Entries for the ‘Erectile Dysfunction’ Category

3-Piece Inflatable Penile Prosthesis | Erectile Restoration | Plano TX

Monday, July 20th, 2009

Dr. Mark Allen, MD of Plano, TX utilizes the AMS medical devices to treat erectile dysfunction.  The below information on the 3-Piece Inflatable Penile Prosthesis for erectile restoration is provided courtesy of American Medical Systems.  For more information on AMS, visit www.americanmedicalsystems.com.

AMS 700 TM Series
3-Piece Inflatable Penile Prosthesisams-penile-implant
The AMS 700 Series is an advanced three-part inflatable prosthesis consisting of a reservoir implanted in the abdomen, a pump placed in the scrotum and a pair of cylinders inserted into the corpora cavernosa. It closely simulates the look and performance of a natural erection. The gold standard for innovative penile implant technology, the AMS 700 Series now features the new Tactile PumpTM, InhibiZoneTM Antibiotic Surface Treatment and Parylene, a wear-reducing micro coating.

Advantages for Patients

  • Has InhibiZone Antibiotic Surface Treatment, a proprietary combination of rifampin and minocycline
  • Replicates the process and feel of a natural erection more closely than 1- or 2-piece implants
  • Deflates softer and more flaccid than 1- or 2-piece styles of penile implants
  • High degree of patient and partner satisfaction
  • Easy to use
  • Totally concealed

Patient Satisfaction Rate

  • Some studies report 92% patient and 96% partner satisfaction rate¹

¹ Montorsi F, Rigatti P, Carmignani G, Corbu C, Campo B, Ordesi G, Breda G, Silvestre P, Giammusso B, Morgia G, Graziottin A. AMS three-piece inflatable implants for erectile dysfunction: a long-term multi-institutional study in 200 consecutive patients. Eur Urol Jan 2000 Jan v. 37(1)p. 50-5.

Styles Available
The AMS 700 Series consists of three styles for three different patient types.

  • 700CXTM—Controlled expansion cylinders allow for increased girth; can be used in all patient types that are able to receive a 3-piece prosthesis
  • 700 UltrexTM—For the patient who wants expansion in girth and length; provides up to 20% cylinder elongation.
  • 700 CXRTM—The narrowest proximal profile of any inflatable prosthesis; for scarred, fibrotic or stenotic patients

Device Mechanics
The AMS 700 Series prostheses are fluid-filled systems, each consisting of a pair of cylinders, an inflate/deflate pump and a reservoir. The components are connected by kink-resistant tubing.

The AMS 700 Series prostheses consist of these parts:

  • Cylinders—Come in various lengths and diameters, depending on the model number. Rear-tip extenders can be placed over the solid rear tip of the cylinders to extend their lengths, for a customized fit.
  • Reservoir—Silicone balloon for holding saline, and kink-resistant tubing that connects the reservoir to the pump. Two sizes are available: 65 mL and 100 mL.
  • Pump—The AMS 700 CX, Ultrex and CXR cylinders use a standard-size pump consisting of a pump bulb (for inflation), a release valve (for deflation) and connecting tubes.

Innovative Technology
The AMS 700 Series now features the new Tactile PumpTM, InhibiZoneTM Antibiotic Surface Treatment and Parylene, a wear-reducing micro-coating.

  • Tactile Pump—With its EZ grip surface, the Tactile Pump is designed to be easier to inflate and deflate than any inflatable penile prosthesis on the market today. Silicone ridges on the pump bulb are designed to minimize finger slippage during inflation; finger pads on the deflation block are designed to make it easier to locate and grasp the deflation portion of the pump. These enhancements make it easy for patients to learn and use the system. In a small clinical study, over 86.7% of patients learned in three minutes or less.¹ That can mean less frustration and greater patient satisfaction.1. Data accepted for publication. Delk, et al, “Early Experience with the American Medical Systems New Tactile Pump: Results of a Multi-Center Study.
  • InhibiZone is a synergistic combination of Minocyline Hydrochloride and Rifampin impregnated into the external silicone surfaces of the implant, creating a zone of inhibition around the prosthesis. The antibiotics impregnated into the cylinders elute from the surface when exposed to a warm, moist environment.
  • Parylene micro coating is a medical grade polymer applied to AMS 700 Series cylinder components. This unique coating is designed to enhance device longevity by reducing friction-based wear. In bench-testing, parylene coated cylinders endured up to five times as many cycles as uncoated cylinders.¹ This gives patients the security of an implant designed for long-lasting performance and wear.1. Data on file, American Medical Systems

