tooyoung wrote:Thisworld wrote:I think this is relevant to the thread. I spotted on eduardo bertero website, under the voice -malleable disadvantages "Disadvantages include occasional difficulty in concealing it and the performance of transurethral endoscopic procedures that may require perineal urethrostomy." Can someone explain what that wuold mean? A malleable wuold increase chances of urethrostomy?
https://urologia-sp.com.br/protese-peni ... 37cea-815f
With a malleable if you ever needed an evaluation via ureteroscopy/cystoscopy(god forbid), they would find it difficult to advance the endoscope as the malleable will be pressing from the sides (as with inflated ipp)...so they might turn into perineal urethrostomy for better access.
Strangely enough some high risk patient was advised to get a malleable instead of ipp even though he might need endoscopy in the future...the urologist claim is attached.
One of the malleable drawbacks for sure and should be considered in patients with high risk needing urethral endoscopic procedures in the future.However, ipp rediculous reliability still exists as well as higher risk of infection.
I may be wrong but it seems you are talking about diagnostic prodecure and evalution. I understand how it may be difficult accessing urethra with a malleable, but perineal urethrostomy isn't a permanent procedure where they deviate your urethral canal to the perineum?
It wouldn’t be done just to complete an endoscopic evaluation
