Implantation of a penile prosthesis in the setting of corporeal fibrosis can be a significant challenge. This condition occurs most commonly following removal of a previously implanted penile prosthesis for infection or erosion (1,2). Additional etiologies of corporeal fibrosis include priapism (3), penile trauma (4), Peyronie’ s disease (5,6), intracavernosal injection therapy (7), and idiopathic (8). The extent of fibrosis within the corporeal bodies may vary, and it may occur unilaterally or bilaterally. The primary problem presented by the fibrosis during penile prosthesis implantation is interference with satisfactory dilation of the corporeal bodies and subsequent corporotomy closure. Following surgery, the main problem encountered is often patient dissatisfaction regarding functional erectile legth. This can be a significant issue that must be extensively reviewed with the patient preoperatively to ensure that he understands the inherent difficulties of the surgical and has realistic expectations.
KeywordsPenile Prosthesis Corporeal Body Inflatable Penile Prosthesis Hegar Dilator Penile Prosthesis Implantation
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