The 2025 Annual Meeting of the Sexual Medicine Society of North America (SMSNA) took place this year at the stunning Gaylord Texan Resort in Grapevine, Texas, and the Perito Urology team was proud to contribute several important scientific presentations,each highlighting ongoing innovation in penile implant surgery, regenerative medicine, and aesthetic urology.
A Collaboration of Leaders in Men’s Health
Representing Perito Urology, Dr. Paul Perito and Dr. Alfredo Suarez-Sarmiento, Jr. joined forces with colleagues from the University of Buffalo Urology, UT Health East Texas, Andrologia Moinhos, and the Mayo Clinic.
Together, this group of world-class researchers and surgeons delivered a series of impactful abstracts that continue to push the boundaries of men’s sexual medicine.
E-Poster #232: A Novel Dual-Zone Injection Protocol Using Hyaluronic Acid for the Treatment of Premature Ejaculation
Presented by Dr. George Panagis from University of Buffalo Urology, this innovative study introduced a dual-zone UroFill®-based injection technique designed to address premature ejaculation (PE) through sensory modulation.
Authors:
Panagis GE¹; Brennan MS²; Perito P³; Suarez-Sarmiento A³; Williams RC⁴
¹ University of Buffalo Urology | ² University of Buffalo | ³ Perito Urology | ⁴ UT Health East Texas
The protocol builds upon the team’s growing experience using cross-linked hyaluronic acid (HA) not only for penile girth enhancement but also for neuro-modulatory control of penile sensitivity,offering a new, local, and reversible option for PE management.
Oral Presentation #032: Priapism-Like Pain Beyond the Healing Window – Identifying Preventable Causes in Post-Implant IPP Patients
Presented by Dr. Gabriel Veber, this study explored non-infectious causes of persistent, priapism-like pain following inflatable penile prosthesis (IPP) surgery.
Authors:
Suarez-Sarmiento Jr. A¹; Perito P¹; Sehl Ferreira M²; Veber G³; Bonatto Y⁴
¹ Perito Urology | ² Universidade do Vale do Rio dos Sinos | ³ Andrologia Moinhos | ⁴ Universidade Federal de Santa Maria
The presentation emphasized preventable factors, including overinflation, device positioning, and patient education-underscoring the importance of postoperative management to improve satisfaction and reduce unnecessary reoperations.
Oral Presentation #050: Restoring Urethral Contour After Penile Implant Surgery – A Novel Use of the UroFill® Technique
Led by Dr. George Panagis, this collaboration showcased how UroFill® girth injections can restore lost urethral prominence in post-implant patients.
Authors:
Suarez-Sarmiento Jr. A¹; Perito P¹; Williams RC²; Brennan M³; Veber G⁴; Panagis G³
¹ Perito Urology | ² UT Health East Texas | ³ University of Buffalo | ⁴ Andrologia Moinhos
This pioneering application of hyaluronic acid filler represents a functional and aesthetic advancement for men with urethral flattening or spongiosal atrophy,offering a reconstructive tool that complements prosthetic restoration.
Oral Presentation #130: Dual-Zone HA Injection Protocol for Premature Ejaculation
Dr. Suarez-Sarmiento returned to the podium to expand on his team’s dual-zone injection model, which integrates neuroanatomic mapping of the dorsal and ventral penile surfaces for targeted treatment.
Authors:
Suarez-Sarmiento Jr. A¹; Perito P¹; Williams RC²; Panagis G³; Brennan M⁴
¹ Perito Urology | ² UT Health East Texas | ³ University of Buffalo | ⁴ University of Buffalo
The findings reinforce Perito Urology’s mission to combine form, function, and science,delivering evidence-based approaches to sensitive yet under-discussed sexual health concerns.
Oral Presentation #325: Inflatable Penile Prosthesis Glans Ischemia Versus Severe Bruising-A Clinical Dilemma
In collaboration with Mayo Clinic’s Dr. Tobias Kohler and his research group, this multicenter study addressed one of the most complex postoperative questions in prosthetic urology: distinguishing glans ischemia from severe bruising after penile implant surgery.
Authors:
Bernstein A¹; Kohler T¹; Ziegelmann M¹; Honda B¹; Helo S¹; Suarez-Sarmiento A²; Perito P²
¹ Mayo Clinic | ² Perito Urology
The team offered practical diagnostic and management frameworks for clinicians navigating this rare but serious complication, showcasing the value of high-volume centers and multidisciplinary collaboration.
A Growing Global Network
These presentations highlight the ongoing synergy between Perito Urology, UroFill® International, Andrologia Moinhos in Porto Alegre, and academic partners such as University of Buffalo Urology and the Mayo Clinic.
Together, this coalition is redefining how the medical community approaches male sexual health, prosthetic surgery, and regenerative solutions.
Looking Ahead
As Dr. Perito and Dr. Suarez-Sarmiento continue to mentor new generations of implanters and innovators, their message remains clear: