Sexual Medicine Society of North America, Inc.

Adjunct Procedures at the Time of Penile Implant Surgery

Adjunct Procedures at the Time of Penile Implant Surgery - Organized by the Surgical Committee

Tuesday, July 14, 2020 at 5 pm PST / 7 pm CST / 8 pm EST

The use of adjunct procedures at the time of penile implant surgery can be of real benefit to the implanting surgeon and their patient. Penile curvature, penoscrotal webbing, and orgasm associated urinary incontinence (climacturia) are not uncommon complaints in the man undergoing a penile implant. In this webinar, SMSNA members Rafael Carrion, Brian Christine, Wayne Hellstrom and Paul Perito will provide insight and instruction as to how they address these issues at the time of penile implant surgery. Topics for discussion included:

  • Plication and/or Grafting to Address Penile Curvature at the Time of IPP: Wayne J.G. Hellstrom, MD
  • Ventral Phalloplasty to Address Scrotal Webbing at the Time of IPP: Rafael E. Carrion, MD
  • Internal Plaque Incision/Fracture to Address Penile Curvature at the Time of IPP: Paul Perito, MD, FACS
  • Mini Jupette Sling to Address Climacturia at the Time of IPP: Brian S. Christine, MD



L Hakim photo round

Lawrence S. Hakim, MD, FACS


Rafael E. Carrion, MD

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Dr. Rafael Carrion received his B.S. and his M.D. degree at the University of Miami. After completing his residency in Surgery and Urology at the University of South Florida in Tampa, he became a fellow in Sexual Medicine and Neurourology at the University of California in San Francisco. After finishing his fellowship, Dr. Carrion returned to Tampa, Florida where he joined the faculty as an Assistant Professor at the University Of South Florida College Of Medicine. He is now a Professor, Chairman, and Director of Research for the Department of Urology. He is on staff at Tampa General Hospital, the James A. Haley Veterans Administration Hospital, and H. Lee Moffitt Cancer Center. Dr. Carrion’s subspecialties are: Sexual Medicine, Neurourology, and General Urology. He has been very productive in his scientific research with more than 50 original peer reviewed published manuscripts. He has over 80 abstracts to his credit which have been presented in local, regional, and international congresses. Dr. Carrion also has participated in Surgical Training symposiums both nationally and internationally.


Brian S. Christine, MD

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Dr. Brian Christine earned his MD degree from Emory University in Atlanta, GA. He then completed his Residency in Urology at the University of Alabama at Birmingham. Following Residency, he joined a large private practice Urology group, Urology Centers of Alabama, located in the green, rolling hills of Birmingham, AL. Initially Dr. Christine practiced general urology treating urologic cancers, kidney stones, and female urology in addition to male sexual dysfunction. However, he became especially interested in men’s sexual health and prosthetic urology after his first five years in practice. Today, his practice is exclusively centered on erectile dysfunction, Peyronie’s disease, premature ejaculation, low testosterone, male genital aesthetic surgery, erectile dysfunction in patients who have undergone female-to-male gender reassignment, and the treatment of urinary incontinence following radical prostatectomy. As a member of the Sexual Medicine Society of North America, the International Sexual Medicine Society, the European Association of Urology, and the International Continence Society, Dr. Christine works to contribute to the knowledge of others and to continue to learn.


Wayne J.G. Hellstrom, MD

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Dr. Hellstrom is a board-certified Professor of Urology and Chief, Section of Andrology at Tulane University School of Medicine in New Orleans, Louisiana. He works as a urologist at Tulane University, University Medical Center, and the Veterans Administration Medical Center in New Orleans. He received his MD from McGill Medical School in Montreal, followed by a residency there in General Surgery. He completed a residency in Urology at the University of California, San Francisco, and an AUA scholar-funded fellowship in Andrology at the University of California at Davis. Dr. Hellstrom received the Young Andrologist Award by the American Society of Andrology (ASA) in 1994 and is a member of a number of professional societies. He is the past President of the Sexual Medicine Society of North America, the American Society of Andrology, and, most recently, the International Society of Sexual Medicine (ISSM). Dr. Hellstrom has authored or coauthored over 100 book chapters and more than 500 manuscripts in peer-reviewed journals. He is the editor of several textbooks in the field of Andrology, including “Androgen Deficiency and Testosterone Replacement.” 


Paul Perito, MD, FACS

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Dr. Perito attended Emory University for undergraduate training, University of Maryland Medical School, University of Miami/Jackson Memorial Hospital for general surgery and his urology residency and a one-year fellowship at Flinder’s University, South Australia. He is a board-certified member of the American Urological Association, Sexual Medicine Society, Society of Prosthetic Surgeons, and a Fellow of the American College of Surgeons. PeritoUrology also supports a Research Fellowship position through the SMSNA and SUPS. Nearly 20 years ago Dr. Perito developed a boutique practice in Coral Gables, Florida treating Men’s Health issues with Erectile Dysfunction being his primary focus. Dr. Perito’s techniques and surgical pearls are derived from these 20 years of IPP experience having now performed over 8,000 penile implant cases making him the highest volume implanter in the world for more than 10 years.  Recently, Dr. Perito developed the first safe and efficacious office-based treatment for penile girth enhancement. This novel technique has been shown to have impressive and durable cosmetic results.

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