Patient selection (5) |
Identify concerning patient factors and the “CURSED” patient |
Initial evaluation of expectations |
Preoperative optimization |
Evaluate for pertinent operative risk factors |
Discuss smoking cessation and glucose control |
For patients with length concerns, discuss preoperative vacuum or penile traction therapy |
Informed consent (7) |
Formal platform to discuss and counsel patient on operative risk, infections and device reliability |
Device selection |
Discussion of clinical factors that may effect device selection |
Highlight appropriate AMS/Coloplast devices |
Postoperative expectations |
Candid discussion regarding postoperative changes to penile length and sensation |
Partner involvement (8) |
Encourage partner participation and involvement from the initial visit |
Discuss implications of IPP placement on the dynamics of sexual intercourse |
Discuss potential benefits of sex therapy for interested couples |