title: Corporeal counter incisions: a simplified approach to penile prosthesis implantation in fibrotic cases.
abstract: OBJECTIVE
  To evaluate the effectiveness of the technique of corporeal counter incisions for penile prosthesis implantation in cases with marked corporeal fibrosis.
  
  
  METHODS
  Creating subtunical tunnels that are stretched transversely by the dilamezinsert instrument & Heggars dilators with its tip entering from one side and protruding from the counter incision to avoid urethral or corporeal perforation.
  
  
  METHODS
  Seventeen patients underwent this technique, mean age 56 y (range 42-71 y); 12 post removal of an infected prosthesis and five post priapism.
  
  
  RESULTS
  In all cases, two rods were successfully implanted. In one case, a crural perforation occurred that was repaired intra-operatively.
  
  
  CONCLUSIONS
  Corporeal counter incisions with transverse tissue stretching is a relatively simple technique to implant semirigid implants in fibrosed corpora.
authors.affiliation: Department of Andrology, Cairo University, Egypt. ghanem@zajil.net
authors.forename: H
authors.initials: H
authors.lastname: Ghanem
authors.forename: S
authors.initials: S
authors.lastname: Ghazy
authors.forename: A
authors.initials: A
authors.lastname: El-Meliegy
mesh_terms: D000328:Adult; D000368:Aged; D005355:Fibrosis; D006801:Humans; D007239:Infections; D008297:Male; D008875:Middle Aged; D009130:Muscle, Smooth / Q000473:pathology; D019935:Penile Implantation / Q000379:methods*; D010413:Penis / Q000473:pathology; D011183:Postoperative Complications; D011317:Priapism; D016896:Treatment Outcome