The management of extensive penile fibrosis: a new technique of 'minimal scar-tissue excision'.
OBJECTIVE
To evaluate the results of excising minimal scar tissue in patients undergoing insertion of a penile prosthesis for extensive corporal fibrosis.


METHODS
Twelve patients (mean age 58 years, range 44-73) with extensive corporal fibrosis who underwent the insertion of a penile prosthesis were evaluated. Eleven patients had a defect of varying extent after the insertion of the penile prosthesis, and a polytetrafluoroethylene graft was used to cover the area.


RESULTS
All 12 patients tolerated the procedure well and currently have a functioning penile implant.


CONCLUSIONS
Minimal excision of scar tissue provided better results and fewer complications when compared to other studies which used extensive excision.
George
V K
VK
Department of Urology, Wayne State University, Detroit, Michigan, USA.
Shah
G S
GS
Mills
R
R
Dhabuwala
C B
CB
D000328:Adult; D000368:Aged; D002921:Cicatrix / Q000601:surgery; D005355:Fibrosis / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D010409:Penile Diseases / Q000473:pathology / Q000601:surgery*; D015917:Penile Prosthesis / Q000009:adverse effects; D011138:Polytetrafluoroethylene / Q000627:therapeutic use; D013524:Surgical Flaps / Q000379:methods
D011138:Polytetrafluoroethylene