Counter-incision -- Complete Cylinder Erosion -- Management of Complete Erosion -- Delayed Replacement After Complete Distal Erosion -- Erosion ofProsthetic Reservoir -- Pump-Related Erosion -- Conclusion -- References -- Chapter 12: Management ofLong-Term Complications ofPenile Implant Surgery -- The "Sticky" Pump -- History -- The Problem -- Differential Diagnosis -- Studies -- Management -- SST Deformity: What Is True, What Is aMyth? -- Definition andCause -- Incidence -- The Problem -- Differential Diagnosis -- Management -- Delayed Urethral Injury or Erosion -- Definition andCause -- Prevention -- Management -- Glans Denervation or Devascularization -- Definition andCause of Glans Devascularization -- Management -- Penile Shortening -- Introduction -- Etiology -- Incidence -- Strategies toPreserve Length -- Chronic Pain Syndrome -- Definition andCause -- Differential Diagnosis -- Management -- Complications Associated withIPP Reservoirs -- References -- Chapter 13: Intraoperative Complications ofPenile Prosthesis Surgery -- Introduction -- Intraoperative Complications -- Urethral Injury -- How toDeal withtheComplication -- Corporal Crossover -- How toDeal withtheComplication -- Proximal or Crural Perforation -- How toDeal withtheComplication -- Injuries Related toReservoir Insertion -- How toDeal withtheComplication -- Complications During Closure oftheWound -- Conclusion -- References -- Chapter 14: Medicolegal Impacts of Penile Implant Surgery -- Introduction

Considerations inPre- andPostoperative Counseling