{'fraction_non_alphanumeric': 0.029909484454939, 'fraction_numerical': 0.02833530106257379, 'mean_word_length': 5.276543209876543, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 2, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 1, 'zh_pornsignals.json': 0}}
Re: Simultaneous Suprapubic Lipectomy and Penile Prosthesis Implantation.

available at http://www.ncbi.nlm.nih.gov/pubmed/29728764 Editorial Comment: The AdVance XP male sling system is a second generation version of the original male transobturator system introduced by Rehder and Gozzi more than a decade ago. The new version has recently been introduced to the North American market but was brought out in Europe in 2010. Changes include chevron anchors on the sling arms to prevent slippage and tensioning fibers for stability, along with needle modifications. This robust series compares patient outcomes in 109 AdVance vs 185 AdVance XP procedures across a European incontinence study group. It is noteworthy that urinary retention was 3 times more common in the AdVance XP group (10%), with persistent hypercontinence requiring unilateral transection of the sling in 4% of patients, while slightly fewer patients in the AdVance group went on to require additional incontinence procedures. Otherwise, no differences were noted in review of standardized questionnaires. The authors caution against over tensioning the XP device. Allen F. Morey, MD Reference 1. Rehder P and Gozzi C: Transobturator sling suspension for male urinary incontinence including post-radical prostatectomy. Eur Urol 2007; 52: 860. Re: Simultaneous Suprapubic Lipectomy and Penile Prosthesis Implantation O. Shaeer, K. Shaeer and I. F. AbdelRahman Department of Andrology, Kasr El Aini Faculty of Medicine, Cairo University and Kamal Shaeer Hospital, Cairo, Egypt J Sex Med 2018; 15: 1818e1823. doi: 10.1016/j.jsxm.2018.10.012 Abstract available at http://www.ncbi.nlm.nih.gov/pubmed/30527055 Editorial Comment: This is an interesting study from Cairo in which 22 patients with infrapubic inflatable penile prostheses underwent synchronous suprapubic lipectomy and dorsal phalloplasty. The authors note a significant increase in patient and partner satisfaction, without any increase in infectious complications. This technique represents an alternative to ventral phalloplasty and sliding procedures for the elusive goal of apparent penile lengthening. I abandoned this combined approach after noting penile lymphedema, which became secondarily infected, although the procedure involved a combination of suprapubic lipectomy with penoscrotal inflatable penile prosthesis. Doing all of this through 1 incision may be tolerated better. It is a timely idea given the increasing numbers of men we are all seeing with some component of buried penis and/or obesity.