{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,3]],"date-time":"2025-09-03T11:06:56Z","timestamp":1756897616631},"reference-count":23,"publisher":"Oxford University Press (OUP)","issue":"Supplement_7","license":[{"start":{"date-parts":[[2015,11,1]],"date-time":"2015-11-01T00:00:00Z","timestamp":1446336000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Erectile dysfunction has plagued humanity for millennia. For years, treatment had been in the hands of mental health professionals. It was not until the 1970s that urologists created a modality that was marketable, reproducible, and consistently successful at treating impotence, the Small-Carrion Penile Prosthesis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Aim<\/jats:title>\n                  <jats:p>We present the evolution of the malleable\/semi-rigid penile prosthesis, concentrating our efforts reviewing and critiquing the pivotal article published by Drs. Michael P. Small, Hernan M. Carrion, and Julian A. Gordon. We then discuss its continued advancement, current-day utilization, and the future of the malleable prosthesis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>From the early 1900s, surgeons have been toying with the idea of creating a penile implant. These initial attempts utilized rib cartilage, and eventually synthetic materials, including acrylic, silicone, and polyethylene.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>In 1975, Drs. Carrion and Small presented their initial experience of 31 patients utilizing their silicone implant. In their manuscript titled, \u201cThe Small-Carrion Penile Prosthesis: New Implant for the Management of Impotence,\u201d they discuss their technique, perioperative management of complications, and results.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>The malleable penile prosthesis continued to evolve throughout the years to the current day Genesis and Spectra. Although the current market is dominated by the inflatable penile prosthesis, there are specific situations where the malleable is ideally utilized. The pivotal article by Drs. Carrion and Small helped pave the way for the \u201cNew Era\u201d of penile prosthetics and still remains one of the most impactful contributions to the management of erectile dysfunction.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1111\/jsm.13014","type":"journal-article","created":{"date-parts":[[2015,11,13]],"date-time":"2015-11-13T14:25:08Z","timestamp":1447424708000},"page":"423-430","source":"Crossref","is-referenced-by-count":9,"title":["The Evolution and Utility of the Small-Carrion Prosthesis, Its Impact, and Progression to the Modern-Day Malleable Penile Prosthesis"],"prefix":"10.1093","volume":"12","author":[{"given":"Daniel R.","family":"Martinez","sequence":"first","affiliation":[{"name":"Urology Specialty Care , Miami, FL , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryan","family":"Terlecki","sequence":"additional","affiliation":[{"name":"Department of Urology, Medical Center Blvd , Winston Salem, NC , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William O.","family":"Brant","sequence":"additional","affiliation":[{"name":"Center for Reconstructive Urology and Men\u2019s Health, University of Utah , Salt Lake City, UT , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2015,11,1]]},"reference":[{"key":"2023011111144142100_bb0010","first-page":"Page 168","article-title":"An English Translation of the Sushruta Samhita: Based on Original Sanskrit Text, with a Full and Comprehensive Introd., Additional Texts, Different Readings, Notes, Comparative Views, Index, Glossary and Plates","author":"Susruta","year":"1963","journal-title":"Volume 30, Part 3. 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