Modified malleable prosthesis with a fixed mesh: case series for the Ghattas technique

Area of Science:

• Urology
• Andrology
• Medical Devices

Background:

• Organic erectile dysfunction (ED) requires effective treatment options when other methods fail.
• Penile prosthetic implantation is a primary solution for refractory ED.
• Existing prostheses may not meet the needs of all patients requiring larger diameters.

Purpose of the Study:

• To introduce and evaluate the novel "Ghattas technique" for penile prosthetic implantation.
• To assess the safety and efficacy of using a polypropylene mesh sheath to increase prosthesis diameter.
• To determine patient satisfaction and functional outcomes with the modified prosthesis.

Main Methods:

• The Ghattas technique involved constructing a polypropylene mesh sheath around a 13-mm malleable prosthesis.
• Twenty-three patients with ED underwent the procedure.
• Preoperative and postoperative International Index of Erectile Function (IIEF-5) and Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) scores were used for evaluation.

Main Results:

• A significant improvement in erection quality was observed, with mean IIEF-5 scores increasing from 8.3 to 24.6 (P < 0.001).
• High patient satisfaction was reported, with a mean EDITS score of 94.9.
• The technique successfully provided larger diameter prostheses for patients requiring them.

Conclusions:

• The Ghattas technique is a safe and effective method for penile prosthetic implantation.
• This technique offers a viable solution for patients needing larger diameter prostheses.
• Further research is recommended to validate these findings in larger cohorts.