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TESTIMONIALS |
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I am 66 years old. I was diagnosed in June 2007 with prostate cancer and in October 2007, I underwent robotic radical prostatectomy. Prior to the surgery, my virility was ok. After the surgery, it was compromised, but began to get better as of April 2008. In June 2008 however, I was diagnosed with residual prostate cancer and underwent radiation for seven weeks during the summer of 2008. This aggravated situation caused me to have a very serious condition of erectile dysfunction.
To gain an erection, I tried manual and battery operated vacuum constriction devices and found them to be kind of bulky and cumbersome to use and at times embarrassing and frustrating during the operation of getting an erection and maintaining it for the desired time of achieving satisfactory sex.
I spoke to my urologist of my condition and frustration and he referred me to Dr. Eid for consultation. I made my appointment, consulted with Dr. Eid who explained the options to me, the penile implant seemd the best for me. I did the surgery in April 2009. It was very successful. I am performing extremely well in bed, my partner is thrilled and totally satisfied with our sex and so am I. My self-esteem has returned and I feel like a man again.
We are forever grateful to the affable, highly professional and talented Dr. Eid. |
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CONTACT INFORMATION |
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J. Francois Eid, M.D.
50 East 69th Street
New York, NY 10021 |
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Ph: 212-535-6690 |
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Fax: 212-535-7025 |
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Placement of the Pump |
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Once the corporotomy is closed, attention turns to fashioning a scrotal pouch, into which the pump will be placed. Our aim here is to have the pump readily accessible to the patient yet unobtrusive, for good cosmesis. We therefore place it behind the testicles, in the fatty layer separating the tunica vaginalis of each testicle.
Some surgeons, place the reservoir first, connect it to the pump and then place the pump. I prefer immediate pump placement in the scrotum, in order to minimize contact with the patient’s skin during the time that the reservoir is being placed. This also permits tunneling of the tubing to the reservoir into the spermatic cord, anchoring the pump in the scrotum as well as hiding the tubing behind the cord.
Alice clamps are used to provide gentle traction to the scrotal fascia. A flap of scrotal fascia is developed beneath the urethra for a distance of 2 to 3 cm. Approximately 1 to 2 cm from the urethra, a small 1-cm transverse opening is made in the scrotal fascia with the Bowie electrocautery (Figure#10). A closed, long nasal speculum is pushed gently into the opening, behind both testicles, towards the bottom of the scrotum. The speculum must be kept closed, as we do not want to overdilate the pouch but, rather, have it fit snugly around the pump. Tubing from the pump to the reservoir is then tunneled along the inguinal cord, using a tubing passer, towards the region of the external inguinal ring on the side where the reservoir will be placed.
Both pump and pouch are irrigated with neomycin. All irrigant is then removed and the pump placed in the pouch. It is important to not pull too hard on the pump as that will place it too superficially underneath the skin. The opening in the scrotal fascia is then closed with a running 3-0 Vicryl suture after meticulous hemostasis is obtained.
(See pictures #161, 165, 172, 173, 174 of the Inflatable Penile Prosthesis Procedure)
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