Related Experiment Video
Updated: Aug 6, 2026
03:25
Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy
Published on: June 16, 2022
Top ten surgical tricks-penile prosthesis with corporal fibrosis
Osama Shaeer1, Kamal O K M Shaeer2, Kamal Shaeer3
1Department of Andrology, Kasr Al Aini Faculty of Medicine, Cairo University, Giza, Egypt. osamashaeer@gmail.com.
International Journal of Impotence Research
|July 20, 2026
Summary
Penile prosthesis implantation in scarred corpora presents challenges. This guide offers practical tips for successful outcomes, favoring less invasive closed techniques when possible.
Area of Science:
- Urology
- Prosthetic Surgery
Background:
- Corporal fibrosis poses significant challenges in penile prosthesis implantation.
- Managing scarred penile tissue requires specialized surgical approaches.
Purpose of the Study:
- To provide expert tips and tricks for penile prosthesis implantation in cases of corporal fibrosis.
- To review and synthesize literature and author experience for optimal surgical management.
Main Methods:
- Literature review using PubMed with terms 'penile prosthesis' and ('scarred' or 'scarring' or 'fibrosis' or 'cavernotome').
- Classification of surgical techniques into open and closed approaches.
- Description of preferred author techniques and proactive measures against fibrosis.
Main Results:
- Key tips cover patient counseling, evaluation, cylinder selection, rear-tip extender use, size enhancement, and post-operative care.
- A comparison of open (more invasive) and closed (less invasive) surgical techniques is presented.
- The authors advocate for closed techniques when feasible.
Conclusions:
- There is no universal consensus on managing corporal fibrosis during penile prosthesis surgery.
- The authors' experience suggests closed techniques are preferable to open techniques when possible.
- The presented tips aim to improve safety and outcomes in complex penile prosthesis cases.
