Abstract: A penile prosthesis includes a penile prosthetic; a pump; a reservoir; first tubing adapted to couple the penile prosthetic to the pump; second tubing adapted to couple the reservoir to the pump; and a plate adapted to couple with the penile prosthetic. The plate is implantable and adapted to orient the penile prosthetic in an anatomically natal penis position that is adapted for penetrative intercourse.

Abstract: A method of surgically providing a trans-male patient with a neopenis includes inserting an implantable penile prosthesis into an inverted vagina, where the implantable penile prosthesis includes a pair of malleable penile inserts inside an artificial tunica.

Abstract: A kit of parts includes components implantable in a patient to adapt a neopenis of the patient for penetrative intercourse. The kit of parts includes an implantable support, an implantable penile prosthesis, and an artificial glans penis. When implanted, the implantable support orients the implantable penile prosthesis and the artificial glans penis in an anatomically natal penis position that is adapted for penetrative intercourse.

Abstract: A kit of parts includes components implantable in a patient to adapt a neopenis of the patient for penetrative intercourse. The kit of parts includes an implantable support, an implantable penile prosthesis, and an artificial glans penis. When implanted, the implantable support orients the implantable penile prosthesis and the artificial glans penis in an anatomically natal penis position that is adapted for penetrative intercourse.

Abstract: An implantable support implantable in a neophallus to support a neopenis includes a first tubular sleeve extending from a proximal end portion to a distal end portion; a first base coupled to the proximal end portion of the first tubular sleeve, where the first base is adapted to be secured to a pubic ramus of a pelvis; and a first opening formed in the first tubular sleeve, where the first opening communicates with a recess that is sized to receive an implantable penile prosthesis. The first tubular sleeve is adapted to provide the neophallus with an artificial tunica located between the recess and the neophallus of the neopenis.

Abstract: A method of surgically providing a trans-male patient with a neopenis includes inserting an implantable penile prosthesis into an inverted vagina, where the implantable penile prosthesis includes a pair of malleable penile inserts inside an artificial tunica.

Abstract: An implantable support implantable in a neophallus to support a neopenis includes a first tubular sleeve extending from a proximal end portion to a distal end portion; a first base coupled to the proximal end portion of the first tubular sleeve, where the first base is adapted to be secured to a pubic ramus of a pelvis; and a first opening formed in the first tubular sleeve, where the first opening communicates with a recess that is sized to receive an implantable penile prosthesis. The first tubular sleeve is adapted to provide the neophallus with an artificial tunica located between the recess and the neophallus of the neopenis.

Abstract: A method of treating urinary incontinence includes removing a urinary control system from a package, where the urinary control system has three components including a cuff attachable to a pump and a reservoir attachable to the pump. The method includes forming one skin incision in a patient, and implanting the three components of the urinary control system into the patient through the one skin incision.

Abstract: A penile prosthetic includes an insertion tool contained inside of an inflatable bladder of a penile implant. The penile implant is sized for insertion into a dilated corpora cavernosum of a penis. The penile implant has a proximal tip that is insertable into the crus penis, with the inflatable bladder connected to the proximal tip. The inflatable bladder has a first column strength and includes a distal tip that is insertable into the glans penis. The insertion tool provides the inflatable bladder with an effective column strength that is greater than the first column strength.

Abstract: A penile prosthetic includes an insertion tool contained inside of an inflatable bladder of a penile implant. The penile implant is sized for insertion into a dilated corpora cavernosum of a penis. The penile implant has a proximal tip that is insertable into the crus penis, with the inflatable bladder connected to the proximal tip. The inflatable bladder has a first column strength and includes a distal tip that is insertable into the glans penis. The insertion tool provides the inflatable bladder with an effective column strength that is greater than the first column strength.

Abstract: A method of treating urinary incontinence includes removing a urinary control system from a package, where the urinary control system has three components including a cuff attachable to a pump and a reservoir attachable to the pump. The method includes forming one skin incision in a patient, and implanting the three components of the urinary control system into the patient through the one skin incision.

Abstract: A suture system spool is configured to retain suture having a suture diameter and tension the suture between a distal and proximal end portions of a suturing tool. The spool includes a monolithically formed disc defining a central opening that provides the disc with an inside diameter. The disc includes a base and a flap joined with the base at the inside diameter, and the flap extends from the inside diameter to an outer periphery of the disc to define a cavity between the flap and the base. The flap is spaced away from the base at a location between the inside diameter and the outer periphery of the disc by a factor of at least two times the suture diameter, and the flap is spaced away from the base at the outer periphery of the disc by a distance that is approximately equal to the suture diameter.

