Small-Carrion Penile Prosthesis Research Articles

The Evolution and Utility of the Small-Carrion Prosthesis, Its Impact, and Progression to the Modern-Day Malleable Penile Prosthesis.

Erectile dysfunction has plagued humanity for millennia. For years, treatment had been in the hands of mental health professionals. It was not until the 1970s that urologists created a modality that was marketable, reproducible, and consistently successful at treating impotence, the Small-Carrion Penile Prosthesis. We present the evolution of the malleable/semi-rigid penile prosthesis, concentrating our efforts reviewing and critiquing the pivotal article published by Drs. Michael P. Small, Hernan M. Carrion, and Julian A. Gordon. We then discuss its continued advancement, current-day utilization, and the future of the malleable prosthesis. From the early 1900s, surgeons have been toying with the idea of creating a penile implant. These initial attempts utilized rib cartilage, and eventually synthetic materials, including acrylic, silicone, and polyethylene. In 1975, Drs. Carrion and Small presented their initial experience of 31 patients utilizing their silicone implant. In their manuscript titled, "The Small-Carrion Penile Prosthesis: New Implant for the Management of Impotence," they discuss their technique, perioperative management of complications, and results. The malleable penile prosthesis continued to evolve throughout the years to the current day Genesis and Spectra. Although the current market is dominated by the inflatable penile prosthesis, there are specific situations where the malleable is ideally utilized. The pivotal article by Drs. Carrion and Small helped pave the way for the "New Era" of penile prosthetics and still remains one of the most impactful contributions to the management of erectile dysfunction.

Small-Carrion Penile Prosthesis: A Report on 160 Cases and Review of the Literature

Small-Carrion Penile Prosthesis: A Report on 160 Cases and Review of the Literature

Small-Carrion Penile Prosthesis: A Report on 160 Cases and Review of the Literature

Small-Carrion Penile Prosthesis: A Report on 160 Cases and Review of the Literature

Small-carrion penile prosthesis: New implant for management of impotence

The etiology of impotence and a review of various techniques in treatment are discussed. A perineal surgical approach with a new type of paired sponge-filled silicone prostheses is described. The prostheses are inserted into previously dilated corpora cavernosa. Of the initial 31 patients, excellent results were obtained in 27, and a good result in 1. Of the 3 patients with initial serious complications, adequate functional results were attained in 2. The distinct advantages and potential complications using the Small-Carrion penile prosthesis and surgical technique are discussed.

Small-carrion penile prosthesis: A report on 160 cases and review of the literature

The use of the Small-Carrion penile prosthesis in 160 patients is evaluated. Methods to determine those patients who will benefit from the use of this prosthesis and the size prosthesis needed are discussed. Suggestions are made on how to handle problems or complications that may occur during or after the operation, as well as the antibiotic regimen. The literature is reviewed.

Iatrogenic Symptoms and Partner Reaction Following Treatment for Erectile Dysfunction

Abstract“The great question that has never been answered, and which I have not yet been able to answer despite my thirty years of research into the feminine soul, is: what does a woman want?”—Sigmund Freud“Between 1975 and 1980 over 7,000 Small-Carrion penile prostheses were implanted worldwide …”—Journal of Marital and Sexual Therapy, 1984“Sex does not require an erection.”—Bernie Zilbergeld, 1978

Elimination of pain caused by small-carrion penile prosthesis

Elimination of pain caused by small-carrion penile prosthesis

Complications of the Small-Carrion Penile Prosthesis: Long-Term Followup

Long-term followup for a minimum of 3 years in 150 patients who had a Small-Carrion penile prosthesis was reviewed. Early and late complications related to the penile prosthesis itself, as well as the effect on urine outflow, are presented.

The Rosen Incontinence Procedure: A New Artificial Urinary Sphincter for the Management of Urinary Incontinence

During the last 3 years 16 patients have undergone insertion of the Rosen urinary incontinence device. The urethra is occluded simply by fluid transfer from a scrotal reservoir to a perineal balloon that is fixed to the inside of the bulbocavernosus muscle. Use of extensive tubing and hydraulics is not required. Experience with this prosthesis in the management of male urinary incontinence will be discussed. Its use in conjunction with the Small-Carrion penile prosthesis in selected patients with impotence will be described briefly.

Small-Carrion penile prosthesis for the management of diabetic impotence.

