OBJECTIVE: To evaluate the effectiveness of the technique of corporeal counter incisions for penile prosthesis implantation in cases with marked corporeal fibrosis. METHODS: Creating subtunical tunnels that are stretched transversely by the dilamezinsert instrument & Heggars dilators with its tip entering from one side and protruding from the counter incision to avoid urethral or corporeal perforation. PATIENTS: Seventeen patients underwent this technique, mean age 56 y (range 42-71 y); 12 post removal of an infected prosthesis and five post priapism. RESULTS: In all cases, two rods were successfully implanted. In one case, a crural perforation occurred that was repaired intra-operatively. CONCLUSION: Corporeal counter incisions with transverse tissue stretching is a relatively simple technique to implant semirigid implants in fibrosed corpora.
OBJECTIVE: To evaluate the effectiveness of the technique of corporeal counter incisions for penile prosthesis implantation in cases with marked corporeal fibrosis. METHODS: Creating subtunical tunnels that are stretched transversely by the dilamezinsert instrument & Heggars dilators with its tip entering from one side and protruding from the counter incision to avoid urethral or corporeal perforation. PATIENTS: Seventeen patients underwent this technique, mean age 56 y (range 42-71 y); 12 post removal of an infected prosthesis and five post priapism. RESULTS: In all cases, two rods were successfully implanted. In one case, a crural perforation occurred that was repaired intra-operatively. CONCLUSION: Corporeal counter incisions with transverse tissue stretching is a relatively simple technique to implant semirigid implants in fibrosed corpora.
Authors: Kevin Krughoff; Priyanka Bearelly; Michel Apoj; Nicolas A Munarriz; Nannan Thirumavalavan; Shu Pan; Martin S Gross; Ricardo M Munarriz Journal: Int J Impot Res Date: 2020-11-17 Impact factor: 2.896