Distal Biologic Cap for Impending Distal Erosion

Abstract

Introduction Management for distal impending erosion can be difficult and has been previously managed with counter incisions which can lead to unsightly scars and increased infection risk. Aim To demonstrate a novel technique in management of impending erosion. Methods We retrospectively reviewed patients who underwent placement of a distal biologic cap for impending erosion. Main Outcome Measure The main outcome was thesuccessful placement of inflatable penile prosthesis through a single incision. Results All patients who underwent this procedure are functional and have had no evidence of recurrence. Clinical Implications A simple approach to manage impending distal erosion. Strength & Limitations Limitations include small sample size and short duration of follow-up. Conclusion The distal biologic cap is a simple alternative technique to treat distal impending erosion of an inflatable penile prosthesis and can be performed safely without the need for additional incisions on the penis and with a minimal increase in operative times.

Isolated corpora cavernosa germ cell tumor metastasis requiring complex excision and reconstruction

“…Clearly, the oncologic benefit of a sufficient margin necessitated substitution of the corpora defect with pericardium allograft, which has been previously described in corporal reconstruction. 5 Unfortunately the patient immediately returned to Guyana after discharge and thus the long-term functional outcome of the patient is unknown.…”

Proximal Extracapsular Tunneling: A Simple Technique for the Management of Impending Cylinder Erosion and Complications Related to Corporal Dilation

“…To our knowledge, there is only one technique described in the literature for the management of cylinder extrusion that does not involve a counter-incision. Karpman et al 15 reported a simplified technique that uses biologic acellular matrix as a distal biologic cap that covers the distal tip of the cylinder to prevent cylinder erosion. This technique involves cylinder placement within the original intracapsular space and utilizes the biologic cap as an “extra layer” to decrease the risk of extrusion recurrence.…”