Explanipedia

(281) Exploring Multiparametric MRI (mpMRI) of the Prostate Beyond Diagnosis and Staging: Identifying Accessory Pudendal Arteries (APA) & Correlation With Functional Outcomes Open

Abdullah Al-Mitwalli, C Vonstempel, Ahmed Al-Nowfal, Matthew Megson, Zafer Tandoğdu , et al. · 2025

Introduction mpMRI is integral for diagnosis and staging of prostate cancer. mpMRI guides surgical planning for robotic assisted radical prostatectomy (RARP) prior to bilateral nerve sparing (BNS) surgery. A recently published systematic r…

(118) Response to Erectile Dysfunction (ED) Treatment After Non-nerve-Sparing (NNS) Robot-Assisted Radical Prostatectomy (RARP) for Prostate Cancer (PCa) Open

Abdullah Al-Mitwalli, Sonam Gurung, A. Di Giovanni, Rakan Aldarrab, Elizabeth Day , et al. · 2025

Introduction RARP is a common procedure carried out for patients with prostate cancer. Erectile function (EF) recovery is known to be significantly lower following NNS RARP compared to nerve-sparing procedure. There is a lack of research …

(172) Long-Term Outcomes for Mechanical Failure Following Gender Affirming Erectile Device Insertion Open

Don Lee, Alessandro Del Gobbo, A. Di Giovanni, M. Muni’ i Sureda, M Braida , et al. · 2025

Introduction Inflatable erectile devices (IED) insertion following masculinising genital gender-affirmation surgery (mGAS) has significant differences compared to the procedure in the male-at-birth population. Previous smaller series demon…

(346) Assessment of the Functional and Satisfaction Outcomes After Inflatable Penile Prosthesis (IPP) Surgery Using a Validated Instrument Open

Abdullah Al-Mitwalli, Helen L. Bernie, Teresa Pereira, Lucas Amorim, Charles A. Salter , et al. · 2025

Introduction Surgeon reported outcomes after IPP suggest near uniform satisfaction. The Satisfaction Survey for Inflatable Penile Implant (SSIPI) is the only validated English language tool designed to assess outcomes after IPP across mult…

(284) 5-Year Follow-up After Penile Fracture Repair: Assessment of Erectile and Urinary Outcomes Using Validated Questionnaires Open

Abdullah Al-Mitwalli, Milan Shah, M. Nasser, Boon Chua, A. Di Giovanni , et al. · 2025

Introduction Penile fracture (PF) is a urological emergency characterized by rupture of the tunica albuginea of the corpora cavernosa, occurring either in isolation or alongside a urethral tear in up to 15% of cases. Early surgical interve…

Glanspexy for real glans hypermobility after penile prosthesis surgery: A retrospective review and patient satisfaction analysis Open

A. Di Giovanni, Isabel Dighero, Mital Shah, Don Lee, David Ralph , et al. · 2025

The evolution of penile reconstructive techniques in urology Open

Mehmet Hamza Gültekin, Abdullah Al-Mitwalli, Don Lee, David Ralph · 2025

The need to enhance the quality of life and functionality of patients with a number of diseases, such as congenital abnormalities, traumas, and gender incongruence, has contributed to a significant development in the field of male genital …

Quality of life outcomes following penile prosthesis insertion in the post-ischaemic priapism setting Open

Isabel Dighero, Katy Naylor, A.T. Looney, Fiona Holden, Chloe Mount , et al. · 2025

Penile prosthesis insertion is recommended for long-duration ischaemic priapism patients with refractory erectile dysfunction. There is a paucity of published data focusing on long term outcomes and quality of life reporting for patients i…

EXPLORING MULTIPARAMETRIC MRI OF THE PROSTATE BEYOND DIAGNOSIS AND STAGING: IDENTIFYING ACCESSORY PUDENDAL ARTERIES Open

Abdullah Al-Mitwalli, Matthew Megson, Wesley Lee, Conrad von Stempel, Zafer Tandoğdu , et al. · 2025

