Computerized cavernosography is a method of preoperative preparation of patients for penile prosthesis implantation

Abstract

Purpose: to evaluate the possibilities of CT cavernosography in the preoperative preparation of patients, in order to determine the size of cavernous bodies, for the correct selection of the size of pemile implants.
 Material and methods: 26 patients who underwent penile prosthesis implantation with preoperative preparation in the form of CT cavernosography, in order to determine the size of cavernous bodies.
 Results: In 15 patients, the data on the sizes of cavernosography coincided with the true ones without errors, in 11 patients the error was 0.5 cm (which was compensated by the nozzles from the kit). During the observation of complications after the installation of penile prosthesis implantation associated with improper selection of size was not fixed.
 Conclusion: CT cavernosography is an effective way of preoperative planning of patients with the aim of clarifying the size of cavernous bodies and selecting the right size of the prosthesis. This method allows you to select an implant with an accuracy of 0.5 cm, which in turn will reduce the risk of complications associated with improper selection of prostheses, as well as improve the economic component in the form of reducing the number of cases when the prosthesis was opened with an incorrectly selected size, which queue leads to financial loss of the clinic.