Use of inflatable penile prostheses AMS CX with momentary squeeze in a patient with Peyronie's disease after removal of two previously implanted penile prostheses.
OBJECTIVE
Peyronie's disease (PD) is a fibrotic wound-healing condition of the tunica albuginea that results in penile deformity, curvature, hinging, narrowing and shortening, penile pain, and in some cases, erectile dysfunction (ED). Surgery remains the gold standard treatment option, ensuring the faster and trustworthy treatment. For those patients who have erectile dysfunction and PD, penile prosthesis placement with straightening procedure is the best method to solve both diseases. The aim of this article is to present the use of hydraulic penile prostheses AMS CX with Momentary Squeeze associated with a complete isolation of the neurovascular bundle in a complex case after removal of two previously implanted prostheses in a man suffering from Peyronie's disease and erectile dysfunction.


METHODS
A 50 year-old patient underwent two previous prosthetic implants in another hospital. The first implantation was performed using an infrapubic approach followed by placement of a three-component hydraulic penile prosthesis. After six months the prosthesis was removed using an infra-pubic approach and two soft prosthesis Virilis II were implanted during the same surgery. One year after the second operation we implanted a hydraulic penile prosthesis AMS CX with Momentary Squeeze after complete isolation of the neurovascular bundle, fixing the two crural tips at the same level of albuginea of the two corpora cavernosa.


RESULTS
Twelve months after surgery the penis was completely straight without penile shortening and the patient was fully satisfied with his sexual life.


CONCLUSIONS
The procedure enabled a perfect alignment of the cylinders along the longitudinal axis and penile prosthetic symmetry to obtain a good penile rigidity and a perfect penile straightening.
Department of Urology, "I.N.I." Italian Neurotraumatologic Institute Grottaferrata, Rome. patriziovicini@gmail.com.
Patrizio
P
Vicini
Ferdinando
F
De Marco
Gabriele
G
Antonini
Ettore
E
De Berardinis
Riccardo
R
Giovannone
Stefano
S
Pecoraro
Luigi
L
Azzarri
Vincenzo
V
Gentile
D020878:Device Removal; D007172:Erectile Dysfunction / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D019935:Penile Implantation; D010411:Penile Induration / Q000150:complications* / Q000601:surgery*; D015917:Penile Prosthesis; D011474:Prosthesis Design; D012086:Reoperation; D016896:Treatment Outcome