Welcome back to the\u00a0Rigicon Academy Blog<\/strong>, where we spotlight international thought leadership and innovation in prosthetic urology. In this edition, we bring you a recap of the\u00a0Prosthetic Urology 2022 Kickoff Webinar<\/strong>, recorded live on\u00a0January 5, 2022<\/strong>. Esteemed experts\u00a0Dr. Paul Perito<\/strong>,\u00a0Dr. Rafael Carrion<\/strong>, and\u00a0Dr. Gabriele Antonini<\/strong>\u00a0shared their nuanced perspectives on surgical techniques, patient outcomes, and the evolving standards of care in penile prosthesis implantation.<\/p>\n From Miami to Rome, these world-renowned surgeons explored the common ground and differences in surgical approaches while agreeing on one core principle:\u00a0surgical excellence, regardless of the technique, delivers optimal results when guided by experience and protocol.<\/strong><\/p>\n Dr. Paul Perito<\/strong>\u00a0initiated the session with a message of unity: while techniques may differ, a meticulously performed penile implant procedure consistently yields high patient satisfaction. He emphasized outcome-driven care over procedural dogma, advocating for collaboration in refining standards across approaches.<\/p>\n \u201cThere\u2019s a common ground we can all stand on\u2014regardless of the incision. A well-done implant is a well-done implant.\u201d<\/p>\n<\/blockquote>\n Dr. Perito presented compelling data from his high-volume practice, noting that\u00a0over 80% of patients resume sexual activity within three weeks post-op<\/strong>. He attributed this accelerated recovery to minimal dissection, avoidance of Foley catheters, and targeted use of drains.<\/p>\n Key Benefits:<\/strong><\/p>\n Earlier sexual rehabilitation:<\/strong>\u00a082% at 4 weeks; currently trending toward 3 weeks.<\/p>\n<\/li>\n Reduced discomfort:<\/strong>\u00a0Foley catheters often omitted entirely or removed before the patient wakes.<\/p>\n<\/li>\n Efficient exposure:<\/strong>\u00a0Achieved within 2\u20133 minutes using pediatric specula and refined retractors.<\/p>\n<\/li>\n Safer reservoir placement:<\/strong>\u00a0Closer proximity with less risk using a 70mm nasal speculum.<\/p>\n<\/li>\n Minimal dorsal nerve risk:<\/strong>\u00a0Thanks to hydrodilatation and precise instrument handling.<\/p>\n<\/li>\n Pump positioning education:<\/strong>\u00a0Teaching patients to pull the pump down reduces migration.<\/p>\n<\/li>\n<\/ul>\n \u201cI want penile implants to be as accepted as breast implants\u2014routine, accessible, and stigma-free.\u201d<\/p>\n<\/blockquote>\n Dr. Rafael Carrion<\/strong>\u00a0highlighted the value of the penoscrotal approach, especially for\u00a0complex revision surgeries, fibrosis cases, or teaching environments<\/strong>. While this method may involve more vascular exposure, it allows for adjunct procedures and precise pump fixation.<\/p>\n Key Highlights:<\/strong><\/p>\n Superior exposure<\/strong>\u00a0in teaching cases and fibrosis.<\/p>\n<\/li>\n Ease of adjunct procedures<\/strong>\u00a0like web takedown or vasectomy.<\/p>\n<\/li>\n Pump fixation<\/strong>\u00a0using anchoring sutures for long-term positioning.<\/p>\n<\/li>\n Adaptability:<\/strong>\u00a0Allows for longer incisions when anatomical variance demands it.<\/p>\n<\/li>\n<\/ul>\n \u201cIt\u2019s not a race. It\u2019s about quality and letting your outcomes speak for themselves.\u201d<\/p>\n<\/blockquote>\n After training with Dr. Perito in Miami,\u00a0Dr. Gabriele Antonini<\/strong>\u00a0transitioned from penoscrotal to infrapubic techniques, applying a\u00a0minimally invasive philosophy<\/strong>. With patients often returning to function faster, his adaptations aim to further improve\u00a0hemostasis, recovery, and cosmetic outcomes<\/strong>.<\/p>\n Technique Enhancements:<\/strong><\/p>\n Two additional\u00a0sutures on the corpora<\/strong>\u00a0to prevent hematoma.<\/p>\n<\/li>\n Drain placement for 3\u20135 days<\/strong>\u00a0to minimize scrotal swelling and allow early device activation.<\/p>\n<\/li>\n Aesthetic incisions under 2 cm for improved cosmetic recovery.<\/p>\n<\/li>\n Customized \u201cscratch technique\u201d for\u00a0Peyronie\u2019s disease<\/strong>, correcting curvature while preserving function.<\/p>\n<\/li>\n<\/ul>\n \u201cWe aim for less pain, fewer complications, and better recovery. Patients cycle the device within 2 weeks.\u201d<\/p>\n<\/blockquote>\n All three surgeons emphasized the importance of:<\/p>\n High-volume specialized centers<\/strong>\u00a0for prosthetic urology.<\/p>\n<\/li>\n Structured patient education<\/strong>\u00a0on expectations, postoperative care, and complications like hypermobility.<\/p>\n<\/li>\n Standardization of technique<\/strong>\u00a0to improve outcomes globally.<\/p>\n<\/li>\n<\/ul>\n As the field continues to evolve, collaboration between experienced surgeons, tailored training programs, and shared data remain essential to pushing the boundaries of what penile prosthetics can achieve\u2014for both patients and practitioners.<\/p>\n Infrapubic and penoscrotal approaches<\/strong>\u00a0each have unique benefits.<\/p>\n<\/li>\n Patient education and post-op management<\/strong>\u00a0are crucial to success.<\/p>\n<\/li>\n Surgeon experience and refined protocols<\/strong>\u00a0determine outcomes\u2014not just the chosen technique.<\/p>\n<\/li>\n The future lies in\u00a0standardized care, innovation, and global collaboration.<\/strong><\/p>\n<\/li>\n<\/ul>\n With thought leaders like\u00a0Dr. Perito<\/strong>,\u00a0Dr. Carrion<\/strong>, and\u00a0Dr. Antonini<\/strong>\u00a0paving the way, the field of prosthetic urology is in skilled and visionary hands.<\/p>\n \ud83e\ude7a\u00a0Stay tuned to Rigicon Academy for more expert-driven insights from the frontlines of urologic innovation.<\/em><\/p>\n","protected":false},"featured_media":6136,"parent":0,"template":"","meta":{"_acf_changed":false},"categories":[83],"class_list":["post-6135","academy-blog","type-academy-blog","status-publish","has-post-thumbnail","hentry","category-rigicon-academy-blog"],"acf":[],"yoast_head":"\n
\n\ud83d\udea8 Surgical Philosophy: “A Well-Done Implant Is a Well-Done Implant”<\/h3>\n
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\n\u2702\ufe0f The Infrapubic Approach (Phantom Technique): Precision, Speed, and Patient Comfort<\/h3>\n
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\n\ud83d\udd0d The Penoscrotal Perspective: Visibility and Versatility in Complex Cases<\/h3>\n
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\n\ud83c\uddee\ud83c\uddf9 European Innovation: Dr. Antonini\u2019s Minimally Invasive Evolution<\/h3>\n
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\n\ud83c\udfe5 The Future: Dedicated Centers & Standardized Protocols<\/h3>\n
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\n\u2705 Final Takeaways<\/h3>\n
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