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Penile Implants

There are many reasons to consider penile enhancement procedures, and most can be classified as medically necessary.

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Palm Springs, CA (760) 610-8650
Palm Desert, CA (760) 346-1133
La Quinta, CA (760) 610-8640
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I got to the point where I didn’t even want to golf anymore. I’d go golf with my buddies and I was afraid if I’d swing that club, I’d leak a little bit. I got to the point where I didn’t do any activity that was strenuous.
Gary

Penile Prosthesis

Excellent Girth Expansion • Exceptional Rigidity • Natural Appearing Flaccidity

The only penile implant with cylinders designed to expand in length and girth

Prostate cancer and penile straightening procedures may result in loss of penile length. Penile shortening — real or perceived — may be devastating to a man’s self-confidence and may cause significant anxiety. Although penile shortening may occur, the LGX cylinders were designed to expand in length and girth which could provide a patient with the opportunity to regain or maintain penile length.


The inflatable penile prosthesis is available with or without pre-connected cylinders and pump, for either an infra pubic or penoscrotal approach.

Key features include:

Conceal™ Low Profile Reservoir

  • Parylene coated to enhance reservoir durability
  • Optimizes fit to offer a sleek, flexible solution

Cylinder and Rear Tip Extender (RTE) Design

  • Reduced proximal profile designed to ease placement into proximal corpora even in difficult to dilate cases
  • Snap-Fit™ RTEs optimize fit and a secure, rigid connection
  • A broad range of RTE lengths provides a custom fit for patients (available in 0.5 cm increments, ranging from 0.5-7.5 cm)

MS (Momentary Squeeze) Pump™

  • One-touch button designed for easy deflation
  • Lock-out valve designed to resist auto inflation

InhibiZone™ Antibiotic Surface Treatment

  • Only antibiotic-impregnated inflatable penile prosthesis on the market
  • Creates a zone of inhibition effective against the bacteria commonly associated with inflatable penile prosthesis infections
  • The only inflatable penile prosthesis with clinical evidence showing a significant reduction in the rate of revision due to infection
In one study of 200 patients and 120 partners, the overall patient and partner satisfaction rate for the AMS 700™ Inflatable Penile Prosthesis was 92% and 96%, respectively.
50% described their erections as satisfactory, and 48% reported excellent erections.
75% of patients reported no change in their orgasm, with 20% reporting better orgasms.

  • Montorsi F, Rigatti P, Carmignani G, et al. AMS three-piece inflatable implants for erectile dysfunction: a long-term multi-institutional study in 200 consecutive patients. Eur Urol. 2000 Jan;37(1):50-5.
Indications for Use: The AMS 700™ Series Inflatable Penile Prosthesis product line is intended for use in the treatment of chronic, organic, male erectile dysfunction (impotence).

Contraindications: The AMS 700 Series Inflatable Penile Prostheses are contraindicated in the patients that have active urogenital infections or active skin infections in the region of surgery or (for the AMS 700 prosthesis with InhibiZone™ Antibiotic Surface Treatment) have a known sensitivity or allergy to rifampin, minocycline or other tetracyclines, or patients with lupus erythematosus because minocycline has been reported to aggravate this condition.

Warnings: Implantation of the device will make latent natural or spontaneous erections, as well as other interventional treatment options, impossible. Men with diabetes, spinal cord injuries or open sores may have an increased risk of infection associated with the implantation of a prosthesis. Failure to evaluate and promptly treat erosion may result in a substantial worsening of the condition leading to infection and loss of tissue. Implantation may result in penile shortening, curvature, or scarring. Pre-existing abdominal or penile scarring or contracture may make surgical implantation more complicated or impractical. If a hypersensitivity reaction develops to a device coated with InhibiZone, the penile prosthesis should be removed and the patient treated appropriately.

Precautions: Migration of the device components can occur if the cylinders are improperly sized, if the pump or the reservoir is not positioned properly, or if the tubing lengths are incorrect.

