the updated "list" of high volume implant surgeons

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TANGERINE
Posts: 843
Joined: Wed Feb 15, 2017 11:10 pm

the updated "list" of high volume implant surgeons

Postby TANGERINE » Fri Nov 15, 2019 1:35 am

I was looking through literature and came across a paper written in March 2017 which was a study from 26 centers. This is an important list, since it represents "the club" of experts in penile implant surgery.

Many of the usual franktalk surgeons are on the list : (Eid/perito/garber/Ralph/).

quoted below is the list and the abstract ofrom the paper:

J Sex Med. 2017 Mar;14(3):455-463. doi: 10.1016/j.jsxm.2017.01.007. Epub 2017 Feb 8.
Multicenter Investigation of the Micro-Organisms Involved in Penile Prosthesis Infection: An Analysis of the Efficacy of the AUA and EAU Guidelines for Penile Prosthesis Prophylaxis.

Gross MS1, Phillips EA2, Carrasquillo RJ2, Thornton A2, Greenfield JM3, Levine LA4, Alukal JP5, Conners WP 3rd6, Glina S7, Tanrikut C8, Honig SC9, Becher EF10, Bennett NE11, Wang R12, Perito PE13, Stahl PJ14, Rosselló Gayá M15, Rosselló Barbará M15, Cedeno JD16, Gheiler EL16, Kalejaiye O17, Ralph DJ17, Köhler TS18, Stember DS19, Carrion RE20, Maria PP21, Brant WO22, Bickell MW23, Garber BB23, Pineda M24, Burnett AL 2nd24, Eid JF25, Henry GD26, Munarriz RM2.
Author information
1
Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA. Electronic address: martin.s.gross@gmail.com.
2
Boston University Medical Center, Boston, MA, USA.
3
Urology Associates of North Texas, Grapevine, TX, USA.
4
Rush Medical College, Chicago, IL, USA.
5
NYU Langone Medical Center, New York, NY, USA.
6
Beth Israel Deaconess Medical Center, Boston, MA, USA.
7
Faculdade de Medicina do ABC/Instituto H. Ellis, Bela Vista, SP, Brazil.
8
Massachusetts General Hospital, Boston, MA, USA.
9
Yale School of Medicine, New Haven, CT, USA.
10
University of Buenos Aires, Buenos Aires, Argentina.
11
Lahey Hospital and Medical Center, Burlington, MA, USA.
12
The University of Texas Health Science Center at Houston, Houston, TX, USA.
13
Perito Urology, Coral Gables, FL, USA.
14
Columbia University College of Physicians & Surgeons, New York, NY, USA.
15
Hospital Quirón Palmaplanas Salud, Palma, Illes Balears, Spain.
16
Urology Specialists, Hialeah, FL, USA.
17
University College London Hospital, London, UK.
18
SIU School of Medicine, Springfield, IL, USA.
19
Mount Sinai Hospital, New York, NY, USA.
20
USF Morsani College of Medicine, Tampa, FL, USA.
21
Albert Einstein College of Medicine, Bronx, NY, USA.
22
University of Utah Hospital, Salt Lake City, UT, USA.
23
Hahnemann University Hospital, Philadelphia, PA, USA.
24
Johns Hopkins University School of Medicine, Baltimore, MD, USA.
25
Advanced Urological Care, New York, NY, USA.
26
Regional Urology, Shreveport, LA, USA.
Abstract
INTRODUCTION:
Penile prosthesis infections remain challenging despite advancements in surgical technique, device improvements, and adoption of antibiotic prophylaxis guidelines.
AIM:
To investigate penile prosthesis infection microbiology to consider which changes in practice could decrease infection rates, to evaluate current antibiotic prophylaxis guidelines, and to develop a proposed algorithm for penile prosthesis infections.
METHODS:
This retrospective institutional review board-exempt multi-institutional study from 25 centers reviewed intraoperative cultures obtained at explantation or Mulcahy salvage of infected three-piece inflatable penile prostheses (IPPs). Antibiotic usage was recorded at implantation, admission for infection, and explantation or salvage surgery. Cultures were obtained from purulent material in the implant space and from the biofilm on the device.


shown below is the link to the paper:
https://www.ncbi.nlm.nih.gov/pubmed/28189561
"Strive to find the best surgeon--experience really matters"
(63 yo, Titan 22cm implant Feb 2017 by Dr Eid) I'm super pleased with my length/girth/implant performance. See my story at "The road to becoming a bionic male: Answers ..."

Skier123
Posts: 183
Joined: Tue Aug 29, 2017 8:10 pm

Re: the updated "list" of high volume implant surgeons

Postby Skier123 » Fri Nov 15, 2019 8:35 am

This is one of the best sources I've seen so far - thanks Tangerine.

