Login to Access Video or Poster Abstract: MP25-18
Sources of Funding: None

Introduction

Glanular hypermobility (GH) or supersonic transporter (SST) deformity is relatively common during penile prosthesis (PP) implantation and negatively impacts PP utilization and longevity. However, management strategies are limited with minimal data available on surgical outcomes. Therefore, we sought to describe outcomes of men undergoing glanulopexy for management of GH/SST.

Methods

A glanulopexy was performed in men with GH/SST identified at the time of or following PP placement. A modified version of the technique previously described by Mulhall and colleagues was utilized, whereby a stitch is passed into the glans and secured to the corporal tunica (Figure 1). Patients were prospectively followed to evaluate longitudinal outcomes.

Results

From 2014-2015, a total of 15 patients underwent glanulopexy for GH/SST. Ten (67%) were performed at the time of PP, while five (33%) were placed as a separate procedure. Vicryl suture was used in five (33%) patients and Ethibond in 10 (67%). Three patients (50%) who received Vicryl sutures required repeat glanulopexy for recurrent deformity, prompting a change to Ethibond in all patients. At a median follow-up of thirteen-months, all patients demonstrated appropriate glanular positioning without diminished sensation. Five patients (33%) underwent PP removal including three for infection, one of which was likely related to the glanulopexy suture itself. The remaining two had their devices removed due to dissatisfaction, which was felt to be unrelated to the glanulopexy.

Conclusions

Glanulopexy with permanent suture successfully corrects severe GH or SST in men with IPP without reduced penile sensation. To our knowledge, this represents the largest reported series of glanulopexy outcomes reported in the literature. Further study with external validation is warranted to establish the optimal role for the procedure.

Funding

None