Potential Adverse Events: May include device malfunction/failure leading to additional surgery, device migration potentially leading to exposure through the tissue, device/tissue erosion, infection, unintended-inflation of the device and pain/soreness. MH-545408-AA

I think the emotional impact was probably the greatest change in my life. I suddenly did not want to be intimate with my wife. I felt unclean.
Jerry

Urinary Control System

Find Your Happiness • Restore Your Normalcy • Renew Your Confidence

Fix Your Incontinence

Do not let your SUI stop you from doing the things you love in life. The AMS 800 Urinary Control System is filled with saline and uses the fluid to open and close the cuff surrounding the urethra. When you need to urinate, you squeeze and release the pump in the scrotum several times to remove fluid from the cuff. When the cuff is empty, urine can flow out of the bladder. The cuff automatically refills in a few minutes squeezing the urethra closed to restore bladder control.

This system offers customizable treatment options based on the patient’s physical condition, with components tailored to fit their anatomy. System components and accessories include:

  • Occlusive Cuff
  • Pressure Regulating Balloon
  • Control Pump
  • Accessory Kit
  • Quick Connect Assembly Tool
  • Insertion Package
  • Deactivation Package
In one study of 50 patients, 90% reported satisfaction.1
92% would have the AMS 800™ Urinary Control System placed again.2
96% would recommend it to a friend.3
Published clinical studies show that 59%-90% used 0-1 pad per day after the procedure.4

  1. Data on file with Boston Scientific.
  2. AMS 800TM Urinary Control System Instructions for Use. American Medical Systems, Inc. 2017.
  3. Montague, DK. Artificial urinary sphincter: long-term results and patient satisfaction. Adv Urol. 2012;2012:835290.
  4. Kahlon B, Baverstock RJ, Carlson K. Quality of life and patient satisfaction after artificial urinary sphincter. Can Urol Assoc J. 2011 Aug;5(4):268-72.

Indications for Use: The AMS 800™ Urinary Control System is used to treat urinary incontinence due to reduced outlet resistance (intrinsic sphincter deficiency) following prostate surgery.

Contraindications: Patients whom the physician determines to be poor surgical candidates, urinary incontinence due to or complicated by an irreversibly obstructed lower urinary tract, have irresolvable detrusor hyperreflexia or bladder instability, or (for the AMS 800 prosthesis with InhibiZone™ Antibiotic Surface Treatment) have a known sensitivity or allergy to rifampin, minocycline or other tetracyclines, or patients with lupus erythematosus because minocycline has been reported to aggravate this condition.

Warnings: Patients with urinary tract infections, diabetes, spinal cord injuries, open sores or regional skin infections may have increased risk of infection associated with a prosthesis. Erosion may be caused by infection, pressure on the tissue, improper cuff sizing, improper balloon selection, tissue damage, and component misplacement. Patients with urge incontinence, overflow incontinence, detrusor hyperreflexia or bladder instability should have these conditions treated and controlled (or resolved) prior to implantation of the device. Surgical, physical, psychological, or mechanical complications, if they occur, may necessitate revision or removal of the prosthesis.

Potential Adverse Events: May include device malfunction/failure leading to additional surgery, device/tissue erosion through urethra/bladder/scrotum, urinary retention, infection, and pain/soreness. MH-545609-AA

When we were no longer intimate, it made me feel like he (Jerry) didn’t love me, and I was no longer attractive to him. I also lost all my self-confidence.
Becky (Jerry's spouse)

World-Class Providers

Elite Surgeons • Dedicated Staff • Exceptional Bedside Manner

Compassionate Care provided to patients with common or advanced surgery needs

Our providers are second to none. With hundreds of years of combined penile surgery experience, our staff of elite providers utilizes the most technologically advanced surgery methods to assess and tackle their patient’s needs.

