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Inflatable penile prosthesis implantation without corporeal dilation: a cavernous tissue sparing technique
Ignacio Moncada1, Juan Ignacio Martínez-Salamanca, José Jara
1Departments of Urology and Andrology, Hospital La Zarzuela, Madrid, Spain. ignacio@moncada.name
The Journal of Urology
|January 23, 2010
Summary
Penile dilation is not necessary for initial penile implant surgery. Studies show no dilation leads to less pain and better penile length and function outcomes compared to dilation.
Area of Science:
- Urology
- Andrology
- Surgical Innovation
Background:
- Penile implantation is a treatment for erectile dysfunction.
- The necessity of pre-implantation dilation of the corpora cavernosa is debated.
Purpose of the Study:
- To compare the outcomes of initial penile implantation with and without prior dilation of the corpora cavernosa.
Main Methods:
- 100 patients undergoing primary penile prosthesis implantation were randomized into two groups: one with (group 2) and one without (group 1) prior dilation.
- Pain, complications, penile dimensions, and erectile function (International Index of Erectile Function) were assessed post-surgery.
Main Results:
- Group 1 (no dilation) reported significantly less postoperative pain and greater penile length at immediate post-op, 3, and 6 months.
- Group 1 also demonstrated higher mean International Index of Erectile Function scores at 9 months.
- Complication rates were similar between the two groups.
Conclusions:
- Penile dilation is not a necessary procedure for primary penile implantation.
- Avoiding dilation may lead to improved patient comfort and functional outcomes.
