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Floppy Glans-Classification, Diagnosis and Treatment.

Marta Skrodzka1, Daniel Heffernan Ho2, David Ralph1

  • 1The Institute of Urology, University College London Hospital, London, United Kingdom.

Sexual Medicine Reviews
|September 3, 2019
PubMed
Summary
This summary is machine-generated.

Floppy glans, a penile prosthesis complication, causes pain and dissatisfaction. Accurate diagnosis via examination and imaging, followed by tailored treatment, is key to successful outcomes.

Keywords:
Erectile DysfunctionFloppy Glans SyndromeGlanspexyPenile ProsthesisReal Glans HypermobilitySoft Glans

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Area of Science:

  • Urology
  • Andrology
  • Surgical Complications

Background:

  • Glans hypermobility is a rare complication following penile prosthesis implantation.
  • This condition can lead to patient dissatisfaction due to pain, sexual dysfunction, and poor aesthetics.
  • It may render an otherwise functional implant unusable.

Purpose of the Study:

  • To consolidate current knowledge on floppy glans phenomenon.
  • To standardize terminology for glans abnormalities after penile implant surgery.
  • To review available treatment strategies for this complication.

Main Methods:

  • Comprehensive review of published literature on floppy glans.
  • Analysis of institutional experience with diagnosis and management.
  • Inclusion of studies detailing incidence, pathophysiology, diagnostics, and treatment.

Main Results:

  • Floppy glans can stem from glans tissue, implant cylinder size/position, or penile anatomy.
  • Physical examination with an inflated implant aids in identifying the droop's cause.
  • Advanced imaging (MRI, ultrasound) and uroradiologist consultation are valuable for ambiguous cases.

Conclusions:

  • Unified terminology and understanding of glans abnormalities are vital for effective treatment.
  • Conservative medical therapy should be considered before surgical revision when appropriate.
  • Thorough assessment of implant position and size is crucial before diagnosing and treating glans hypermobility.