Abstract: A method of suturing tissue includes driving a needle from a tool through tissue to form a channel in the tissue; inserting the needle into a capsule that is connected to a first length of suture attached to the capsule; engaging the needle with a second length of suture that is inserted through the capsule; and pulling both the first length of suture and the second length of suture through the channel formed in the tissue.

Abstract: A suturing system includes a tool employed to pull at least two sutures through tissue. The tool includes a head having a proximal portion housing a needle movable through a needle exit port of the head and a distal end spaced apart from the proximal portion by a throat. The distal end of the head defines a cavity. A first suture is durably connected to a capsule that is sized for placement in the cavity. The capsule defines a through-hole sized for engagement with the needle and A second suture is removably insertable into the through-hole. The needle is movable from the proximal portion of the head across the throat to form a channel in tissue and to frictionally engage with the second suture and is retractable into the needle exit port to draw the capsule and the first and second sutures through the channel formed in the tissue.

Abstract: A suture system spool is configured to retain suture having a suture diameter and tension the suture between a distal and proximal end portions of a suturing tool. The spool includes a monolithically formed disc defining a central opening that provides the disc with an inside diameter. The disc includes a base and a flap joined with the base at the inside diameter, and the flap extends from the inside diameter to an outer periphery of the disc to define a cavity between the flap and the base. The flap is spaced away from the base at a location between the inside diameter and the outer periphery of the disc by a factor of at least two times the suture diameter, and the flap is spaced away from the base at the outer periphery of the disc by a distance that is approximately equal to the suture diameter.

Abstract: A suture system spool is configured to retain suture having a suture diameter and tension the suture between a distal and proximal end portions of a suturing tool. The spool includes a monolithically formed disc defining a central opening that provides the disc with an inside diameter. The disc includes a base and a flap joined with the base at the inside diameter, and the flap extends from the inside diameter to an outer periphery of the disc to define a cavity between the flap and the base. The flap is spaced away from the base at a location between the inside diameter and the outer periphery of the disc by a factor of at least two times the suture diameter, and the flap is spaced away from the base at the outer periphery of the disc by a distance that is approximately equal to the suture diameter.

Abstract: A suturing system includes a tool employed to pull at least two sutures through tissue. The tool includes a head having a proximal portion housing a needle movable through a needle exit port of the head and a distal end spaced apart from the proximal portion by a throat. The distal end of the head defines a cavity. A first suture is durably connected to a capsule that is sized for placement in the cavity. The capsule defines a through-hole sized for engagement with the needle and A second suture is removably insertable into the through-hole. The needle is movable from the proximal portion of the head across the throat to form a channel in tissue and to frictionally engage with the second suture and is retractable into the needle exit port to draw the capsule and the first and second sutures through the channel formed in the tissue.

Abstract: A method of suturing tissue includes driving a needle from a tool through tissue to form a channel in the tissue; inserting the needle into a capsule that is connected to a first length of suture attached to the capsule; engaging the needle with a second length of suture that is inserted through the capsule; and pulling both the first length of suture and the second length of suture through the channel formed in the tissue.

Abstract: An incontinence treatment device includes a support body and a plication mechanism attached to the support body. The device includes a first and second arms separated by a support zone. The plication mechanism is attached to the support zone and has a strand providing first and second end portions. The strand is removably coupled with a first location of the support zone and removably coupled with a separate second location of the support zone. The separate second location is spaced apart from the first location of the support zone by a central region. The support body is configured to contact tissue around a urethra and tension applied to both of the first and second end portions moves the first location of the support zone and the second location of the support zone to remove slack in the support body relative to the tissue around the urethra.

Abstract: A suture system spool is configured to retain suture having a suture diameter and tension the suture between a distal and proximal end portions of a suturing tool. The spool includes a monolithically formed disc defining a central opening that provides the disc with an inside diameter. The disc includes a base and a flap joined with the base at the inside diameter, and the flap extends from the inside diameter to an outer periphery of the disc to define a cavity between the flap and the base. The flap is spaced away from the base at a location between the inside diameter and the outer periphery of the disc by a factor of at least two times the suture diameter, and the flap is spaced away from the base at the outer periphery of the disc by a distance that is approximately equal to the suture diameter.