DAVID R. MARKS, MD: There must be a lot of fears about the surgery -- if it's going to work, how it's going to feel. How do you prepare them?
J. FRANÇOIS EID, MD: It's not easy, David, and one has to spend time with the patient talking about the procedure itself, the device and what it can do for that particular patient. So I really start by showing a tape of a patient with a device and showing that patient actually activating and deactivating the device, and what the tape shows is that the person looks totally normal. That's number one.
Number two, when the person finds out that it's a fluid filled device, they have all sorts of questions. How do you put it in? Do you need to cut the whole penis? Does the pump stick out of the skin? Do I have normal sensation? Will I be able to reach orgasm? So all these concerns have to be explained to the patient, and very often we'll actually preempt the question and describe the device and what it does in a lot of detail.
I think it is very important for an individual who is thinking of this option to ask as many questions as possible, and we guys don't ask questions, and that's one of the things that limits, sometimes, our medical treatment options.
DAVID R. MARKS, MD: Tell us briefly about the operation.