Corporeal counter incisions: a simplified approach to penile prosthesis implantation in fibrotic cases

Ghanem, Hussein; Ghazy, S; El-Meliegy, Amr

doi:10.1038/sj.ijir.3900517

Cited by 29 publications

(17 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Dilatation of the crura was performed via the proximal corporotomy, separate from dilatation of the distal corpora cavernosa (via the distal corporotomy), thus shortening the distance that the dilator had to travel unseen. This, in addition to the lateral orientation of dilatation away from the urethra, helped avoiding injury [3].…”

Section: Discussionmentioning

confidence: 99%

“…Although this method provides better control and safer dilatation, nevertheless, the dilators still traveled blindly and against resistance, although for half a phallus at a time. The authors reported that expanding the subtunical tract was usually very difficult at the start, but with persistent and patient dilatation, the fibrous tissue gradually yielded [3].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Corporoscopic Excavation of the Fibrosed Corpora Cavernosa for Penile Prosethesis Implantation: Optical Corporotomy and Trans-Corporeal Resection, Shaeer’s Technique

Shaeer

Shaeer²

2007

The Journal of Sexual Medicine

View full text Add to dashboard Cite

Introduction Implantation of a penile prosthesis in cases of neglected or resistant ischemic priapism, or delayed re-implantation following prosthesis infection and extraction, is usually a difficult and risky procedure due to fibrosis of the corpora cavernosa. Among the common complications are perforation of the urethra, tunica albuginea, and infection. The complications are usually due to the use of blind force against resistance. Aim We propose the techniques of Trans-Corporeal Resection and Optical Corporotomy as adjuvant measures for excavating the fibrosed corpora cavernosa under vision, without the use of force against resistance. Methods Six patients with diffuse fibrosis of the corpora cavernosa were operated on. The instruments and technique are the same as for optical urethrotomy and transurethral resection. Optical Corporotomy was started with, where the corpora are incised from within. After establishment of a satisfactory passage, Trans-Corporeal Resection followed to scrape the fibrous tissue. Implantation of penile prosthesis was completed as usual. The procedure was performed through 1.5 cm incision in the tunica albuginea. Main Outcome Measures Length, girth, and straightness in the erect position, as well as the incidence of complications. Results Operative time was an average of 90 minutes. No difficulty was encountered during the procedure. No complications were noted through 1 year of follow-up. Conclusion Optical Corporotomy and Trans-Corporeal Resection allow for force-free, visually monitored excavation of the fibrosed corpora cavernosa, aiming at safer penile prosthesis implantation.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Corporoscopic Excavation of the Fibrosed Corpora Cavernosa for Penile Prosethesis Implantation: Optical Corporotomy and Trans-Corporeal Resection, Shaeer’s Technique

Shaeer

Shaeer²

2007

The Journal of Sexual Medicine

View full text Add to dashboard Cite

show abstract

“…The subcutaneous tissue was closed using 4-0 dyed vicryl and the skin was closed using subcuticular undyed vicryl stitch and SteriStrips [13] . The incision was subcoronal in all cases except one with corporeal fibrosis which needed counter-incisions [14] .…”

Section: Surgical Proceduresmentioning

confidence: 99%

Experience with Tube® (Promedon) Malleable Penile Implant

Fathy

Shamloul²,

AbdelRahim³

et al. 2007

Urol Int

View full text Add to dashboard Cite

Introduction: The main advantages of semirigid penile prosthesis are simple implantation, ease of use, very low risk of mechanical failure and more financial suitability for patients in developing countries. Aim: To evaluate reliability and safety of Tube® (Promedon, Cordoba, Argentina) penile prosthesis in the surgical treatment of erectile dysfunction. Patients and Methods: This retrospective case series was conducted on 83 patients who underwent Tube penile implant surgeries between 2001 and 2006. The choice of Promedon penile implant was determined by the patient himself. Strict infection control measures were applied. Patients were followed up for stability of vital signs and discharged within 72 h. Results: Successful sexual intercourse was possible for 75 (90.4%) of cases. Common postoperative complaintswere: prosthesis too short in 27 cases (32.5%), not happy with the appearance of the penis in 8 cases (9.6%), non-specific pain which subsided spontaneously in 20 cases (24%), in which no further intervention was done apart from reassurance. 79 (95.2%) patients were on regular follow-up for the first year and the rest dropped out. None of the patients experienced prosthetic infection postoperatively. Crural cross-perforation (4%) was managed intraoperatively. Hematomas (1.6%) were managed conservatively. Retarded ejaculation (10%) and penile hypothesia (0.8%) resolved spontaneously within 6 months in all cases. Conclusion: The Promedon malleable penile prosthesis is reliable and safe in the surgical treatment of erectile dysfunction.

show abstract

“…1 Although Fishman described various techniques for corporeal reconstruction for complicated penile implants well, implantation of a penile prosthesis into a severe corporeal fibrosis is not always successful. 2,3 We implanted inflatable prosthesis in a patient with severe corporeal fibrosis, which was dissected and removed by electric resection and evaporization unit.…”

Section: Introductionmentioning

confidence: 99%

Implantation of penile prosthesis in a patient with severe corporeal fibrosis induced by cavernosal injection therapy

et al. 2002

View full text Add to dashboard Cite

Implantation of a penile prosthesis in men with complicated fibrosis of corpus cavernosum is very difficult and even impossible. Cavernosal dilation requires sharp intracavernosal dissection to implant prosthesis, however complete removal of the fibrotic tissue is often impossible. We introduce a new technique using electric resection and electrovaporization of fibrotic tissue for implantation of penile prosthesis in a patient with severe corporeal fibrosis.

show abstract

Corporeal counter incisions: a simplified approach to penile prosthesis implantation in fibrotic cases

Cited by 29 publications

References 7 publications

Corporoscopic Excavation of the Fibrosed Corpora Cavernosa for Penile Prosethesis Implantation: Optical Corporotomy and Trans-Corporeal Resection, Shaeer’s Technique

Corporoscopic Excavation of the Fibrosed Corpora Cavernosa for Penile Prosethesis Implantation: Optical Corporotomy and Trans-Corporeal Resection, Shaeer’s Technique

Experience with Tube® (Promedon) Malleable Penile Implant

Implantation of penile prosthesis in a patient with severe corporeal fibrosis induced by cavernosal injection therapy

Contact Info

Product

Resources

About