Management of nondilatable cavernous fibrosis with the use of a downsized inflatable penile prosthesis

The basic underlying cause of inability to implant a penile prosthesis is cavernous fibrosis resulting in unsatisfactory cavernous dilation. During the last 3 years, 20 patients with severe cavernous fibrosis underwent penile prosthetic implantation with a downsized inflatable penile prosthesis, obv...

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Bibliographic Details
Published inThe Journal of urology Vol. 153; no. 2; p. 366
Main Authors Knoll, L D, Furlow, W L, Benson, Jr, R C, Bilhartz, D L
Format Journal Article
LanguageEnglish
Published United States 01.02.1995
Subjects
Adult
Aged
Erectile Dysfunction - surgery
Fibrosis - surgery
Follow-Up Studies
Humans
Male
Middle Aged
Penile Prosthesis - adverse effects
Penis - pathology
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Summary:The basic underlying cause of inability to implant a penile prosthesis is cavernous fibrosis resulting in unsatisfactory cavernous dilation. During the last 3 years, 20 patients with severe cavernous fibrosis underwent penile prosthetic implantation with a downsized inflatable penile prosthesis, obviating the need for additional cavernous reconstruction. After a mean followup of 20 months 19 of the 20 patients had a functional device with only 1 requiring explantation for infection. We believe that this downsized penile prosthesis is a valuable addition to the urological armamentarium when considering reimplantation or implantation in a patient with intracavernous fibrosis and scarring.
ISSN:0022-5347
DOI:10.1097/00005392-199502000-00020