Replacement of tunica albuginea of corpus cavernosum penis using human dura Experimental study on dogs

Surgical Correction of Severe Peyronie’s Disease without Plaque Excision A New Approach

“…Our patients refused penile prosthesis implantation and we have some difficulty in accepting the concept of Kelâmi [10]. Other authors are also of the same opinion [16] .…”

“…Different techniques have been pro posed to resolve the angulation produced by retractile fibrosis [2][3][4][5][6], Byström etal. [7] andHorton andDevine [8,9] introduced the use of a dermal graft after plaque exci sion, but, posteriorly, dura mater has proved to be a good substitute material for tunica albuginea [ 10], In 1977, Raz et al [ 11 ] reported their experience using penile prosthesis after incision of the plaque, and in 1980 Kelâmi [12] pro posed, to patients over the age of 50, implantation of a semirigid prosthesis without any procedure to the plaque. Our patients who still have full erections do not accept this point of view.…”

Crural Tunica Albuginea Autograft for Corporoplasty: An Experimental Animal Study of Hemodynamic, Histopathological, and Molecular Effects in the Long Term

“…Because of the report of Lowsley and Boyce in 1950 on using a fat graft to patch the tunica albuginea defect [27], numerous materials have been described in search for the ideal graft (Table 3), [28]. Table 4 shows that initial reports are promising for most of these grafts, but a review of the recent literature shows that only a few gained popularity with different centers reporting in favor of their continued use [29–55]. Dermal grafts were the earliest in large series and achieved penile straightening in 80–84% with new ED development between 20–100% [5,6,29–32].…”

Anwendung von menschlicher Dura in der Urologie – ausser als Harnblasenwandersatz

“…Tierexperimentell konnten wir nachweisen, dass die menschliche Dura sich hervorragend als Ersatz der Tunica albuginea des Corpus cavernosum penis eignet [7], Bei Ergebnissen bis zu 1 Jahr konnte man eine sehr befriedigende Entwicklung sehen, so dass wir uns entschlossen haben, diese Methode auch beim Menschen anzuwenden. Bei einem 61jährigen Patienten mit Induratio penis plastica von sehr ausgedehnter Grösse haben wir die Plaques exzidiert (2X8 cm) und den Defekt mit menschlicher Dura ersetzt [8].…”