Objectives Multiparametric MRI (mpMRI) of the prostate has become an integral step in the diagnosis and staging of localized prostate cancer. It is also utilized for surgical planning to guide the decision for nerve sparing surgery prior t…

LONG-TERM OUTCOMES OF SCROTAL/PERINEAL URETHRAL CONSTRUCTION IN INDIVIDUALS ASSIGNED FEMALE AT BIRTH FOLLOWING THE PHALLOPLASTY AND JOIN-UP STAGE Open

Alessandro Del Gobbo, A Giovanni, O. Sedigh, Andrew N. Christopher, David Ralph , et al. · 2025

Objectives The literature poorly describes strictures and fistulae after the join-up (JU) stage of transmasculine gender-affirming surgery (tGAS). The current series also do not always separate the urethral complications of the phallus fro…

LONG-TERM OUTCOMES OF URETHRAL RECONSTRUCTION FOR PHALLOPLASTY IN INDIVIDUALS ASSIGNED FEMALE AT BIRTH Open

Alessandro Del Gobbo, Giovanni Antonini, O. Sedigh, Andrew N. Christopher, David Ralph , et al. · 2025

Objectives To describe the long-term outcomes of urethral reconstruction in a large cohort of individuals assigned female at birth (AFAB) following phalloplasty. All patients had an integrated (tube-in-tube) urethra or staged radial artery…

CURRENT PRACTICES AND TREATMENT STRATEGIES FOR CLIMACTURIA: A YAU RECONSTRUCTIVE AND ESGURS SURVEY Open

F Chierigo, Guglielmo Mantica, Maciej Oszczudłowski, François-Xavier Madec, Łukasz Białek , et al. · 2025

Objectives Climacturia is a neglected complication following radical prostatectomy (RP) that significantly impacts quality of life. Despite its prevalence, treatment approaches remain underreported. This survey evaluates European practices…

RESPONSE TO ERECTILE DYSFUNCTION TREATMENT AFTER NON-NERVE-SPARING ROBOT-ASSISTED RADICAL PROSTATECTOMY Open

Abdullah Al-Mitwalli, Sonam Gurung, A. Di Giovanni, Rakan Aldarrab, F Holden , et al. · 2025

Objectives Erectile function recovery is known to be significantly lower following non-nerve-sparing (NNS) robot assisted radical prostatectomy (RARP) compared to nerve-sparing RARP. Despite this, there is a notable lack of contemporary re…

P069 Analysis of sperm in patients undergoing surgical ligation versus embolization for repair of varicocele Open

Isabel Dighero, Jessica Caterson, Richard L. Hesketh, Miles Walkden, Sadia Hafeez Kazi , et al. · 2024

TGF-β1 induces formation of TSG-6-enriched extracellular vesicles in fibroblasts which can prevent myofibroblast transformation by modulating Erk1/2 phosphorylation Open

Marcus M. Ilg, Stephen A. Bustin, David Ralph, Selim Cellek · 2024

(209) Investigating if Polygamy is Associated with Higher Levels of Testosterone or Not Open

Mohamad Habous, C Bittocchi, David Ralph · 2024

Introduction Introduction: in middle east countries polygamy is legal and common. While the majority of married men have only one wife, some of them have more than one wife. Objective Objectives: Its a common hypothesis among public that a…

Penile fracture and urethral injury repair Open

P. Tagdiwala, Matthew Megson, Ali Pasyar, David Ralph, W.G. Lee · 2023

Unforeseen outcome in hydrocele repair: Implications of three-piece inflatable penile prosthesis placement Open

Ali Pasyar, Matthew Megson, Parth Tagdiwala, Tobias Köhler, David Ralph , et al. · 2023

Penile reconstruction following penile necrosis by radial forearm free flap phalloplasty Open

