September 23, 2020

Dr. Paul Edward Perito MD: What to Know Before You Start a Urology Residency

Dr. Paul Edward Perito MD

Dr. Paul Edward Perito MD

Before creating his revolutionary penile implant procedure, Dr. Paul Edward Perito MD served residencies in Australia and Florida. During college, Dr. Paul Edward Perito MD also participated in an exchange program that allowed him to work in Africa for a time. Currently, Dr. Perito trains 2 to 8 urologists a month in the Minimally Invasive Penile Implant, an implant procedure he patented over 6 years ago.  Today, Dr. Paul Edward Perito MD explains the various choices for young students interested in pursuing a career in urology.

Q: Dr. Paul Edward Perito MD, as founder of Perito Urology, what advice do you have for students struggling to decide which residency program to choose?

Dr. Paul Edward Perito MD: Today’s students are lucky in that they can do online research on various residency programs before making a choice. The first thing a student should do is evaluate the curriculum of the residency program he or she is considering. Will you get the training you’ll need to continue into a career in urology? The more variety, the better. You’ll need to be exposed to several fields of urology to be able to diagnose and treat a wide variety of conditions over the course of your career.

Q: How many different fields of urology are there, Dr. Paul Edward Perito MD?

Dr. Paul Edward Perito MD: That’s a good question. There are urologists who specialize in pediatrics, oncology (cancer), renal transplants, and infertility in male patients, urinary tract stones, female urological conditions, urinary incontinence and impotence.

Q: Aside from the clinical materials, Dr. Paul Edward Perito MD, what else should students consider when interviewing for a residency?

Dr. Paul Edward Perito MD: The nature of the residency is important, of course. Will the residents be able to attend conferences and workshops to further their knowledge? Will the residents be active in publishing?

Q: Exposure to different subspecialties is important in a residency…

Dr. Paul Edward Perito MD: Absolutely. In fact, students considering a residency should research the background of the involved faculty. Are these experienced professionals in various areas of urology? And will the faculty be large enough in number to be able to give each student the case-load and case variation necessary to be considered properly trained?  Very few programs in the United States lack in this area.

Q: Dr. Paul Edward Perito MD, what should a student look for in the hospital or learning institution where he or she decides to complete a residency?

Dr. Paul Edward Perito MD: Research is important. Is the facility attempting to find new ways to implement old methodologies? A faculty that is always eager to learn and push the boundaries provides a great example for students. Does the facility have updated equipment? A student will need to make sure he or she is getting experience that will translate to today’s world of medicine.

Q: How many interviews should a student attempt before settling on a choice for a residency?

Dr. Paul Edward Perito MD: That’s an individual choice, but it’s important that each student find a facility that shares his or her goals and temperament. That right fit can be hard to find, but it’s well worth going on as many interviews as possible to find that perfect fit.

 

Dr. Paul Edward Perito MD is the founder of Perito Urology and the Chairman of Urology at Coral Gables Hospital in Florida. To contact Dr. Paul Edward Perito MD, go online to www.peritourology.com

The information contained in this article is provided by Dr. Paul Edward Perito MD for educational purposes only. It is not intended to treat or diagnose any condition.

Interview with Dr. Paul Perito: The Efficacy of Minimally Invasive Penile Implantation

Dr. Paul Perito

Dr. Paul Perito

Interviewing-Experts Blog recently had the opportunity to speak with renowned Erectile Dysfunction expert, Dr. Paul Perito, about the importance of utilizing a minimally invasive technique when performing a penile implant.

Interviewing-Experts: Good morning, Dr. Paul Perito. Thank you for speaking with us today about such an important topic.

Dr. Paul Perito: Certainly. Men’s health is a subject often ignored. I appreciate the opportunity.

Interviewing-Experts: So, please tell us a little about what makes your technique different from previous procedures.

Dr. Paul Perito: There are several key differences. I do not use a Foley catheter since I do not drain the bladder. I limit my dilatation, ensure that the reservoir is behind the transversalis fascia, use an artificial erection at the beginning of the procedure, and finally, there’s the use of a drain. My approach is infra-pubic, and as minimally invasive as possible. I think there are nuances that make it better than prior procedure techniques.

Interviewing-Experts: What kind of results have you seen from these differences?

Dr. Paul Perito: Our results have been good. Our infection rate was only .91% in the last 1,000 procedures.

Interviewing-Experts: That sounds very promising.

Dr. Paul Perito: Aside from that, there were only 2 distal urethra injuries, which were repaired primarily at the time of the procedure and two scrotal hematomas that were evacuated.

Interviewing-Experts: What do you consider the greatest measure of success for this procedure?

Dr. Paul Perito: How quickly my patients have gotten back to normal sexual function.

Interviewing-Experts: That’s certainly important.

Dr. Paul Perito: Yes, it is. 82% of patients were back to normal function within four weeks; the rest by six weeks.

Interviewing-Experts: Very interesting.

Dr. Paul Perito: These results tell me that the procedure is efficacious, expedient and safe.

Interviewing-Experts: How do you know what size to make the penis with the implant? Is there a way to gauge a patient’s natural penis size?

Dr. Paul Perito: Yes, there is. First, it’s important to know that when you render a man impotent, say with a radical prostatectomy, over the course of the next 14 months he’ll lose anywhere from .5 to 5 cm in length.  I use a penile stretch test to educate patients on what they can realistically expect postoperatively.

Interviewing-Experts: How did you conclude that the stretch test was the best predictive index for length?

Dr. Paul Perito: What I did was took 53 patients and measured their artificial erections, their penile stretch test and finally what they had at the end of the procedure. And, not surprisingly to me, the best predictive Index was the penile stretch test. So now when a patient comes into office and they want a penile implant, I’ll do the penile stretch test and tell them that 72% of the time, this is what they are going to have postoperatively, and if they don’t like that, they should probably not get a penile implant.

Interviewing-Experts: Sound advice, indeed.

Dr. Paul Perito: Additionally, since my procedure does not use a Scott retractor, the cost is reduced. My penile pack costs $72 to the hospital, and these days cutting cost is essential.

Interviewing-Experts: Absolutely. Well, Dr. Perito, we look forward to hearing more about this procedure in the future, and again thank you for taking the time out of your surgery and training schedule to speak with us today.

Dr. Paul Perito: You’re welcome.

 

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Dr. Paul Perito is a 1988 graduate of the University Of Maryland School Of Medicine. His practice, Perito Urology, is considered one of the foremost Erectile Dysfunction treatments centers in the world. Since 2005, Dr. Paul Perito has successfully performed more than 3,000 penile implants, establishing him as a leader in the field. He has streamlined the procedure, making it not only more efficient, but safer, by the development and actualization of a minimally invasive approach. Aside from contributing extensively to medical publication libraries, Dr. Paul Perito heads the training center at Perito Urology where his technique is taught to an audience of surgeons from across the globe.

The information contained in this article is provided by Dr. Paul Perito for educational purposes only. It is not intended to treat or diagnose any condition.