Advanced Urological Care

Educational Videos

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About the Penile Pump

(1) Coloplast Titan Pump Penile Implant Facts & Demonstration

Dr. Eid demonstrates inflation and deflation of penis pump on patients. Watch

(2) What's Great About a Penile Prosthesis

  • Penile prosthetic implant filled with saline
  • Same texture as normal erection
  • Invented in 1973 making it very reliable
  • Patients can expect 15 years with penile implant
  • If penile implant device fails, replace it
  • Patients after prostate cancer best served
  • Superior to penile injection therapy
  • Man with penile implant feels normal
  • Allows for spontaneous sexual activity

Surgical Technique

(3) No-Touch Technique

  • Introduction of Dr. Francois Eid
  • Dr. Eid explains development of No-Touch Technique
  • Surgical wash of patient to kill skin flora
  • High scrotal incision
  • Measuring/dilating penis
  • Implantation of penile pump
  • Prepping the reservoir
  • Implantation of the prosthetic tubing
  • Suturing of the surgical site
  • Inflation/deflation of penile prosthesis

(4) Evolution in Penile Implantation Technique & Patient Outcomes: Introduction (Part 1)

Irwin Goldstein hosts an open panel with surgeons Irwin Goldstein, MD, J. Francois Eid, MD, Paul Perito, MD, and Andrew Kramer, MD discussing... Watch

(5) No Touch Technique featuring J. Francois Eid, MD (Part 2)

Dr. J. Francois Eid innovator of the No-Touch Technique discusses recent outcomes with his technique & it's important role within prosthetic urology. Watch

(6) Penile Prosthesis Proximal Cross-over Case Using No Touch Technique Drape and Exposure

  • Isolating skin from penile prosthesis
  • Penis and scrotum delivered through drape window
  • Gloves discarded prior to sterile drape
  • Proximal position
  • Traction suture
  • No-Touch Technique means no contact with skin
  • Reduces post-operative infection

(7) No-Touch Technique - Part 2

No-Touch Protocol:
  • Instruments and bovie that have touched the patient's skin are removed from the surgical field
  • Gloves that have come into contact with skin are also removed and changed to new ones.
  • Sterile loose surgical drape is brought onto surgical field and covers the patient and surgical field that has come into direct or indirect contact with the patient's skin.

(8) No-Touch Technique - Part 1

Hypothesis of No-Touch Technique:
  • Skin contact however small can result in a significant contamination of the prosthesis at the time of implantation.
  • It is the decrease of the volume of bacterial inoculation and not the total absence of bacteria which results in a successful outcome of penile implant surgery.
  • Meticulous skin wash and preparation with alcohol/Chlorhexine agent is of utmost importance.

(9) Inflatable Penile Prosthesis Surgery: The Standard Method

  • Dr. Eid introduction
  • Incision and opening
  • Inserting cylinders into penis
  • Placing pump into the scrotum
  • Positioning the saline reservoir
  • Connecting the tubes and closing
  • Inflation and deflation of the device
  • Please note: This video describes the standard method for penile prosthesis surgery.  Dr. Eid's "No-Touch" technique has been in use since 2006 and offers reduced risk of infection over the described method.

(10) Causes of Erectile Dysfunction

  • Introduction to Physician experts
  • Definition of ED
  • Patient's medical and surgical history
  • Patient's own story with Peyronie's disease
  • Psychological causes of ED
  • Patient's own story with prostate cancer
  • Other causes of ED

(11) Treatments for Erectile Dysfunction

  • Introduction to Physician experts
  • Medical and Psychological Treatments
  • Injections, vacuum devices, and urethral inserts
  • Patient tells his story
  • Penile Implant Pump (IPP)
  • Computer animation of implant
  • Patient’s experience with implant
  • Live demonstration of how to use the IPP

Dr J. Francois Eid Narrates No-Touch Technique Penile Implant Procedure

Penile Prosthesis Demonstrations

(12) Multicomponent AMS Inflatable Penile Prosthesis in a Patient with Vascular ED

  • 80-year-old patient demonstrates how penile implant works
  • Penis is fuller with a prosthesis
  • Dr. Eid inflates the pump
  • Pump concealed but accessible
  • Devices get softer with time
  • Dr. Eid deflates the penile implant
  • Patient inflates/deflates penile prosthesis

(13) Multicomponent Coloplast Inflatable Penile Prosthesis Demonstration in a Patient Following Prostate Cancer Surgery

  • Dr. Eid Introduction
  • Patient background
  • Radical prostatectomy
  • Penile prosthesis deflated
  • Penile prosthesis inflated by Dr. Eid
  • Penile pump squeezed by Dr. Eid
  • Fluid transferred to penis
  • Patient inflates penile prosthesis
  • Patient deflates penile prosthesis

(14) Multicomponent Coloplast Inflatable Penile Prosthesis in a Patient with Diabetes

  • Cylinders in the penis
  • Prosthetic pump in the back
  • Dr. Eid inflates the penile pump
  • Erection achieved
  • Dr. Eid deflates the pump
  • Shows how natural penis looks

(15) Multicomponent Coloplast Inflatable Penile Prosthesis Demonstration in a Patient with Vascular Erectile Dysfunction

  • Dr. Eid introduction
  • 72-year-old man with vascular disease
  • One year after insertion of penile implant
  • Dr. Eid squeezes penile implant pump
  • Mimics natural erection
  • Penile prosthesis inserted into tiny incision
  • Patient inflates the penile prosthesis

