Distal Tunical Repair

VJPU 2015; 2:041

Key words: penile disassembly; penile implant malfunction

This video demonstrates the case of a patient with a distal herniation of a penile implant with simultaneous malfunction of the penile implant. Surgery starts with a subcoronal incision and degloving of the penile shaft. The neurovascular bundle and the corpus spongiosum are dissected resulting in a penile disassembly according to Perovic. The tip of both corpora is removed from the glans penis and reconstructed with a Prolene hernia mesh for re-enforcement. The glans is fixed to the tip of both corpora cavernosa. A second transverse penoscrotal incision allows classical implantation of a Titan Coloplast implant after removal of the previous malfunctioned implant. After implantation a scrotoplasty is performed for cosmetic reasons.

Reference

1. Perovic SV, Djordjevic ML. The penile disassembly technique in the surgical treatment of Peyronie’s disease.: BJU Int. 2001 Nov;88(7):731-8
2. Loreto C, Garaffa G, Dijnovic R, Barbagli G, Villa M, Sansalone S. Penile disassembly: anatomical surgical steps. BJU Int. 2013 Nov;112(7):1035-45