Cesar Mora, M.D.
Cesar Mora, M.D.
Dr. Mora is a urological surgeon with expertise in the field of Robotic Surgery, Laparoscopic Surgery, Female Urology, and Reconstructive Urology.

He received his medical education from Universidad Central de Venezuela where he graduated with honors at the top of his class. Dr. Mora joined Rutgers – New Jersey Medical School in 2007, where he completed 2 years of General Surgery. He then became a Research Fellow participating in breakthrough research with publications in multiple peer-reviewed journals. He continues to be involved in various research protocols. After completing his fellowship in 2010 he attended the Urology Residency Program at Rutgers – New Jersey Medical School and completed his training in Urology, Laparoscopy and Robotic Surgery at Hackensack University Medical Center and University Hospital – New Jersey Medical School in 2014. He received specialty training at Saint Barnabas Medical Center and Newark Beth Israel Medical Center for one year. Dr. Mora is a member of the American Urologic Association. He specializes in advanced laparoscopy, robotic surgery, female urology, reconstructive urology, stone disease, and urological oncology.

Steven Wilson, M.D.
Steven Wilson, M.D.
In 40 years of practice and over 11,000 implants, Dr. Wilson has performed prosthetic surgery in 49 countries and been visiting professor at 83 American training programs & numerous foreign centers.

Dr. Wilson was formerly a Professor of Urology at the University of Arkansas for Medical Sciences, Little Rock Arkansas. The Steven K Wilson Chair of Prosthetic Urology was endowed at this University in 2007. He is a past president of the Southcentral Section of the American Urological Association and multiple other scientific societies.

He is the author or co-author of 173 peer reviewed publications, videos and abstracts, 16 textbook chapters, many reference surgical videos and 4 prosthetic urology textbooks including an electronic Textbook of Prosthetic Urology for the iPad. He was recently elected to the Royal College of Surgeons of England “ad eundum”—distinctly unusual for USA urologists. He is the 2010 recipient of the St Paul’s Medal of the British Association of Urologic Surgeons – given yearly to that single urologist outside of United Kingdom that contributed significantly to world urology. In 2013, the F. Brantley Scott Award of Excellence was designated to Wilson. This award has been given to 23 distinguished world physicians whose work has “made a dramatic impact on medicine and patient quality of life.” He has also been awarded lifetime achievement awards by the AR Urologic Society and the North Rhein Westfalia German Urologic Society. He is Editor-In-Chief of the International Society of Sexual Medicine Video Journal of Prosthetic Urology. His notable contributions include strategies for infection and biofilm in penile prosthetics and the modeling procedure for Peyronie’s Disease.

Wilson is most recognized for his inventions of new surgical techniques making the complex implantation of penile implants and sphincters minimally invasive. Many of the modern enhancements to the penile implant and special implantation instruments/retractors are the result of Dr. Wilson’s inventions and research. His current practice is limited to prosthetic urology and he continues to travel and teach others his techniques.

Bobby Alexander, M.D.
Bobby Alexander, M.D.
Bobby S. Alexander, MD specializes in the diagnosis and treatment of patients with a variety of urological conditions. Erectile dysfunction is a common men’s health issue afflicting a multitude of patients in the Coachella Valley. Having studied under the tutelage of the world-renowned prosthetic surgeon and ED specialist, Dr. Steven Wilson, Dr. Alexander offers his expertise in this often under-reported problem. From conservative approaches to more invasive inflatable penile prosthesis surgery, he provides a wide variety of treatment options to suite every need.

“It is important to make our patients feel comfortable while offering exquisite care, especially when dealing with sensitive medical problems like erectile dysfunction. I am proud to offer this world-class, comprehensive urological care along with my colleagues at Valley Urologic Medical Group.”

