Reconfiguration of the severely fibrotic penis with a penile implant

F. Montorsi, A. Salonia, T. Maga, R. Colombo, A. Cestari, G. Guazzoni, P. Rigatti

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: Using evidence based methods we prospectively evaluated the impact of a new surgical procedure on penile deformity caused by severe cavernous fibrosis. Materials and Methods: In 10 patients with severe penile curvature, shortening and impaired penile rigidity due to fibrosis of the corpora cavernosa we made multiple relaxing incisions of the tunica albuginea and subsequently placed a 3-piece inflatable penile implant. Patients were evaluated before and after the procedure by the International Index of Erectile Function and several general assessment questions. Preoperatively and postoperatively we measured flaccid and erect penile length. Results: At the 6-month followup all International Index of Erectile Function domains were significantly improved compared with preoperative values. Average penile length was increased 2.3 and 3 cm. while flaccid and erect, respectively, compared with before surgery. Complete penile straightening was achieved in 9 of 10 cases (90%). Surgical reoperation was performed in 1 patient (10%) in whom the implant was removed due to scrotal infection and in another (10%) in whom a further single relaxing incision of the fibrotic plaque was needed to attain complete penile straightening. Conclusions: Patients with severe penile curvature, shortening and impaired penile rigidity due to penile fibrosis may be offered this surgical alternative, which proved to be effective and safe in our preliminary series.

Original languageEnglish
Pages (from-to)1782-1786
Number of pages5
JournalJournal of Urology
Volume166
Issue number5
Publication statusPublished - 2001

Keywords

  • Fibrosis
  • Penis
  • Prostheses and implants
  • Questionnaires

ASJC Scopus subject areas

  • Urology

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