Dr Elist Implant Reviews      Elist Implant Positive Reviews  |  Elist Implant Scientific Reviews  |  Elist Implant Negative Reviews  |  Contact

Dr Elist Implant Reviews and Scientific Articles

Several scientific articles, case studies and posters have been published and presented in reputable international journals and scientific medical societies, articles published in Open Journal of Urology(2014), International Journal of Impotence Research(2013) and poster presented in Sexual Medicine Society of North America(2013).
Elist Implant Scientific Reviews Image   Elist Implant Scientific Reviews Image 
Click to see the article  Click to see the article 
Journal:  International Journal of Impotence Research (2014) 26, 100–104; Journal:  Open Journal of Urology
Date Published:  5 December 2013 Date Published: Vol.4 No.7, July 2014
Authors: V Shirvanian(1), G Lemperle(2), C Araujo Pinto(3) and J J Elist(4)

1-Johann Wolfgang Goethe University, Frankfurt am Main, Frankfurt, Germany
2-Division of Plastic Surgery, University of California San Diego, San Diego, CA, USA
3-Instituto Paulista Tratamento Disfunncao Eretil, Sau Paulo, Brazil
4-James J Elist, MD, FACS, is a patent holder and uses the implant in his private practice.
 Authors: Dr. James Elist, Dr. Vaheh Shirvanian, Dr. Gottfried Lemperle

Elist Implant Review Abstract

Penile prosthesis surgery for erectile dysfunction has the highest satisfaction rates among all treatment options but is often associated with subjective and objective loss of penile length and girth following surgery. To present a novel technique using a subcutaneous soft silicone implant for reversal of penile shortening and narrowing after prosthesis surgery, with additional gains in overall penile length and girth. Nine patients were treated with the insertion of a subcutaneous soft silicone penile implant. All patients had previously reported a loss in penile length (0.5–2 cm), and seven of nine patients also reported a loss in penile girth (0.5–2.6 cm) after penile prosthesis surgery. During a follow-up period of 4–24 months, penile length and girth measurements showed a mean increase in length of 2.4 cm (±0.75 cm) and a mean increase in girth of 3.4 cm (±0.94 cm). The additional insertion of a subcutaneous soft silicone implant in patients with decreased penile length and girth after penile prosthesis surgery is an effective treatment option that provides reversal of lost penile length and girth. 

Elist Implant Review Abstract

Introduction: Congenital and acquired penile curvature has a negative impact on penile aesthetics, sexual capabilities, and male psychology. Surgical procedures yield satisfactory correction of curvature, but are usually associated with penile shortening and palpable suture material and nodules under the skin, resulting in patient dissatisfaction. Aims: To present a novel technique using a subcutaneous soft silicone implant for surgical treatment of penile soft tissue deformities with curvature, with prevention of surgery-associated penile shortening and subcutaneous “bumps”, and with additional gains in overall penile length and girth. Method: 3 patients who complained about congenital, post-traumatic, and post-penile surgery associated penile curvature, with concerns about their penile aesthetics and associated negative psychosocial effects, were treated with the insertion of a subcutaneous soft silicone penile implant. Results: During a follow up period of 2 - 12 months (mean: 6.7 ± 3.6 months) all three patients expressed objective and subjective satisfaction regarding the corrective results of the surgery. Penile length and girth measurements during follow-up showed a mean increase in length of 4.3 cm (±1.4 cm) and a mean increase in girth of 3.0 cm (±1.0 cm). Conclusion: The insertion of the subcutaneous soft silicone implant in addition to corporeal fibrotic tissue removal in patients with congenital or acquired penile curvature is an effective option that provides the patient with aesthetic improvements by correcting penile deviation, preventing post-surgical subcutaneous nodule formation that results from the technique and suture material used, and adding penile length and girth. Further prospective studies are required to validate our initial experience.

