V07-07 CORPORAL RECONSTRUCTION USING LIGHTWEIGHT MESH DURING PENILE PROSTHETIC SURGERY

Abstract

You have accessJournal of UrologySexual Dysfunction & Transgender (V07)1 Sep 2021V07-07 CORPORAL RECONSTRUCTION USING LIGHTWEIGHT MESH DURING PENILE PROSTHETIC SURGERY Wai Gin Lee, Luca Venturino, and David Ralph Wai Gin LeeWai Gin Lee More articles by this author , Luca VenturinoLuca Venturino More articles by this author , and David RalphDavid Ralph More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002034.07AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Options for reconstruction of the corpora cavernosa are limited. Synthetic grafts like Dacron™ (Maquet, Sweden) and GORE-TEX™ (Gore Medical, USA) are used but have high infection rates. Lightweight macroporous mesh is a promising alternative due to better integration and surrounding tissue ingrowth. This video illustrates the technique for corporal reconstruction using a lightweight mesh following erosion and septal crossover of an inflatable penile prosthesis. METHODS: The patient is a 41-year-old insulin dependent diabetic with erectile dysfunction and a 90° dorsal curvature from a large ossified plaque. He had an inflatable penile prosthesis inserted with concomitant plaque excision and grafting. He represented with a penile deformity 15 months following surgery and was found to have distal erosion of both prosthesis cylinders and septal crossover of the left sided cylinder. Via a penoscrotal incision, the cylinders were retrieved, and two tubed mesh grafts were fashioned to reinforce the tunical defect. A macroporous lightweight composite mesh (Ultrapro®; Ethicon) made of polypropylene (Prolene®; Ethicon) and poliglecaprone-25 (Monocryl®; Ethicon) was chosen. The mesh is partially absorbable and therefore minimises the amount of residual foreign material and may reduce the risk of post-operative infection. The device was kept partially inflated for a week and the patient was asked to refrain from sexual intercourse for 6 weeks post-surgery. RESULTS: Post-operative course was uneventful. The patient is sexually active and remains satisfied after 8 months of follow-up. CONCLUSIONS: This video demonstrates that a lightweight macroporous mesh may be an alternative synthetic graft for corporal reconstruction. The polypropylene/poliglecaprone-25 mesh has several advantages because it is partially absorbable and easy to handle while providing a strong scaffold to prevent further device erosion. Source of Funding: None © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e552-e553 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Wai Gin Lee More articles by this author Luca Venturino More articles by this author David Ralph More articles by this author Expand All Advertisement Loading ...