Men’s health remains a hot topic as the Baby Boomer population advances into their 50s and beyond, with erectile dysfunction being a chief concern for those wishing to remain sexually active. Seeing a need for a better approach to traditional penile implant procedures, Dr. Paul Perito developed a minimally invasive technique that is fast, safe, effective, and offers patients a relatively quick recovery period. BloggerVenue caught up with Dr. Paul Perito at his Coral Gables, Florida, urology office, Perito Urology, to get a better idea of exactly what makes his technique different from traditional procedures.
BloggerVenue: First of all, we would like to say thank you for speaking with us this afternoon.
Dr. Paul Perito: You’re welcome. Thank you for your interest in Perito Urology.
BloggerVenue: So, doctor, can you please explain to us the Perito technique.
Dr. Paul Perito: My procedure is different in that I start my case with an artificial erection. This, I think, is probably the most important aspect of the case.
BloggerVenue: Can you explain why?
Dr. Paul Perito: Well, the artificial erection accomplishes three things. First, I can identify areas of pathology before I start the case. If there is dimpling in the corpora; if there’s a penile curvature that is going to need plastic correction of angulation of the penis that I did not know about, I will find out about it at this time. The second thing that it does – I do not need to do any dilation. There is no serial dilation in my case. The dilation is accomplished by the artificial erection itself. We are now in the process of getting an IRB to see, if indeed this translates into less cold glands and maybe more sensate when it comes to the glands during coitus.
BloggerVenue: And third?
Dr. Paul Perito: Finally, if you add a bit of lidocaine to the mixture it will make it easy to do this procedure under local anesthesia, and nowadays I am probably doing about 90% of my cases under local anesthesia.
BloggerVenue: Are there large incisions involved?
Dr. Paul Perito: Yes, there are. I was taught to make my corporatomy long; but it’s important that when you get to the corpora to make them small. My corporotomy is only about 1 ½ cm long – that corresponds to the widest part of the Titan implant, which would be the back of the implant.
BloggerVenue: So your approach is infra pubic?
Dr. Paul Perito: Yes, one of the advantages of the infra pubic approach is that there’s no incision on the scrotum, so my patients, on day one, are starting to find their deflate mechanism.
BloggerVenue: Are there other advantages of this type of approach?
Dr. Paul Perito: The other advantage of having this infra pubic approach and having your corporotomy up top is that everyone gets a 10 pound sandbag in the recovery room for two hours, and if you find that the JP is filling up, and it keeps filling up, you just tell them to keep that sandbag in place and if they are at home, they can put some books on the area.
BloggerVenue: So patients get to go home quickly after the surgery?
Dr. Paul Perito: Yes.
BloggerVenue: Our time is almost up. Would you like to add anything?
Dr. Paul Perito: In conclusion, I would like to say that the minimally invasive approach to penile implantation is safe, efficacious and expedient and I think it should be taught in conjunction with the penile scrotal approach, since both of them have such great strengths. Thank you very much for speaking with me today.
Dr. Paul Perito is a 1988 graduate of the University Of Maryland School Of Medicine. His practice, Perito Urology, is considered one of the foremost Erectile Dysfunction treatments centers in the world. Since 2005, Dr. Paul Perito has successfully performed more than 3,000 penile implants, establishing him as a leader in the field. He has streamlined the procedure, making it not only more efficient, but safer, by the development and actualization of a minimally invasive approach. Aside from contributing extensively to medical publication libraries, Dr. Paul Perito heads the training center at Perito Urology where his technique is taught to an audience of surgeons from across the globe.
The information contained in this article is provided by Dr. Paul Perito for educational purposes only. It is not intended to treat or diagnose any condition.