Pd46-11 the Influence of Excessive Traction of the Penis During Penile Prosthetic Surgery on the Results of Corpora Cavernosa Measurement

You have accessJournal of UrologySexual Function/Dysfunction: Surgical Therapy I (PD46)1 May 2024PD46-11 THE INFLUENCE OF EXCESSIVE TRACTION OF THE PENIS DURING PENILE PROSTHETIC SURGERY ON THE RESULTS OF CORPORA CAVERNOSA MEASUREMENT Nika Akhvlediani Nika AkhvledianiNika Akhvlediani View All Author Informationhttps://doi.org/10.1097/01.JU.0001008900.49567.2e.11AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The selection of penile implant sizes undoubtedly depends on the correct measurements of the length of the corpora cavernosa during penile prosthetic surgery. At the same time, the penile tunica albuginea, due to its two-layer structure, has a variable length with different traction. The purpose of this study was to determine the effect of excessive penile traction during primary penile implantation on the measured length of the corpora cavernosa. METHODS: The prospective study included 97 patients aged 46.4±11.3 years who were indicated for primary implantation of 3-piece inflatable penile prosthesis (IPP). Male with advanced cavernous fibrosis were not included in the study. The length of the corpora cavernosa was measured using the traditional technique using a Furlow introducer in the proximal and distal directions. This procedure was performed twice before and after manual excessive traction of the penile shaft in the coronal sulcus area. The measurement results were compared. Separately, complications such as the supersonic transport (SST) deformity and erosion of the cylinders of IPP were registered. RESULTS: The proximal length of the cavernous bodies before and after excessive traction of the penis was 7.3±2.2 and 7.4±2.4 cm, respectively (p=0.072). The distal dimensions of the cavernous bodies before and after the traction procedure were 13.1±3.6 and 14.0±3.8 cm, respectively (p=0.037). The SST deformity and erosion of the IPP's cylinders were not noted. CONCLUSIONS: Excessive manual traction of the penis before measuring the corpora cavernosa leads to an increase in their distal length by approximately 1 cm, which makes significant adjustments to the choice of penile implant sizes. It is obvious that the pulling force of the Furlow introduser with the traditional technique for measuring the corpora cavernosa has limited capabilities, which can lead to an underestimation of their length. Thus, intraoperative manual overtraction of the penis may be useful for more accurate sizing of penile implants during primary surgery. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e978 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Nika Akhvlediani More articles by this author Expand All Advertisement PDF downloadLoading ...