Shaeer's corporotomy closure technique for safer suturing of the corpora: a randomized controlled study

Suturing the corporotomies over the penile implant yields water-tight closure, reducing the risk of hematoma and subsequent infection, though at the risk of needle puncture of the inflatable cylinders. This prospective randomized controlled study evaluates Shaeer's Corporotomy Closure Technique (SCCT); a surgical technique to enhance the ease and safety of suturing the corporotomies closed, by everting the corporotomy edges. The study was performed in a single center, between 2022 and 2025, in Cairo, Egypt. Three-piece inflatable penile prosthesis (iPP) implantation was performed for 32 patients with erectile dysfunction refractory to medical treatment, excluding cases of previous penile surgery, Peyronie's disease, corporal fibrosis or radical prostatectomy, or those receiving anticoagulant therapy. Patients were randomized into two groups. The Control Group had the corporotomies closed by tying the pre-placed stay sutures. SCCT Group had the corporotomies sutured closed with the edges everted using horizontal mattress sutures placed on each side of the intended corporotomy, two on each corpus cavernosum. After corporotomy, the stay sutures were tied, everting the edges. The everted corporotomy edges were then sutured closed in a running fashion. Operative time was 9.5% (5 min) shorter in the Control Group (47.7 ± 5.3 mins vs. 52.7 ± 4.4 mins, p = 0.009). Drain output at 24 h was 78.8% (59.4 cc's) higher for Control Group (75.4 ± 32.8 cc's vs. 16 ± 8.6 cc's, p < 0.001), (Table 1, Fig. 5). Total drain output was 81.5% (77.5 cc's) higher in Control Group (95.1 ± 64.8 cc's vs. 17.6 ± 12 cc's, p < 0.001). For both groups, no intra-operative complications, infections or device mechanical failures were recorded through the follow up period; 14 months ± 4.4. One case in Control Group developed a scrotal hematoma, and two cases developed scrotal tissue induration surrounding the pump, delaying deflation and cycling. SCCT allows safer suturing of the corporotomies.