Neil D. Sherman

Erectile function after posterior urethroplasty for pelvic fracture‐urethral distraction defect injuries

To determine the specific effect of pelvic fracture‐urethral distraction defect (PFUDD) injuries on erectile function (EF) in men after pelvic fractures, and to compare EF to that found in other studies of men who sustained pelvic fractures, as currently the relationship between erectile dysfunction (ED) and PFUDD has not been elucidated using validated questionnaires.

Management of male incontinence following artificial urinary sphincter failure.

Purpose of review The artificial urinary sphincter has been used successfully for the treatment of stress urinary incontinence in both male and female patients. Its most common use, however, is in men suffering from postprostatectomy incontinence. Recent findings The success rates, long-term durability, and patient satisfaction for the artificial urinary sphincter are high. The incidence of complications and adverse events remains low although they are sometimes unavoidable. Summary We believe that continence can be salvaged in the majority of men in whom the device fails or requires explantation and we present the logical analysis for device revision and relocation in this review.

Ejaculatory profiles and fertility in men after posterior urethroplasty for pelvic fracture-urethral distraction defect injuries

In men who sustain a pelvic fracture‐urethral distraction defect (PFUDD) injury, repairing the urethra involves a complicated urethral anastomosis located posteriorly at the junction of the membranous and prostatic urethra. In this study we performed a post‐ operative semen analysis and questionnaire study to determine the effect of PFUDD injuries and PFUDD repair on ejaculatory function and fertility in these men.

Safety and efficacy of a patient‐controlled bladder management system for treating urinary retention in men

The CymActive™ Bladder Management System (BMS) is a self‐retaining, intraurethral catheter with a patient‐controlled magnetic valve that allows cyclical bladder filling and emptying, without external appliances. We determined the safety and efficacy of the BMS in men with urinary retention who required catheterization for more than 7 days.

Augmented Anastomotic Urethroplasty

Primary anastomotic urethroplasty with complete stricture excision provides for the most successful outcome in bulbar urethral reconstruction. For strictures too long to allow for a tension free anastomosis a substitution urethroplasty is often used. The augmented anastomotic urethroplasty is a combination repair that incorporates the principles of excision and substitution urethroplasty and is primarily used for those bulbar strictures deemed too long for straight forward primary anastomosis. In this repair, up to two centimeters of afflicted urethra is excised, and the ventral urethra is reapproximated and a buccal graft is applied dorsally, thus augmenting the anastomosis and addressing any adjacent wide-caliber stricture.