At the risk of stating the obvious - things change. For example, the star impant surgeon at SIU (which is on the list) was Tobias Kohler ... who has moved and currently practicing at Mayo Clinic in Rochester MN (which is not on the list). So not meant as a criticism, just a reminder to the team to make sure you cross check this list against the surgeon you actually want doing your work ...

Again - great list. Thanks.
54 yr old single guy
Severe ED for over10 years; diagnosed with peyrones and venous leak
Implanted 12/23/19, Dr. Laurence Levine
Coloplast Titan w/ Genesis pump

Biker60
Posts: 362
Joined: Sat Aug 03, 2019 12:06 am
Location: Philadelphia Pa

Re: the updated "list" of high volume implant surgeons

Postby Biker60 » Thu Nov 28, 2019 9:54 am

TANGERINE wrote:I was looking through literature and came across a paper written in March 2017 which was a study from 26 centers. This is an important list, since it represents "the club" of experts in penile implant surgery.

Many of the usual franktalk surgeons are on the list : (Eid/perito/garber/Ralph/).

quoted below is the list and the abstract ofrom the paper:

J Sex Med. 2017 Mar;14(3):455-463. doi: 10.1016/j.jsxm.2017.01.007. Epub 2017 Feb 8.
Multicenter Investigation of the Micro-Organisms Involved in Penile Prosthesis Infection: An Analysis of the Efficacy of the AUA and EAU Guidelines for Penile Prosthesis Prophylaxis.

Gross MS1, Phillips EA2, Carrasquillo RJ2, Thornton A2, Greenfield JM3, Levine LA4, Alukal JP5, Conners WP 3rd6, Glina S7, Tanrikut C8, Honig SC9, Becher EF10, Bennett NE11, Wang R12, Perito PE13, Stahl PJ14, Rosselló Gayá M15, Rosselló Barbará M15, Cedeno JD16, Gheiler EL16, Kalejaiye O17, Ralph DJ17, Köhler TS18, Stember DS19, Carrion RE20, Maria PP21, Brant WO22, Bickell MW23, Garber BB23, Pineda M24, Burnett AL 2nd24, Eid JF25, Henry GD26, Munarriz RM2.
Author information
1
Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA. Electronic address: martin.s.gross@gmail.com.
2
Boston University Medical Center, Boston, MA, USA.
3
Urology Associates of North Texas, Grapevine, TX, USA.
4
Rush Medical College, Chicago, IL, USA.
5
NYU Langone Medical Center, New York, NY, USA.
6
Beth Israel Deaconess Medical Center, Boston, MA, USA.
7
Faculdade de Medicina do ABC/Instituto H. Ellis, Bela Vista, SP, Brazil.
8
Massachusetts General Hospital, Boston, MA, USA.
9
Yale School of Medicine, New Haven, CT, USA.
10
University of Buenos Aires, Buenos Aires, Argentina.
11
Lahey Hospital and Medical Center, Burlington, MA, USA.
12
The University of Texas Health Science Center at Houston, Houston, TX, USA.
13
Perito Urology, Coral Gables, FL, USA.
14
Columbia University College of Physicians & Surgeons, New York, NY, USA.
15
Hospital Quirón Palmaplanas Salud, Palma, Illes Balears, Spain.
16
Urology Specialists, Hialeah, FL, USA.
17
University College London Hospital, London, UK.
18
SIU School of Medicine, Springfield, IL, USA.
19
Mount Sinai Hospital, New York, NY, USA.
20
USF Morsani College of Medicine, Tampa, FL, USA.
21
Albert Einstein College of Medicine, Bronx, NY, USA.
22
University of Utah Hospital, Salt Lake City, UT, USA.
23
Hahnemann University Hospital, Philadelphia, PA, USA.
24
Johns Hopkins University School of Medicine, Baltimore, MD, USA.
25
Advanced Urological Care, New York, NY, USA.
26
Regional Urology, Shreveport, LA, USA.
Abstract
INTRODUCTION:
Penile prosthesis infections remain challenging despite advancements in surgical technique, device improvements, and adoption of antibiotic prophylaxis guidelines.
AIM:
To investigate penile prosthesis infection microbiology to consider which changes in practice could decrease infection rates, to evaluate current antibiotic prophylaxis guidelines, and to develop a proposed algorithm for penile prosthesis infections.
METHODS:
This retrospective institutional review board-exempt multi-institutional study from 25 centers reviewed intraoperative cultures obtained at explantation or Mulcahy salvage of infected three-piece inflatable penile prostheses (IPPs). Antibiotic usage was recorded at implantation, admission for infection, and explantation or salvage surgery. Cultures were obtained from purulent material in the implant space and from the biofilm on the device.


hahnemann University Hospital, Philadelphia, PA, USA. is defunct as of 2019.