A. Schirmann, O. Lloyd-Williams, David Ralph, Nim Christopher, Don Lee · 2023

Role of adipose-derived stem cells in healing surgically induced trauma of the rat’s tunica albuginea Open

Abdallah Sharqawi, Mona F Mansour, Gamal Ali Elatrash, Ezzat A. Ismail, David Ralph , et al. · 2023

Background Injection of adipose-derived stem cells (ADSCs) into the injured tunica albuginea (TA) may prevent fibrosis, restore the balance between pro- and antifibrotic pathways, and potentially mitigate erectile dysfunction caused by abn…

Erectile device insertion following phalloplasty in transgender and non-binary individuals assigned female at birth: a narrative review Open

Giovanni Chiriacò, A.T. Looney, Andrew N. Christopher, David Ralph, Don Lee · 2023

Genital gender affirmation surgery (gGAS) for individuals assigned female at birth (AFAB) is complex and requires the staged insertion of an erectile device to permit penetrative intercourse. This final stage of gGAS is challenging, owing …

Quality of life outcomes for penile prosthesis insertion post-priapism – Satisfaction guaranteed? Open

A.T. Looney, Katy Naylor, Isabel Dighero, Cristin A. Mount, Mark Johnson , et al. · 2023

Malleable penile prosthesis insertion for late presentation priapism Open

A.T. Looney, G. Chiriacò, David Ralph, Philippa Sangster · 2023

Investigating the risk factors of penile arterial insufficiency and veno‐occlusive dysfunction in patients with erectile dysfunction Open

Mohamad Habous, Ahmed Khattak, Mohammed Farag, Saleh Binsaleh, David Ralph , et al. · 2023

Objective To investigate the risk factors for penile arterial insufficiency (PAI), which is a known cause of erectile dysfunction (ED). Methods Patients who attended our urology clinic complaining of ED for more than 6 months were prospect…

Commentary: Value of prolonged scrotal drainage after penile prosthesis implantation: a multicentre prospective nonrandomized pilot study Open

Don Lee, Philippa Ralph, David Ralph · 2023

Therapeutic outcomes and analysis of Doppler findings in 25 patients with non-ischemic priapism Open

Conrad von Stempel, Rohaan Shahzad, Miles Walkden, Fabio Castiglione, Asıf Muneer , et al. · 2023

A combination of phosphodiesterase type 5 inhibitor and tamoxifen for acute Peyronie’s disease: the first clinical signals Open

Selim Cellek, Matthew Megson, Marcus M. Ilg, David Ralph · 2023

Peyronie’s disease (PD) is a fibrotic disorder of the penile tunica albuginea (TA) and can lead to pain during erection and/or intercourse, penile curvature, erectile dysfunction, and penile deformity and/or shortening, with psychosocial c…

(375) Can Tamoxifen and a PDE5 inhibitor slow the progression of Peyronie’s Disease? Open

Matthew Megson, C Merrett, Selim Cellek, David Ralph · 2023

Introduction The available treatments for Peyronie’s Disease as recommended by international guidelines are either surgery or intralesional injection therapy. In recently cell and rat studies it has been shown that using a phosophdiesteras…

(199) Anterolateral Thigh Flap Phalloplasty for Micropenis Open

A. Schirmann, David Ralph, Nim Christopher, W G Lee · 2023

Introduction Congenital micropenis is defined as a normally formed penis with a stretched penile length less than 2.5 standard deviations below the mean for that man’s age and ethnicity. Micropenis may present as an isolated condition or w…

(037) Contemporary Surgical and Functional Outcomes of Anterolateral Thigh Flap for Penile Reconstruction Open

W G Lee, Kelvin Adasonla, David Ralph, Nim Christopher · 2023

Introduction The radial forearm free flap phalloplasty is the most commonly used flap for penile reconstruction. The anterolateral thigh (ALT) free flap was proposed in 2006 as an alternative due to the twin advantages of a more easily hid…

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