Distal corporoplasty to treat distal penile prosthesis extrusion

Maurizio Carrino1, Francesco Chiancone1, Luigi Pucci1, Gaetano Battaglia1, Domenico Di Lorenzo1, Paolo Fedelini1
  • 1 AORN A. Cardarelli, U.O.S.D. Andrologia (Napoli)

Abstract

Distal extrusion of cylinders is a potential complication of the penile prosthesis implantation. If the cylinders are not exposed to the exterior, and there is not infection, this complication can be solved with a surgical procedure called "distal corporoplasty". In this video we show the case of a patient who underwent a "SSDA subrini soft implant" penile prosthesis implantation for vasculogenic erectile disfunction in January 2014 at another hospital. In March 2014 and July 2014 he underwent two failed glandulopexy for distal cilinders extrusion at another hospital. After one year he reached our department with bilateral cylinder extrusion and we performed a distal corporoplasty to correct this defect. A longitudinal corporotomy was made over the cylinder on the anterior wall of the pseudocapsule. The cylinder was removed exposing the posterior wall of the pseudocapsule. This wall was incised transversely and the plane of spongy tissue behind the pseudocapsule was opened to the distal end of the corporal body with scissors and a new dilation was performed with brooks dilators. This procedure was performed bilaterally. We implanted a tri-component penile prosthesis in this newly created tract. The old tract was not closed and the new prosthesis was left partially inflated.

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