Management of nondilatable cavernous fibrosis with the use of a downsized inflatable penile prosthesis.
The basic underlying cause of inability to implant a penile prosthesis is cavernous fibrosis resulting in unsatisfactory cavernous dilation. During the last 3 years, 20 patients with severe cavernous fibrosis underwent penile prosthetic implantation with a downsized inflatable penile prosthesis, obviating the need for additional cavernous reconstruction. After a mean followup of 20 months 19 of the 20 patients had a functional device with only 1 requiring explantation for infection. We believe that this downsized penile prosthesis is a valuable addition to the urological armamentarium when considering reimplantation or implantation in a patient with intracavernous fibrosis and scarring.
Knoll
L D
LD
Center for Urological Treatment and Research, Nashville, Tennessee.
Furlow
W L
WL
Benson
R C
RC
Bilhartz
D L
DL
D000328:Adult; D000368:Aged; D007172:Erectile Dysfunction / Q000601:surgery*; D005355:Fibrosis / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D015917:Penile Prosthesis / Q000009:adverse effects; D010413:Penis / Q000473:pathology*