Abstract: PD22-04
Sources of Funding: none

Introduction

Distal corporal crossover and impending lateral extrusion of a penile prosthesis may cause pain and place the patient at risk for erosion. Distal fixation of penile prosthesis is a useful surgical adjunct to treating patients with previously unidentified distal crossovers, delayed distal crossovers and impending lateral extrusion. We provide another method for its management, the "Distal Corporal Anchoring Stitch".

Methods

A lateral, subcoronal incision is utilized on the side where the crossed over or laterally extruding cylinder should be positioned. Dissection is carried through Bucks fascia, followed by a transverse incision of the Tunica Albuginea where the distal aspect of the affected cylinder is delivered. A 4-0 PDS suture is threaded through the distal cylinder ring of the implant. A new, properly positioned intracorporal channel is created and the suture is passed through the distal end of this channel. Once the suture is through the glans and the cylinder is in the correct position, a small cruciate incision is made on the glans, at the location of the anchor stitch. The suture is tied with the knot buried in the glans tissue.

Results

A total of 53 patients have undergone treatment of their distal penile implant crossover with a distal corporoplasty utilizing this method. This technique ensures that the cylinder remains in the newly created, appropriately positioned channel. No patients experienced infections, wound healing defect, glandular hypoesthesia, anesthesia, altered sensation or pain in the glans related to the suture and only two reported recurrence of a lateral herniation not requiring further treatment.

Conclusions

The "Distal Corporal Anchoring Stitch" is a safe and efficacious technique in securing distal fixation of the inflatable penile.

Funding

none