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Aaron Claude Lentz, MD

Director, Duke Urology Men’s Health Center
Associate Professor of Surgery
Office: 3480 Wake Forest Rd, Suite 506, Raleigh, NC 27609
Campus Mail: DUMC 3480 Wake Forest Rd, Suite 506, Raleigh, NC 27609

I find the reconstructive aspect of urologic surgery the most exciting and challenging from a strategic and surgical perspective. Reconstructive urology provides an opportunity to help improve and to restore function as well as aesthetics for the patient who has endured injury, cancer, previous surgical complications, or congenital conditions. The uniqueness of each case poses a tactical and a surgical challenge, requiring a highly individualized and carefully planned and executed surgical approach to address the problem and underlying anatomical and medical cause. Within the emerging subspecialty of reconstructive urology, I focus on complex urethral stricture disease utilizing anastomotic and substitution urethroplasty; management of upper urinary tract obstruction; urinary fistula repair; prosthetic urology including penile implants for erectile dysfunction, as well as artificial urinary sphincters and minimally invasive slings for male stress urinary incontinence; penile reconstruction for Peyronie’s disease; and a comprehensive approach to male sexual health and male wellness.

Education and Training

  • Fellowship, Genitourinary Reconstructive Surgery, Duke University School of Medicine, 2010 - 2011
  • Residency, Urologic Surgery, University of North Carolina - Chapel Hill, 2006 - 2010
  • Residency, Surgery, University of North Carolina - Chapel Hill, 2005 - 2006
  • M.D., University of North Carolina - Chapel Hill, 2005

Publications

Nosé, Brent D., Dominic C. D. Grimberg, and Aaron C. Lentz. “Update on Intraoperative Cultures, Biofilms, and Modifiable Factors During Revision of Clinically Non-Infected Penile Implants.” Sex Med Rev 9, no. 1 (January 2021): 160–68. https://doi.org/10.1016/j.sxmr.2020.07.005.

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Chandrapal, Jason, Shelby Harper, Leah G. Davis, and Aaron C. Lentz. “Comparison of Penile Prosthesis Cultures Within Individual Patients After Removal/Replacement and Subsequent Salvage.” Sex Med 8, no. 4 (December 2020): 783–87. https://doi.org/10.1016/j.esxm.2020.06.006.

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Grimberg, Dominic, Sabrina Wang, Evan Carlos, Brent Nosé, Shelby Harper, and Aaron C. Lentz. “Counter incision is a safe and effective method for alternative reservoir placement during inflatable penile prosthesis surgery.” Transl Androl Urol 9, no. 6 (December 2020): 2688–96. https://doi.org/10.21037/tau-20-923.

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Rezaee, Michael E., Maxwell Towe, Mohamad M. Osman, Linda M. Huynh, Farouk M. El-Khatib, Robert Andrianne, Gregory Broderick, et al. “A Multicenter Investigation Examining American Urological Association Recommended Antibiotic Prophylaxis vs Nonstandard Prophylaxis in Preventing Device Infections in Penile Prosthesis Surgery in Diabetic Patients.” J Urol 204, no. 5 (November 2020): 969–75. https://doi.org/10.1097/JU.0000000000001158.

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Krishnappa, Pramod, Vasan S. Srini, Rupin Shah, Aaron C. Lentz, Giulio Garaffa, Juan Ignacio Martinez-Salamanca, and Ignacio Moncada. “Cadaveric Penile Prosthesis Workshop training improves surgical confidence levels of urologists: South Asian Society for Sexual Medicine course survey.” Int J Urol 27, no. 11 (November 2020): 1032–37. https://doi.org/10.1111/iju.14338.

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Carlos, Evan C., Brent D. Nosé, Gregory J. Barton, Leah Davis, and Aaron C. Lentz. “The Absence of a Validated English-Language Survey to Assess Prosthesis Satisfaction: A Prospective Cohort Using the Sexual Quality of Life After Penile Prosthesis.” J Sex Med 17, no. 11 (November 2020): 2307–10. https://doi.org/10.1016/j.jsxm.2020.07.012.

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Krishnappa, Pramod, Vasan S. Srini, Rupin Shah, Aaron C. Lentz, Giulio Garaffa, Juan Ignacio Martinez-Salamanca, and Ignacio Moncada. “Cadaveric penile prosthesis workshop training improves surgical confidence levels of urologists: South Asian society of sexual medicine course survey.” In International Journal of Urology, 27:36–36, 2020.

Scholars@Duke

Towe, Maxwell, Linda M. Huynh, Mohamad M. Osman, Farouk M. El-Khatib, Robert Andrianne, Gregory Barton, Gregory Broderick, et al. “Impact of Antimicrobial Dipping Solutions on Postoperative Infection Rates in Patients With Diabetes Undergoing Primary Insertion of a Coloplast Titan Inflatable Penile Prosthesis.” In J Sex Med, 17:2077–83, 2020. https://doi.org/10.1016/j.jsxm.2020.07.009.

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Lentz, Aaron C., Dayron Rodríguez, Jason C. Chandrapal, Leah G. Davis, Ahmed Ghazi, Martin S. Gross, and Ricardo Munarriz. “Cadaveric Laboratory Simulation Training of Male Stress Urinary Incontinence Treatment Improves Trainee Knowledge and Confidence.” Urology 143 (September 2020): 48–54. https://doi.org/10.1016/j.urology.2020.06.008.

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