Penile implant success in patients with corporal fibrosis using multiple incisions and minimal scar tissue excision.

摘要

OBJECTIVES: To establish the efficacy of "minimal scar tissue excision" in the treatment of penile fibrosis. METHODS: Thirty-four patients with extensive penile fibrosis who underwent placement of penile implant from October 1989 to April 1998 were evaluated by a chart review of the patient's follow-up data. Function of the implant was evaluated at follow-up visits. The follow-up ranged from 4 to 84 months (mean 23.7, median 22). All patients had undergone minimal scar tissue excision of the fibrous tissue in the penis. RESULTS: All patients underwent successful introduction of the penile implant, and in no patient was the procedure abandoned because of technical difficulty. Intraoperatively, 1 patient developed a tear in the crus. It was not recognized during the initial operation but was repaired at a subsequent date by Gore-Tex grafting. The Uniflate prosthesis of another patient failed 2 years after the initial surgery and was replaced with the Mentor alpha-1 implant. None of the patients developed infection. All the patients had a functioning implant at the time of last review. CONCLUSIONS: Minimal scar tissue excision is a safe and effective method in the management of extensive penile fibrosis.