Farshid Mirzaee, M.D.
Farshid Mirzaee, M.D.
Dr. Mirzaee is a member of Valley Urologic Medical Group and has great expertise in Erectile Dysfunction and all treatment modalities for it, including medical therapy and surgical treatment such as insertion of penile prosthesis. He has training under world-renowned penile implant surgeon Dr. Steven Wilson and has brought his expertise to the Coachella Valley. Dr. Mirzaee is a member of the American Urologic Association in good standing and board certified by American Board of Urologists. Dr. Mirzaee treats all aspects of male sexual dysfunction including testosterone therapy. He has established himself as one of the busiest urologic surgeons in the Coachella Valley.
Pedram Ilbeigi, D.O., FACS
Pedram Ilbeigi, D.O., FACS
Dr. Peter is the medical director of the Urologic Institute. As a urologic surgical Oncologist, he brings technical expertise in the field of robotic surgery, advanced laparoscopic surgery, cryosurgery, and reconstructive surgery.
Samuel Lee, M.D., FACS, FICS
Samuel Lee, M.D., FACS, FICS
Dr. Lee is a board-certified urological surgeon who specializes in all aspects of adult and pediatric urology. He is a fellow of the American College of Surgeons and International College of Surgeons.
Saman Shafaat Talab, M.D.
Saman Shafaat Talab, M.D.
Dr. Saman Shafaat Talab is a practicing urologic surgeon in Palm Desert, California. Dr. Talab’s academic training and experience have resulted in a successful surgical career. His clinical interest is in urologic oncology and men’s health including erectile dysfunction.

After receiving his medical degree from Tehran University of Medical Sciences Dr. Talab, MD, joined department of Urology at Massachusetts General Hospital, Harvard medical School as a post-doctoral fellow. Following 3 years of urology research at MGH he completed his general surgery internship and residency in urology at Rutgers-New Jersey Medical School and currently is a member of American Urologic Association. Under mentorship of Dr. Sadeghi-Nejad, nationally and internationally renowned urologist in men’s health and prostatic surgery, he had an extensive experience in management of male sextual dysfunction and penile prosthesis surgery.

Dr. Talab has published more than 40 articles in peer-reviewed journals, co-authored multiple book chapters and has had numerous abstracts and presentations at national and international urology conferences. His research has been rewarded by multiple prestigious international awards from urologic societies.

Vladislav Bargman, M.D.
Vladislav Bargman, M.D.
Dr. Bargman completed pre-medical studies at New York University before earning his medical degree at SUNY Downstate College of Medicine.

Dr. Bargman completed his urology training at the University of Medicine and Dentistry of New Jersey/ New Jersey Medical School and affiliated hospitals. During residency, he was trained by Dr. Hossein Sadeghi, one of the internationally renowned leaders in the field of sexual dysfunction and infertility. He then successfully completed additional fellowship training at Indiana University School of Medicine in Robotic and Minimally Invasive Surgery.

Prior to coming to Valley Urologic Medical Group, Dr. Bargman served as an Assistant Professor of Surgery at Rutgers University-New Jersey Medical School and a Chief of Urology Service at University Hospital in Newark, New Jersey where he was one of the leading physicians treating patients with various forms of erectile dysfunction, hypogonadism and premature ejaculation. He has published numerous papers in peer-reviewed journals and lectured extensively nationally as well as abroad on a subject of post-prostatectomy erectile dysfunction and testosterone replacement therapy. His particular area of interest is testosterone replacement therapy in patients with a history of prostate cancer.

Dr. Bargman was nominated as one of the best urologic surgeons in NY Metro area by prestigious Castle Connolly Medical Ltd last three years in a row. He is a Diplomate of American Board of Urology.

A native of Odessa, Ukraine, Dr. Bargman is fluent in Russian, Ukrainian, Spanish and Portuguese.

Dr. Ilbeigi removed a cancerous part of my kidney using the Robot and I was home in less than 24 hours. I had seen two other urologists and they just wanted to remove my kidney, but Dr. Ilbeigi had the knowledge and expertise to perform this advance surgery. He was very reassuring and took his time before during and after surgery to keep our nerves at ease. I owe him my life.
JA

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