U of P
and
Temple U do implants





shown below is the link to the paper:
https://www.ncbi.nlm.nih.gov/pubmed/28189561

Agfa13
Posts: 1578
Joined: Thu Oct 31, 2019 6:03 pm
Location: Laurel, Maryland

Re: the updated "list" of high volume implant surgeons

Postby Agfa13 » Thu Nov 28, 2019 11:21 am

Tangerine, not to pick apart list, but title is Surgeons, not hospitals.
BIG difference between hospitals and surgeons, and I am living proof!
Chesapeake Urology Dr #1 fucked up placement.
3 mos in, Dr #3, Dr. Kramer (high volume Dr), also with Chesapeake Urology, salvaging fuckup of Dr. #1
Dr #1, 6-10 years experience. Dr. #3, Dr. Kramer, over 21 years experience.
Just saying...patient beware and also check out Dr.

Don't know if Admin can change title, but I just wanted to point that out for all that has been posted so far.
Ag, 58, Maryland
Document with BEFORE/after pics
AMS cx 24cm, Titan malleable, Titan Legacy on 3/2/20 (20cm/bilat 2cm RTE/ 75 cc)
Face pic on pg. 22: names and faces; dick pics on pg 7/41: Dick of day
Smaller dick, but can fuck without fail :lol: :D

TANGERINE
Posts: 843
Joined: Wed Feb 15, 2017 11:10 pm

Re: the updated "list" of high volume implant surgeons

Postby TANGERINE » Sat Nov 30, 2019 8:56 pm

yes, thank you for mentioning that issue regarding hospital versus surgeon. Clearly, whether or not your doctor was invited to be coauthor on this single paper should not be consdiered a significant indicator regarding overall quality.

As I took a look at the list, you are correct -- these are considered centers of high volume for implant surgery, and in the case where there was more than one penile implant surgeon, they (to be considerate) listed all the major surgeons doing implants at that center (for example Boston University lists Dr Phillips and Dr Carrasquillo and dr Thornton).

So, this list is not the end all be all of lists. I found the artcle since someone was asking about Dr carrion and I noticed he is on this list. The paper was a multicenter trial, and the authors were selected by the lead author of the paper since this group was felt to be a good sample of high volume surgeons.

Please notice that a majority are in academic university teaching hospitals, which some would say is a good thing or a bad thing. The list is from 2017, so it is 3 years old. The list represents the "academic club" so some younger really talented phenomenal surgeons did not get invited or listed as authors (eg: Dr Kramer from baltimore and Dr Karpman from California)

So, yes, the list is very imperfect !

From the title of the article, here is the list of article authors (the number after their name corresponds to the hospital that they are from):

Gross MS1
Phillips EA2
Carrasquillo RJ2
Thornton A2
Greenfield JM3
Levine LA4
Alukal JP5
Conners WP 3rd6
Glina S7
Tanrikut C8
Honig SC9
Becher EF10
Bennett NE11
Wang R12
Perito PE13
Stahl PJ14
Rosselló Gayá M15
Rosselló Barbará M15
Cedeno JD16
Gheiler EL16
Kalejaiye O17
Ralph DJ17
Köhler TS18
Stember DS19
Carrion RE20
Maria PP21
Brant WO22
Bickell MW23
Garber BB23
Pineda M24
Burnett AL 2nd24
Eid JF25
Henry GD26
Munarriz RM2.
"Strive to find the best surgeon--experience really matters"
(63 yo, Titan 22cm implant Feb 2017 by Dr Eid) I'm super pleased with my length/girth/implant performance. See my story at "The road to becoming a bionic male: Answers ..."

oldbeek
Posts: 2466
Joined: Sun Sep 10, 2017 1:46 pm
Location: Los Angeles area

Re: the updated "list" of high volume implant surgeons

Postby oldbeek » Sat Nov 30, 2019 11:40 pm

This list missed all of the west coast. Dr Karpman , San Jose area, Dr LoDoyle at USC Keck in LA. Lo Doyle assisted Dr Boyd with 300 and was primary on 80 in the last 2 years. Dr LoDoyle is currently doing 3-4 a week. Dr Boyd was the go to guy in LA for 30 years. He is not completely retired if you want to ask for him. Lots of implants done in the Phoenix area but I don't have names.
82, good health, RP 7-2017, all nerves taken , PSA 0.05, 4-18,, .07 1/19,.05 4/19, .03 11-21, .04 11-23, implanted 4-1-18, Infra-pubic, AMS lgx 15 cm with 5cm rte. Implant at USC Keck. Dr Boyd and Dr Loh Doyle 6.5 x 5, 800 AUS 7-21-20

