Abstract
Figure 1Perforation of the corporal body proximally may occur during dilatation. It occurs frequently during insertion of cylinders into corporal bodies scarred from previous prosthesis removal. The spongy erectile tissue is replaced by fibrotic scar tissue. A space for the cylinder base is achieved basically by blasting a tunnel through scar tissue. A perforation rate as high as 50% is common in these cases. When placing dilators in each proximal corpora if they are not the same depth or the same angle, there may be proximal perforation.
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