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Future considerations in prosthetic urology.

Landon Trost1

  • 1Mayo Clinic, Department of Urology, 200 First St SW Rochester, MN 55905, USA.

Asian Journal of Andrology
|October 2, 2019
PubMed
Summary
This summary is machine-generated.

Genitourinary prosthetics for erectile dysfunction and incontinence are advancing with innovations in penile, testicular, and urinary sphincter devices. Future trends include enhanced functionality, global accessibility, and evolving surgical techniques.

Keywords:
erectile dysfunctionpenile indurationpenile prosthesisprostheses and implantsstress urinary incontinence

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Area of Science:

  • Urology
  • Medical Device Innovation
  • Sexual Medicine

Background:

  • Genitourinary prosthetics are established treatments for erectile dysfunction, urinary incontinence, and testicular issues.
  • Significant innovation has historically led to excellent long-term outcomes in prosthetic devices.

Purpose of the Study:

  • To forecast 5-10 year trends and developments in genitourinary prosthetic devices.
  • To identify emerging concepts in penile prostheses, artificial urinary sphincters, and testicular prosthetics.

Main Methods:

  • Conducted a PubMed and patent search focusing on penile and testicular prostheses and urinary sphincters.
  • Analyzed findings to identify new concepts and future directions in the field.

Main Results:

  • Penile prostheses: exploring temperature-sensitive alloys, automated pumps, neophallus designs, and improved malleable options.
  • Artificial urinary sphincters: innovations include fluid adjustability, two-piece systems, and novel urethral occlusion mechanisms.
  • Testicular prosthetics: future devices may mimic biological feel and incorporate endocrinological functions.

Conclusions:

  • The future of genitourinary prosthetics involves device innovation, expanding global reach with cost and regulatory considerations, and evolving surgical practices.
  • Key surgical trends include nonnarcotic pain management, outpatient procedures, and adjunctive techniques.
  • Increased emphasis on education and training is crucial, especially with the growth of sexual medicine in developing nations.