Objective: To evaluate the effectiveness of the technique of corporeal counter incisions for penile prosthesis implantation in cases with marked corporeal ®brosis. Methods: Creating subtunical tunnels that are stretched transversely by the dilamezinsert instrument & Heggars dilators with its tip entering from one side and protruding from the counter incision to avoid urethral or corporeal perforation. Patients: Seventeen patients underwent this technique, mean age 56 y (range 42 ± 71 y); 12 post removal of an infected prosthesis and ®ve post priapism. Results: In all cases, two rods were successfully implanted. In one case, a crural perforation occurred that was repaired intra-operatively. Conclusion: Corporeal counter incisions with transverse tissue stretching is a relatively simple technique to implant semirigid implants in ®brosed corpora.
The objective of this retrospective study is to evaluate the surgical outcome of correction of congenital penile curvature, via multiple vertical incisions in the tunica albuginea that are sutured horizontally using simple inverted 2-0 PDS sutures.The study included 22 men with congenital penile curvature. The surgeries were performed in three general hospitals.The procedures straightened the penile shaft in all cases but a degree of curvature recurred in three cases. No operative or postoperative complications occurred and no reoperations were needed. Four patients complained of penile shortening.We conclude that horizontal plication after vertical corporal incisions is safe and effective in the treatment for congenital penile curvature without hypospadius.
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