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Inflatable Penile Prosthesis Insertion in Men with Severe Intracorporal Fibrosis.

Bruce B Garber1, Caitlin Lim1

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|August 9, 2017
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Inserting inflatable penile prosthesis (IPP) into scarred corpora is challenging. A standardized surgical approach using specific cavernotomes improved success rates in men with severe corporal fibrosis.

Keywords:
Erectile dysfunctionPenile erection

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Area of Science:

  • Urology
  • Andrology
  • Surgical Innovation

Background:

  • Severe intracorporal fibrosis presents a significant challenge for penile prosthesis implantation.
  • Previous attempts at implantation may have failed due to extensive scarring.

Purpose of the Study:

  • To review outcomes of inflatable penile prosthesis (IPP) insertion in men with severely scarred corpora.
  • To analyze surgical techniques and instruments for successful implantation in challenging cases.

Main Methods:

  • Retrospective review of 15 IPP procedures performed by a high-volume surgeon over 5 years.
  • Focus on 14 patients with severe intracorporal fibrosis.
  • Standardized surgical approach with limited corporal excavation and sequential use of Uramix and Carrion-Rossello cavernotomes.

Main Results:

  • Successful IPP insertion was achieved in 13 of 15 procedures (87%).
  • One initial failed attempt was successfully revised 10 months later.
  • Two patients (14%) experienced peri-prosthetic infection requiring explantation.

Conclusions:

  • IPP implantation into scarred corpora is technically demanding but achievable with a standardized approach.
  • The described technique using specific cavernotomes may improve success rates.
  • Further research is needed to definitively establish optimal surgical techniques due to case rarity.