title: Treatment of penile fibrosis with prosthetic implantation and flap advancement with tissue debulking.
abstract: OBJECTIVE
  Even after successful penile prosthesis implantation in patients with extensive penile fibrosis, a subset will have insufficient penile length for satisfactory sexual intercourse. We report a combined surgical approach to gain additional functional length in these patients.
  
  
  METHODS
  During the last 18 months 11 patients with extensive cavernous fibrosis underwent penile prosthesis implantation with a modified suprapubic V-Y advancement flap and lower abdominal tissue debulking.
  
  
  RESULTS
  After prosthesis implantation the accompanying procedures allowed these patients to gain an additional 3.5 to 6.5 cm. in functional length. All patients had a functional device after a mean followup of 12 months. No prosthesis became infected and no patient required an additional flap procedure.
  
  
  CONCLUSIONS
  This surgical approach allows patients to gain additional functional length for satisfactory intercourse after treatment of extensive penile fibrosis.
authors.affiliation: Center for Urological Treatment and Research, Nashville, Tennessee, USA.
authors.forename: L D
authors.initials: LD
authors.lastname: Knoll
authors.forename: J
authors.initials: J
authors.lastname: Fisher
authors.forename: R C
authors.initials: RC
authors.lastname: Benson
authors.forename: D L
authors.initials: DL
authors.lastname: Bilhartz
authors.forename: P J
authors.initials: PJ
authors.lastname: Minich
authors.forename: W L
authors.initials: WL
authors.lastname: Furlow
mesh_terms: D000368:Aged; D005355:Fibrosis; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D015917:Penile Prosthesis; D010413:Penis / Q000473:pathology* / Q000601:surgery*; D013524:Surgical Flaps