Login to Access Video or Poster Abstract: MP25-01
Sources of Funding: Boston Scientific

Introduction

Residual curvature after placement of a penile prosthesis (PP) is a common occurrence with many different opinions on how to &[Prime]handle&[Prime] the needed straightening and no objective, multicenter data. We present for the first time a large, prospective, multicenter study that incorporated evaluating what intraoperative management techniques were utilized, how effective and need for adjunctive methods these straightening maneuvers are intra-operatively.

Methods

A total of 313 [of a total of 1297 (24.1&[permil])] PP patients who underwent residual curvature correction techniques from the PROPPER database were included in this analysis. We evaluated 4 curvature correction techniques, up to 3 techniques used per patient, the starting and ending residual curvature for each technique, how much each technique required an additional straightening maneuver, and penile length before and after the procedure.

Results

Wilson / Delk remodeling was the most common first curvature correction technique used (264/313) 84&[permil]: followed by tunical incision (19/313) 6&[permil]; incision and grafting (17/313) 5.4&[permil]; and plication (11/313) 3.5&[permil]. However, the 2 least utilized first techniques required the lowest need for a second curvature correction technique with incision and grafting needing no additional techniques and only one plication (1/11) 9&[permil] requiring an additional Wilson / Delk remodeling. Meanwhile (14/19) 73.7&[permil] of the tunical incisions required an additional Wilson / Delk remodeling. See table for Wilson / Delk remodeling results.

Conclusions

Residual curvature requiring curvature correction technique after implantation of a PP is a common problem facing prosthetic surgeons. While Wilson / Delk remodeling and tunical incision are the most common first techniques utilized, incision and grafting and plication appear to require little need for a second maneuver.

Funding

Boston Scientific