Urological prosthetic surgery physicians at ucsf specialize in the placement of artificial urethral sphincters this procedure involves the placement of an inflatable donut around the urethra that is connected both to a pump and a fluid reservoir. When surgery is undertaken the patient gives up their own ability to achieve erections but achieves a reliable way to achieve erections on demand as with any prosthetic there is a risk of infection necessitating device removal or mechanical failure. Urologists interested in prosthesis surgery currently offer a range of procedures eg slings for incontinence in both men and women and is also within the remit of those undertaking aus artificial urinary sphincter implantation and likewise andrological surgeons undertaking penile prosthesis also offer aus. Prior to penile prosthesis surgery a careful history and physical examination are necessary to confirm the nature of the erectile dysfunction prior treatments and to identify any additional sexual dysfunction such as loss of desire inability to ejaculate or premature ejaculation support urology every day uw medicine makes a . Prosthetic surgery in urology is a timely reference book for both trainees and established urological surgeons professionals interested in expanding their clinical practice will find this book to be an essential resource for developing knowledge and skills in this area en
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