VJPU 2018; 2: 128
Title: Minimally Invasive Methods To Enhance Penile Length Along With Penile Prosthesis Implantation
Author: Osama Shaeer, Professor of Andrology, Kasr El Aini Faculty of Medicine, Cairo University, Egypt
Key words: penile prosthesis, penile implant, length, elongation, Dorsal phalloplasty, Monsplasty
Dissatisfaction with length is among the complaints of a subset of patients following penile prosthesis implantation (PPI). Adjuvant techniques for elongation can help alleviate this complaint but add to the operative time and extent of intervention, possibly reflecting on infection rates. This video presents two minimally invasive techniques for enhancing visible penile length by revealing the base of the penis. Both techniques can be performed alongside PPI, in the same session. “Dorsal phalloplasty”  tacks the peno-pubic junction inwards to the pubic symphysis, using one or more permanent braided sutures, placed through the same peno-scrotal incision. “Tape Monsplasty”  on the other hand elevates the pubic fat pad altogether cephalad. This is performed through a 1cm incision overlying one anterior superior iliac spine (ASIS), where a 5 mm-wide nonabsorbable tape is inserted blindly on a long forceps, down to the base of the penis and then up to the contralateral ASIS, to exit through another 1 cm incision. The tape is pulled upwards, pulling up the pubic fat pad, then tied to both ASISs. More than one tape can be inserted through different planes, if required.
Disclosures: The authors have nothing to disclose