Treatment of Penile Fibrosis with Prosthetic Implantation and Flap Advancement with Tissue Debulking (1996)

No AccessJournal of UrologyClinical Urology: Original Article1 Aug 1996Treatment of Penile Fibrosis with Prosthetic Implantation and Flap Advancement with Tissue Debulking Dean L. Knoll, Jack Fisher, Ralph C. Benson, David L. Bilhartz, Peter J. Minich, and William L. Furlow Dean L. KnollDean L. Knoll , Jack FisherJack Fisher , Ralph C. BensonRalph C. Benson , David L. BilhartzDavid L. Bilhartz , Peter J. MinichPeter J. Minich , and William L. FurlowWilliam L. Furlow View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)65858-0AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Even after successful penile prosthesis implantation in patients with extensive penile fibrosis, a subset will have insufficient penile length for satisfactory sexual intercourse. We report a combined surgical approach to gain additional functional length in these patients. Materials and Methods: During the last 18 months 11 patients with extensive cavernous fibrosis underwent penile prosthesis implantation with a modified suprapubic V-Y advancement flap and lower abdominal tissue debulking. Results: After prosthesis implantation the accompanying procedures allowed these patients to gain an additional 3.5 to 6.5 cm. in functional length. All patients had a functional device after a mean followup of 12 months. No prosthesis became infected and no patient required an additional flap procedure. Conclusions: This surgical approach allows patients to gain additional functional length for satisfactory intercourse after treatment of extensive penile fibrosis. References 1 : Priapism: etiology, treatment and results in series of 35 presentations. Urology1985; 26: 229. Google Scholar 2 : Priapism: review of 34 cases. Urology1985; 25: 233. Google Scholar 3 : Evaluation and treatment of priapism. J. Urol.1981; 125: 204. Link, Google Scholar 4 : Penile rupture. Urol. Clin. N. Amer.1989; 16: 369. Google Scholar 5 : Bent penis. Sem. Urol.1987; 5: 251. Google Scholar 6 : Peyronie's disease: a study of its natural history and treatment with orthovoltage radiotherapy. J. Urol.1975; 114: 69. Link, Google Scholar 7 : Fibrosis of corpus cavernosum after intracavernous injection of phentolamine/papaverine. J. Urol.1987; 137: 292. Link, Google Scholar 8 : Penile thesis reimplantation. J. Urol.1987; 137: 46. Abstract, Google Scholar 9 : Complicated implantations of inflatable penile prostheses. Urol. Clin. N. Amer.1987; 14: 217. Google Scholar 10 : . Baltimore: Williams & Wilkins1975: 22. Google Scholar 11 : Pituitary-gonadal relations in male children and adolescence. Ped. Res.1972; 6: 126. Google Scholar 12 : The many difficulties of managing micropenis. Contemp. Urol.1993; 5: 15. Google Scholar 13 : Basic principles of skin flaps. In: . Baltimore: Williams & Wilkins1992: 36. Google Scholar Center for Urological Treatment and Research and Nashville Plastic Surgery, Nashville, Tennessee.© 1996 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited ByLopategui D, Balise R, Bouzoubaa L, Wilson S and Kava B (2018) The Impact of Immediate Salvage Surgery on Corporeal Length Preservation in Patients Presenting with Penile Implant InfectionsJournal of Urology, VOL. 200, NO. 1, (171-177), Online publication date: 1-Jul-2018. Volume 156Issue 2August 1996Page: 394-397 Advertisement Copyright & Permissions© 1996 by American Urological Association, Inc.MetricsAuthor Information Dean L. Knoll More articles by this author Jack Fisher More articles by this author Ralph C. Benson More articles by this author David L. Bilhartz More articles by this author Peter J. Minich More articles by this author William L. Furlow More articles by this author Expand All Advertisement PDF DownloadLoading ...