Penile Lengthening with IPP

VJPU 2014; 1:037

Key words: Peyronie’s disease; penile prosthesis

This video demonstrates the sliding technique combined with implant of penile prosthesis. The surgery is executed with two longitudinal incisions at three and nine o’clock that are connected with a proximal and distal / ventral and dorsal semi-circular incision that allows sliding and lengthening of the penis. The technique of isolation of the neurovascular bundle and preparation of the corpus spongiosum is demonstrated. Additionally, the technique of stabilisation of the penis is shown in detail. The results of this surgery are discussed in a multicentre collection of 21 patients.  The mean gain of length is 21 millimetres. Data of these patients have been collected with a follow up of 1 year. 

Reference

  1. Sansalone S, Garaffa G, Djinovic R, Egydio P, Vespasiani G, Miano R, Loreto C, Ralph DJ. Simultaneous penile lengthening and penile prosthesis implantation in patients with Peyronie’s disease, refractory erectile dysfunction, and severe penile shortening. J Sex Med. 2012; 9(1):316-21.
  2. Rolle L , Falcone M, Ceruti C, Timpano M Sedigh O, Ralph DJ Kuennas F, Oderda M, Preto M, Sibona M, Gillo A, Garaffa G, Gontera P Frea B. A prospective multicentre international study on the surgical outcomes and patients’ satisfaction rates of the ‘sliding’ technique for end-stage Peyronie’s disease with severe shortening of the penis and erectile dysfunction.  BJU Int. 2016 May;117(5):814-20.