A Preliminary Report on Combined Penoscrotal and Perineal Approach for Placement of Penile Prosthesis with Corporal Fibrosis

John P Brusky,Viet Q Tran,Sherif R Aboseif,Jocelyn M Rieder

doi:10.1155/2008/524392

John P Brusky, Viet Q Tran + Show 2 more

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https://doi.org/10.1155/2008/524392

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Abstract

Purpose. This paper aims at describing the combined penoscrotal and perineal approach for placement of penile prosthesis in cases of severe corporal fibrosis and scarring. Materials and methods. Three patients with extensive corporal fibrosis underwent penile prosthesis placement via combined penoscrotal and perineal approach from 1997 to 2006. Follow-up ranged from 15 to 129 months. Results. All patients underwent successful implantation of semirigid penile prosthesis. There were no short- or long-term complications. Conclusions. Results on combined penoscrotal and perineal approach to penile prosthetic surgery in this preliminary series of patients suggest that it is a safe technique and increases the chance of successful outcome in the surgical management of severe corporal fibrosis.

Highlights

Corporal scarring after infection of a penile prosthesis or priapism greatly increases the difficulty of subsequent prosthesis placement
We have found with our preliminary series of three patients that a combined penoscrotal and perineal approach allows for a safe dilation of the corpora, even through densely scarred tissue
From 1997 to 2006, a total of 3 patients with extensive corporal scarring were treated with placement of semirigid penile prosthesis with a combined penoscrotal and perineal approach

Summary

INTRODUCTION

Corporal scarring after infection of a penile prosthesis or priapism greatly increases the difficulty of subsequent prosthesis placement. In the case of extensive scarring, resection or cutting of scar tissue with subsequent reconstruction of the corpora with graft materials is often required. This adds additional complexity and time, and increases the likelihood of complication. We avoid extensive excision of fibrotic tissue whenever possible. We have found with our preliminary series of three patients that a combined penoscrotal and perineal approach allows for a safe dilation of the corpora, even through densely scarred tissue. Grafting of corporal defects is still possible when necessary

PATIENTS AND METHODS

DESCRIPTION OF TECHNIQUE

RESULTS

DISCUSSION

CONCLUSION