    [1] Yachia, D., Beyar, M., Aridogan, I.A., et al. (1993) The Incidence of Congenital Penile Curvature. Journal of Urology, 150, 1478-1479.
[2] Montag, S. and Palmer, L.S. (2011) Abnormalities of Penile Curvature: Chordee and Penile Torsion. Scientific World Journal, 11, 1470-1478. http://dx.doi.org/10.1100/tsw.2011.136
[3] Schwarzer, U., Sommer, F., Klotz, T., et al. (2001) The Prevalence of Peyronie’s Disease: Results of a Large Survey. BJU International, 88, 727-730. http://dx.doi.org/10.1046/j.1464-4096.2001.02436.x
[4] Rhoden, E.L., Teloken, C., Ting, H.Y., et al. (2001) Prevalence of Peyronie’s Disease in Men over 50-y-Old from Southern Brazil. International Journal of Impotence Research, 13, 291-293.
[5] Mulhall, J.P., Creech, S.D., Boorjian, S.A., et al. (2004) Subjective and Objective Analysis of the Prevalence of Peyronie’s Disease in a Population of Men Presenting for Prostate Cancer Screening. The Journal of Urology, 171, 2350- 2353. http://dx.doi.org/10.1097/01.ju.0000127744.18878.f1
[6] La Pera, G., Pescatori, E.S., Calabrese, M., et al. (2001) Peyronie’s Disease: Prevalence and Association with Cigarette Smoking. A Multicenter Population-Based Study in Men Aged 50 - 69 Years. European Urology, 40, 525-530. http://dx.doi.org/10.1159/000049830
[7] Kumar, B., Narang, T., Gupta, S., et al. (2006) A Clinico-Aetiological and Ultrasonographic Study of Peyronie’s Disease. Sexual Health, 3, 113-118. http://dx.doi.org/10.1071/SH05031
[8] Lindsay, M.B., Schain, D.M., Grambsch, P., et al. (1991) The Incidence of Peyronie’s Disease in Rochester, Minnesota, 1950 through 1984. The Journal of Urology, 146, 1007-1009.
[9] Sommer, F., Schwarzer, U., Wassmer, G., et al. (2002) Epidemiology of Peyronie’s Disease. International Journal of Impotence Research, 14, 379-383. http://dx.doi.org/10.1038/sj.ijir.3900863
[10] Ghanem, H. and Shamloul, R.M. (2008) Incisional Corporoplasty for the Correction of Congenital Penile Curvature: A Review of Two Suturing Techniques. International Journal of Impotence Research, 20, 222-225. http://dx.doi.org/10.1038/sj.ijir.3901617
[11] Yachia, D. (1989) Acquired Ventral Penile Curvature: Spongiofibrosis Caused by Urethral Manipulation. British Journal of Urology, 64, 629-631. http://dx.doi.org/10.1111/j.1464-410X.1989.tb05324.x
[12] Thiounn, N., Missirliu, A., Zerbib, M., Larrouy, M., Dje, K., Flam, T. and Debré, B. (1998) Corporeal Plication for Surgical Correction of Penile Curvature. European Urology, 33, 401-404.
[13] Radopoulos, D., Vakalopoulos, I. and Thanos, P. (2009) Preputial Graft in Penile Curvature Correction: Preliminary Results. International Journal of Impotence Research, 21, 82-87.
[14] Nelson, C.J., Diblasio, C., Kendirci, M., et al. (2008) The Chronology of Depression and Distress in Men with Peyronie’s Disease. The Journal of Sexual Medicine, 5, 1985-1990.
[15] Nelson, C.J. and Mulhall, J.P. (2013) Psychological Impact of Peyronie’s Disease: A Review. The Journal of Sexual Medicine, 10, 653-660. http://dx.doi.org/10.1111/j.1743-6109.2012.02999.x
[16] Ralph, D., Gonzalez-Cadavid, N., Mirone, V., et al. (2010) The Management of Peyronie’s Disease: Evidence Based 2010 Guidelines. The Journal of Sexual Medicine, 7, 2359-2374.
[17] Mulhall, J.P., Schiff, J. and Guhring, P. (2006) An Analysis of the Natural History of Peyronie’s Disease. The Journal of Urology, 175, 2115-2118; discussion 8. http://dx.doi.org/10.1016/S0022-5347(06)00270-9
[18] Hellstrom, W.J. and Bivalacqua, T.J. (2000) Peyronie’s Disease: Etiology, Medical, and Surgical Therapy. Journal of Andrology, 2, 347-354.
[19] Muller, A. and Mulhall, J.P. (2009) Peyronie’s Disease Intervention Trials: Methodological Challenges and Issues. The Journal of Sexual Medicine, 6, 848-861. http://dx.doi.org/10.1111/j.1743-6109.2008.01081.x
[20] Montorsi, F., Adaikan, G., Becher, E., et al. (2010) Summary of the Recommendations on Sexual Dysfunctions in Men. The Journal of Sexual Medicine, 7, 3572-3588. http://dx.doi.org/10.1111/j.1743-6109.2010.02062.x
[21] Kendirci, M. and Hellstrom, W.J. (2004) Critical Analysis of Surgery for Peyronie’s Disease. Current Opinion in Urology, 14, 381-388. http://dx.doi.org/10.1097/00042307-200411000-00015
[22] Langston, J.P. and Carson 3rd, C.C. (2011) Peyronie Disease: Plication or Grafting. Urologic Clinics of North America, 38, 207-216. http://dx.doi.org/10.1016/j.ucl.2011.03.001
[23] Simonato, A., Gregori, A., Ambruosi, C., Ruggiero, G., Traverso, P. and Carmignani, G. (2007) Congenital Penile Curvature: Dermal Grafting Procedure to Prevent Penile Shortening in Adults. European Urology, 51, 1420-1427. http://dx.doi.org/10.1016/j.eururo.2006.11.047
[24] Chien, G.W. and Aboseif, S.R. (2003) Corporeal Plication for the Treatment of Congenital Penile Curvature. The Journal of Urology, 169, 599-602. http://dx.doi.org/10.1016/S0022-5347(05)63962-6
[25] Ismail, H.R., Youssef, M., Sakr, M., Hussein, T. and Zahran, A.M. (2009) Non-Tensile Tunica Albuginea Plication for the Correction of Penile Curvature. African Journal of Urology, 15, 88-95.
[26] Hudak, S.J., Morey, A.F., Adibi, M. and Bagrodia, A. (2013) Favorable Patient Reported Outcomes after Penile Plication for Wide Array of Peyronie Disease Abnormalities. The Journal of Urology, 189, 1019-1024. http://dx.doi.org/10.1016/j.juro.2012.09.085
[27] Kuehhas, F.E. and Egydio, P.H. (2012) Superficial Tunica Albuginea Excision, Using Geometric Principles, for the Correction of Congenital Penile Curvature. BJU International, 110, E949-E953.
[28] Shirvanian, V., Lemperle, G., Araujo Pinto, C. and Elist, J.J. (2013) Shortened Penis Post Penile Prosthesis Implantation Treated with Subcutaneous Soft Silicone Penile Implant: Case Report. International Journal of Impotence Research, 26, 100-104. http://dx.doi.org/10.1038/ijir.2013.44 
 Dr Elist Implant Positive Reviews  Dr Elist Implant Scientific Reviews  |  Dr Elist Implant Negative Reviews  |  Contact             © All Rights Reserved by Dr. Elist 2014