December 13, 2017

Low T, or Low Testosterone, can Affect a Man in Many Ways, Says Paul Perito MD

Paul Perito MD

Paul Perito MD

Florida-based urologist Paul Perito MD says there are two predominant forms of testosterone replacement. He recently sat down with Interviewing Experts for a quick conversation about this common condition.

Interviewing Experts: We appreciate your time today, doctor. What is testosterone?

Paul Perito MD: Testosterone is the male hormone that is responsible for muscle mass, facial hair, and bone density.

Interviewing Experts: Is testosterone stable throughout a man’s lifetime?

Paul Perito MD: After the age of 40, some men will begin to experience diminished testosterone levels.

Interviewing Experts: What are the side effects of low testosterone?

Paul Perito MD: It can result in other medical conditions such as high cholesterol, poor cardiac health, and a lack of vitality.

Interviewing Experts: What symptoms do men experience as a result of low testosterone?

Paul Perito MD: Patients will describe not remembering things, they will describe having decreased libido and not wanting to engage in sexual activity with their partners.

Interviewing Experts: That has to really affect a man emotionally.

Paul Perito MD: One study indicates an increased risk of depression in men with low testosterone levels.

Interviewing Experts: Testosterone can be replaced, correct?

Paul Perito MD: Yes it can.

Interviewing Experts: Can you tell us how?

Paul Perito MD: Most of the testosterone replacements that you’ll see right now are either injectables, creams or long acting pellets.

Interviewing Experts: What are the benefits of testosterone therapy?

Paul Perito MD: Studies suggest that testosterone can improve cardiac health and reduce the threat of diabetes.

Interviewing Experts: Those are physical side effects; are there any neurological side effects?

Paul Perito MD: They’ve shown the man’s ability to think is improved dramatically once they restore their natural testosterone levels.

Interviewing Experts: When should a patient speak with their doctor?

Paul Perito MD: When it becomes a problem in their life or relationship.

Interviewing Experts: Is testosterone replacement right for everyone?

Paul Perito MD: Not necessarily, patients should speak with their doctor to find out if testosterone replacement is right for them.

Interviewing Experts: Very interesting, we hope that all of our readers will take this into consideration if they suspect they have low testosterone levels.

Urological surgeon Paul Perito MD has devoted his entire professional career to treating men suffering from Erectile Dysfunction. He is the founder and namesake of Miami’s Perito Urology, where he conceived and initiated the world’s first minimally invasive approach to penile implantation. Paul Perito MD has performed over 3000 of these procedures on men across the globe, and his patients enjoy a shorter recovery time and less scarring than traditional implantation methods. Since 1995, Paul Perito MD and Perito Urology have become synonymous with effective erectile dysfunction treatment and world-class service unparalleled anywhere in the nation. He is a graduate of the University of Maryland Medical School as well as a frequent contributor to text published by medical journals nationwide.

The information contained in this article is provided by Paul 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.