TANGERINE
Posts: 843
Joined: Wed Feb 15, 2017 11:10 pm

Re: the updated "list" of high volume implant surgeons

Postby TANGERINE » Mon Dec 23, 2019 2:33 am

hey everybody, I just found another "invitational " study . It is called the PROPPER study and involved seven centers that were high volume. Shown below is the list of surgeons invited for that study (NOTE , the study was for AMS devices only):

The Who, How and What of Real-World Penile Implantation in 2015: The PROPPER Registry Baseline Data

Gerard D.Henry a†
Edward Karpman b†
William Brant d‡
Brian Christine e†
Bryan T. Kansas f†
Mohit Khera g§
Leroy Jonesh †
Tobias Kohler i‖
Nelson Bennett j‖
Eugene Rhee c‖
Elizabeth Eisenhart a†
Anthony J. Bella k¶


a
Regional Urology, Shreveport, Louisiana
b
El Camino Urology Medical Group, Inc., Mountain View, California
c
Kaiser Permanente, San Diego, California
d
Division of Urology, University of Utah, Salt Lake City, Utah
e
Urology Centers of Alabama, Birmingham, Alabama
f
The Urology Team, Austin, Texas
g
Baylor College of Medicine, Houston, Texas
h
San Antonio Urology, San Antonio, Texas
i
SIU School of Medicine, Springfield, Illinois
j
Lahey Hospital and Medical Center, Burlington, Massachusetts
k
Division of Urology, Department of Surgery, University of Ottawa, Ottawa, Ontario, Canada


As before, the letter after the surgeon's name is then referenced to the hospital where he came from. Very happy to see that Dr Karpman is on the list. This paper was published in 2015.
"Strive to find the best surgeon--experience really matters"
(63 yo, Titan 22cm implant Feb 2017 by Dr Eid) I'm super pleased with my length/girth/implant performance. See my story at "The road to becoming a bionic male: Answers ..."

Biker60
Posts: 362
Joined: Sat Aug 03, 2019 12:06 am
Location: Philadelphia Pa

Re: the updated "list" of high volume implant surgeons

Postby Biker60 » Mon Dec 23, 2019 10:11 am

update to this post that really does not provide much, other then cut and paste.


Hahnemann University Hospital, Philadelphia, PA, USA. Represented 2 surgeon , and this hospital went out of biz in the last 6 months.

Bruce Garber in Philadelphia is no longer in practice.

TANGERINE
Posts: 843
Joined: Wed Feb 15, 2017 11:10 pm

Re: the updated "list" of high volume implant surgeons

Postby TANGERINE » Sat Mar 12, 2022 11:23 pm

well it is March 2022, and names have been added and deleted from the list.

I will quote a nice summary from another franktalk brother who states:

That sucks, bro. I hope you can get some answers. FWIW, I'm six months out with my Perito implant and have had none of the issues described above. I also don't hear about many patients of Eid, Hakky, Clavell, or Karpman having many issues, either. That seems like the A-list at this point. I know Kramer is considered elite, and maybe he is, but most of the stuff I've read from his implantees has been negative.


Here are my thoughts:

I have direct personal patient experience with Eid and Karpman (I live on west coast, so Karpman is my local implant surgeon that I see). Those two are , in my opinion, rock solid, very talented, totally professional formidable doctors.

From my reading of things here on franktalk, I agree that clavell and hakky seem to be A listers as well (though I have no experience with them directly)


the other names on the paper which seem to be discussed here on franktalk as beeing good are:

Perito , Ralph (United kingdom), Köhler , Carrion , Eid


so, it seems that the "short list" of top surgeons in USA are:

Eid
Hakky.
Karpman
Clavell
Perito
Kohler
Lodoyle


Publishing the list of top surgeons is fraught with inaccuracy; but the above names seem to be associated with happy patients. That is not to say that those are the only A-list surgeons, I am sure there are 6 more that are not on the above list
"Strive to find the best surgeon--experience really matters"
(63 yo, Titan 22cm implant Feb 2017 by Dr Eid) I'm super pleased with my length/girth/implant performance. See my story at "The road to becoming a bionic male: Answers ..."

User avatar
Zoso22
Posts: 281
Joined: Tue Mar 01, 2022 7:22 pm
Location: NorCal

Re: the updated "list" of high volume implant surgeons

Postby Zoso22 » Sat Mar 12, 2022 11:37 pm

Tangerine, I live here in Northern California and I have an appointment with Dr. Karpman on the 24th, what is general lead time from your first visit till he could do an implant, I am wanting to get it done soon so as not to interfere with my summer plans. Is he booked out a long time?
58yr. Married to awesome wife, retired after second back surgery. PE since early 20’s, ED started around 40, back surgeries and heart problems have ruin my dick
Update; implanted on May 10th, Dr. Karpman. 25cm + RTE


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