The tunneling technique: a universal approach for salvage penile prosthetic implantation in severely scarred corporal bodies

Authors: Daniar K. Osmonov, Ahmed M. Ragheb, Klaus-Peter Jünemann and Steven K. Wilson

Key Words: Corporal, fibrosis, tunneling, cavernotomes, inflatable penile prosthesis, IPP

IPP implantation in severe cases of intracorporal scarring poses a daunting challenge, even to experts in the field. We present, step-by-step, the tunneling technique to successfully implant an inflatable penile prosthesis via the subcoronal approach in a case of total intracorporal fibrosis. Our patient was a 32 year old African gentleman suffering complete intracorporal fibrosis as a result of a full week episode of ischemic priapism due to sickle cell anemia. With the adequate surgical experience and special instrument utilization, the tunneling technique may be considered a minimally invasive and universal option for implanting cases suffering extensive intracorporal fibrosis while excluding the need for corporal reconstruction. We aspire this video to serve as an instructive resource for treating these special cases.

Acknowledgements: This video was filmed and edited in the Department of Urology and Pediatric Urology University Hospital Schleswig Holstein in Kiel, Germany..

Disclosures: The authors have nothing to disclose.