Erectile Dysfunction Treatment | AMS | Mark Allen MD | Dallas TX

Monday, July 20th, 2009

Erectile Restoration

Dr. Mark Allen, MD of Dallas, TX uses AMS devices for erectile dysfunction treatment.  The below information is courtesy of American Medical Systems.  For more information, please visit www.americanmedicalsystems.com

Penile Implants-The Satisfying Solution

AMS has been a leading innovator in the field of erectile restoration for over three decades. Today we offer the broadest line of penile implant options in the industry. From simple malleable implants to the most advanced three-piece inflatable devices, AMS sets the standard for innovation and ease of use.
Every AMS penile implant is engineered to provide a satisfying solution to erectile dysfunction (ED). More than 300,000 men have received an AMS implant and studies show that over 90 percent are happy with the device.1,2,3,4.

1. Rajpurkar A, Dhabuwala CB. Comparison of satisfaction rates and erectile function in patients treated with sildenafil, intracavernous prostaglandin E1 and penile implant surgery for erectile dysfunction in urology practice. J Urol Jul 2003 v.170(1)p.159-63.
2. Kearse WS Jr, Sago AL, Peretsman SJ, Bolton JO, Holcomb RG, Reddy PK,
Bernhard PH, Eppel SM, Lewis JH, Gladshteyn M. Report of a multicenter clinical evaluation of the Dura-II penile prosthesis. J Urol May 1996 v. 155(5) p.1613-6.
3. Levine LA, Estrada CR, Morgentaler A. Mechanical reliability and safety of, and patient satisfaction with the Ambicor inflatable penile prosthesis: results of a 2 center study. J Urol Sep 2001 Sep v. 166(3)p.932-7.
4. Montorsi F, Rigatti P, Carmignani G, Corbu C, Campo B, Ordesi G, Breda G, Silvestre P, Giammusso B, Morgia G, Graziottin A. AMS three-piece inflatable implants for erectile dysfunction: a long-term multi-institutional study in 200 consecutive patients. Eur Urol Jan 2000 Jan v. 37(1)p. 50-5.

Benefits of a Penile Implant

* Can help you return to an active, satisfying sex life
* Offers a permanent, long-term solution to ED
* Provides the ability to have an erection anytime you choose
* Allows for greater spontaneity-have sex when the mood strikes
* Enables you to maintain an erection as long as you desire
* Eliminates the need for costly pills or shots
* Does not interfere with ejaculation or orgasm

Risks of a Penile Implant

* Requires surgery and healing period
* Eliminates the possibility of return of natural erections
* May require repeat surgery due to infections, erosions or mechanical problems with the device

There are several types of penile implants available from AMS. Talk to Dr. Mark Allen about which one may be right for you.

The Procedure

Placing a penile implant may be performed as an outpatient procedure, which generally lasts from 30 minutes to over an hour. The procedure is performed under local or general anesthesia.

Before the procedure, Dr. Allen will give you a thorough explanation of what will happen during your surgery and how to prepare for it.

Results

Some studies show the following results for three-piece penile implants:

High Patient Satisfaction

* 86% say they would undergo the procedure again¹
* 88% would recommend the device to others¹

High Partner Satisfaction

* 96% partner satisfaction²

High Mechanical Reliability

* Engineered for long-term reliable operation¹
* Over 90% of patients report satisfactory prosthetic erections at three years³

1. Carson CC, Mulcahy JJ, Govier FE. Efficacy, safety and patient satisfaction outcomes of the AMS 700CX inflatable penile prosthesis: results of a long-term multicenter study. AMS 700CX Study Group. J Urol Aug2000 v. 164(2)p.376-80.
2. Montorsi F, Rigatti P, Carmignani G, Corbu C, Campo B, Ordesi G, Breda G, Silvestre P, Giammusso B, Morgia G, Graziottin A. AMS three-piece inflatable implants for erectile dysfunction: a long-term multi-institutional study in 200 consecutive patients. Eur Urol Jan 2000 Jan v. 37(1)p. 50-5.
3. Govier FE, Gibbons RP, Correa RJ, Pritchett TR, Kramer-Levien D. Mechanical reliability, surgical complications, and patient and partner satisfaction of the modern three-piece inflatable penile prosthesis. Urology Aug 1998 Aug v.52(2) p.282-6.