Of 128 patients who had insertion of a Small-Carrion prosthesis, 36 were diabetic. The insertion of a penile prosthesis in diabetic patients proved to be safe, without increased incidence of infection or rejection of the prosthesis, provided diabetes is under good control before operation. Cystoscopy and cystometrogram are necessary to exclude any possible obstruction or decompensation, thus eliminating potential risk of urinary infection or further decompensation by penile prosthesis. An interval of six weeks after insertion of the prosthesis is needed for resuming sexual activity.

A comparison of the Small-Carrion and Scott-Bradley penile prostheses

A comparison of the Small-Carrion and Scott-Bradley penile prostheses

A Comparison of the Small-Carrion and Scott-Bradley Penile Prostheses

The Small-Carrion penile prosthesis has been implanted in 28 patients and the Scott-Bradley inflatable prosthesis has been implanted in 17. Almost all patients are satisfied with the results. There appeared to be no absolute correlation between the postoperative appearance of the penis and the sexual performance. Provided a reasonable cosmetic result is obtained the patient’s attitude is the most important determinant of sexual function.

Complications of small-carrion penile prosthesis

Seventy-six patients with impotence have undergone insertion of the Small-Carrion penile prosthesis at Duke University Medical Center. Twenty patients experienced postoperative complications. Seven of these 20 patients lost one or both prostheses either by spontaneous extrusion or surgical removal. Although success with this procedure is well documented, complications may be significant when they occur and awareness of these problems is essential for proper management. The benefits of this procedure are reviewed, and reported complications and their management are discussed.

The Small-Carrion Penile Prosthesis

A normal state of erection can be achieved by bilateral, intracorporal implantation of the Small-Carrion penile prosthesis. This prosthesis gives adequate length and, more importantly for normal intercourse, normal width to the penis. Although the prosthesis is firm, it is flexible enough to keep the phallus inconspicuous under various types of undershorts, either in the normal position or against the abdominal wall. The fact that the patient will have a permanent erection has not been a deterrent. Furthermore, there have been no complaints about this postoperatively. Raz and Kaufman, Goodwin, Melman, Nellens et al., and others have reported excellent results with the use of the Small-Carrion prosthesis.

Small-carrion Penile Prosthesis: A Report on 160 Cases and Review of the Literature

The use of the Small-Carrion penile prosthesis in 160 patients is evaluated. Methods to determine those patients who will benefit from the use of this prosthesis and the size prosthesis needed are discussed. Suggestions are made on how to handle problems or complications that may occur during or after the operation, as well as the antibiotic regimen. The literature is reviewed.

The Small-Carrion penile prosthesis: Surgical implant for the management of impotence

The normal state of erection can be achieved by bilateral, intracorporal implantation of the Small-Carrion prosthesis. This prosthesis is made of a medical-grade silicone shell with a silicone sponge interior and gives adequate length and normal width to the penis. The prosthesis is firm; however, it is flexible enough to keep the phallus inconspicuous under the proper type of undershorts, either in the normal position or against the abdominal wall. The fact that the patient will have a permanent erection, which is flexible, has not deterred potential candidates from having the surgery.

A comparison of the two types of penile prostheses used in the surgical treatment of male impotence

A comparison of the Small-Carrion and Scott-Bradley penile prostheses, based on our experience with their use over the last three years, is presented. Nearly all patients given either device were satisfied with the results. Selection of the type of prostheses to be used must be made on an individual basis, taking into consideration which choice will best suit the requirements of each patient. In the majority of cases, however, the patient may make the final choice himself.

Placement of the Small-Carrion penile prosthesis to enable maintenance of an exdwelling condom catheter

Four patients in our Medical Center underwent placement of a Small-Carrion penie prosthesis for the primary purpose of maintaining an exdwelling condom catheter. The major benefits of being able to carry on daily activities, while maintaining satisfactory perineal hygiene, without the need for an indwelling Foley catheter is a most significant factor in the consideration of prosthetic surgery.

The Small-Carrion Prosthesis for Male Impotency

Small-Carrion penile prostheses were implanted in 61 patients who have been followed for 3 to 21 months. Of these 61 patients 55 have achieved satisfactory results, with a return of normal sexual function. The importance of preoperative evaluation and preparation is stressed.

Experience with Implantation of the Small-Carrion Penile Implant for Organic Impotence

The 13 patients described herein have had successful placement of a Small-Carrion penile prosthesis through a penile incision. Because of surgical control and possible decreased chance of infection this approach is advocated over the perineal incision except in cases of post-priapism impotence or simultaneous placement of a Kaufman anti-incontinence device.