title: Distal corporoplasty for distal cylinders extrusion after penile prosthesis implantation.
abstract: BACKGROUND
  Distal extrusion of cylinders is a potential complication of the penile prosthesis implantation. Several methods have been proposed for repairing a distal penile erosion. We present our preliminary experience in "Distal corporoplasty" technique.
  
  
  METHODS
  We enrolled 18 consecutive patients whose underwent a distal corporoplasty with simultaneous reimplantation of an "AMS 700 inflatable penile prosthesis (LGX)" from January 2013 to November 2015 at our hospital. All procedures were performed by a single surgical team. Intraoperative and postoperative complications have been classified and reported according to Satava6 and Clavien-Dindo (CD) system.7 Mean values with standard deviations (±SD) were computed and reported for all items.
  
  
  RESULTS
  Mean age of the patients was 53.61 (±11.90) years. Mean body max index (BMI) was 24.22 (±2.51). Mean operative time was 85.2 (±13.1) minutes. Blood losses were minimal. No intraoperative complications are reported according to Satava classification. Four out of 18 patients (22.22%) experienced postoperative complications according to CD system. All patients had sexual intercourse for the first time postsurgery after a mean of 59.11 ± 2.08 days. Mean follow-up was 22.11 (±9.95).
  
  
  CONCLUSIONS
  Distal extrusion of cylinders is a potential complication of the penile prosthesis implantation. Distal corporoplasty was first described by Mulcahy. He reported a series of 14 patients with a follow-up of about 2 years with optimal functional outcomes. Moreover, distal corporoplasty resulted in shorter operative time, better function, less pain, and fewer recurrences than Gortex windsock repair.10 In our experience, distal corporoplasty is a simple and safe procedure in the treatment of distal cylinders extrusion when the prosthetic material is not exposed to the exterior.
authors.affiliation: Andrology Unit, Aorn A. Cardarelli, Naples - Italy.
authors.forename: Maurizio
authors.initials: M
authors.lastname: Carrino
authors.affiliation: Andrology Unit, Aorn A. Cardarelli, Naples - Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Chiancone
authors.affiliation: Andrology Unit, Aorn A. Cardarelli, Naples - Italy.
authors.forename: Gaetano
authors.initials: G
authors.lastname: Battaglia
authors.affiliation: Andrology Unit, Aorn A. Cardarelli, Naples - Italy.
authors.forename: Luigi
authors.initials: L
authors.lastname: Pucci
authors.affiliation: Andrology Unit, Aorn A. Cardarelli, Naples - Italy.
authors.forename: Paolo
authors.initials: P
authors.lastname: Fedelini
mesh_terms: D005548:Foreign-Body Migration / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019935:Penile Implantation; D015917:Penile Prosthesis / Q000009:adverse effects*; D010413:Penis / Q000601:surgery*; D011183:Postoperative Complications / Q000601:surgery*; D011475:Prosthesis Failure; D013521:Urologic Surgical Procedures, Male / Q000379:methods