PENILE PROSTHESIS IMPLANTATION THROUGH SUBCORONAL APPROACH IN PATIENTS WITH TOTAL CAVERNOUS FIBROSIS


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Abstract

Penile prosthesis implantation is a treatment choice in patients with erectile dysfunction (ED) accompanied by cavernous fibrosis. Methods for creation of space for penile cylinders during prosthesis implantation in patents with total cavernous fibrosis are still under discussion, considering high risk of complications and decrease in penile size. In the presented clinical case, a new surgical technique for performing a three-piece penile prosthesis implantation through subcoronal approach in patient with ED, complicated by total cavernous fibrosis, is described. This clinical case represents our first experience of excavation excision of scar tissue in cavernous bodies through an innovative subcoronoral approach. As a result of performing of excavation excision of scar tissue in cavernous bodies, capacious spaces were created which allowed to use a three-piece prosthesis with a standard cylinder diameter. It ensured good long-term functional and cosmetic results. The first experience of excavation excision of fibrotic cavernous bodies during inflatable penile prosthesis implantation through subcoronal approach suggests its potential efficacy and safety in patients with ED and total cavernous fibrosis.

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About the authors

N. D Akhvlediani

A.I. Evdokimov Moscow State University of Medicine and Dentistry

Email: mkandro@mail.ru
MD, professor at the Department of Urology Moscow, Russia

I. A Reva

A.I. Evdokimov Moscow State University of Medicine and Dentistry

Ph.D., urologist at the Urologic Department of University Clinic Moscow, Russia

A. N Bernikov

A.I. Evdokimov Moscow State University of Medicine and Dentistry

Ph.D., Head of the Urologie Department of University Clinic, associate professor at the Department of Urology Moscow, Russia

A. S Chernushenko

A.I. Evdokimov Moscow State University of Medicine and Dentistry

urologist at the Urologic Department of University Clinic Moscow, Russia

D. Yu Pushkar

A.I. Evdokimov Moscow State University of Medicine and Dentistry

corresponding member of RAS, MD, professor, Head of the Department of Urology, Chief urologist of the Ministry of Health of Russia and Moscow Moscow, Russia

References

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