(16) Demo of Patient with Penile Implant in the Supine Position

  • Patient inflates the penile prosthesis
  • Patient deflates internal penile implant
  • Dr. Eid shows where the incision was
  • Another patient demonstrates penile implant
  • Penis enlarges in girth and rigidity
  • Press penile pump release valve
  • Patient inflates and deflates one more time
  • A third patient demonstrates penile implant


Penile Implant: About The Procedure

Post-procedure care, limitations and medications

Dr. Eid advises patients on recovery after penile implantation procedure. For those that have undergone the procedure, there will be a timeline for you returning to normal activities as you recover. Watch

Preparation, the day of the procedure and recovery process

There are certain preparations to be made before the procedure of your penile device. For the “No Touch” technique, Dr. Eid will provide you with instruction on washing the area before your procedure along with beginning medications. According to the penile implant surgeon, you should always follow the instructions of your surgeon. Watch

About the procedure and its alternatives

For the treatment of advanced erectile dysfunction, there are a variety of treatments including oral medications, vacuum devices, penile injections, and penile implant devices. Dr. Eid highlights oral medications, penile injections and penile implants as the most effective treat of ED. Watch

Why is this procedure necessary, its risks and benefits

Undergoing an implantation of an IPP device is the most effective way treat advanced erectile dysfunction. For men that suffer from organically or physically induced ED, the implantation is far more effective than oral ED medications. Watch

What is involved during a procedure?

Dr. Eid describes the procedure involved in the implantation of the IPP. Dr. Eid uses his “no-touch” technique to minimize infection among penile implant devices. Watch

Penile Implant: About The Device

What is the device made of and what are the alternatives?

The IPP device that Dr. Eid uses in his “no-touch” penile implantation procedure is made of elastomer. The procedure is safe and efffectively treats advanced erectile dysfunction that has not been responsive to other treatments.

What data suggests this device is effective?

Dr. Eid reaffirms the effectiveness of the penile implant for the treatment of erectile dysfunction by citing that there are hundreds of peer-reviewed studies confirming patient and partner satisfaction. Watch

About the penile implant device

What lifestyle changes will this device require and what are the potential risks

There are no lifestyle changes to make after the implantation of the penile device. As with any surgery, there is risk of infection, but Dr. Eid's procedure has an infection rate of 0.38%. Watch

Penile Implant Surgery: How To Prepare

Family/caregivers and additional advice

As you will need to recover after penile implant surgery, Dr. Eid prepares family or caregivers for what to expect the day of the surgery. For those patients that are from out of town, he recommends making overnight accommodations. Watch

Registration/check in process and forms

Dr. Eid explains to patients what to expect when registering the day of their penile implantation surgery.   Watch

Medications, dietary, health and lifestyle restrictions

Dr. Eid advises patients on precautions they should take before penile implant surgery. The night before your surgery you must start to fast at midnight. Dr. Eid recommends to always follow the direction of your doctor, and to discuss any medications that you are prescribed and any flu-like symptoms that you experience before the procedure. Watch

What tests/assessments take place before the surgery/procedure?

Before a penile implanatation procedure, Dr. Eid will perform a duplex ultrasonography of the penis. An injection-induced erection will be measured and recorded to guarantee results to the patient. Many patients worry about size of penis after penile prosthesis, recording measurements helps to guarantee results when patients is aware of and prepared for the outcomes of the surgery. Watch

Pre-procedure appointments and checklist

Dr. Eid advises patients on what to expect before a penile implantation procedure. Before surgery, penile prosthesis candidates will visit the office for a consultation, doppler exam, measurements, and cardiac test. Dr. Eid also gives advice on what to bring to the surgery center the day of your penile implantation procedure.

After Penile Implant Surgery: What To Expect

After Penile Implant Surgery: What To Expect

Dr. Eid answers questions about penile implant surgery. Many penile prosthesis candidates ask about the size of the penis after implantation, as well as questions about ejaculation and urination with a penile implant.


About Erectile Dysfunction

Lifestyle restrictions, dietary and exercise recommendation and advice

Dr. Eid discusses how erectile dysfunction effects the daily lives of those that experience the condition. To prevent ED, Dr. Eid suggests a healthy lifestyle including a balanced, healthy diet and regular exercise. He also reminds men that ED is a treatable condition. Watch

Types of doctors you need to see and what tests, medications, procedures/surgeries might be required

Depending on the degree of a patient's ED, they will need to see a urologist. A urologist will perform a physical exam of the penis, a doppler evaluation, and blood test for male hormones, diabetes, and cholesterol. If a patient does not respond to oral medications in the treatment of erectile dysfunction, then a penile implant may be considered. Watch

ED definition, cause, symptoms, prognosis and prevention

New York urologist, J. Francois Eid discusses erectile dysfunction. Dr. Eid explains the symptoms of Ed, along with the causes of erectile dysfunction. ED can be prevented by avoiding unhealthy behaviors like eating fatty foods and not exercising. Erectile dysfunction is a condition that will get worse with age. Watch

About Dr. Jean-Francois Eid, MD

Dr. Eid's background, education, training, credentials and specialty

J. Francois Eid, MD is a board-certified urologist focused on the treatment of advanced erectile dysfunction, specializing in penile implant surgery. One of New York's leading penile prosthesis surgeons, Dr. Eid is a graduate of Brown University and Cornell University. Currently, Dr. Eid is the director of Advanced Urological Care in NYC. As a urologist, Dr. Eid also treats urinary incontinence after prostate cancer. Watch