Augmentation With Macroporous Polypropylene Mesh as a Salvage Maneuver for Tunica Defects in IPP Revision Surgery With Accidental Tunica Perforation and Severe Fibrosis

L. Karapanos

Surgical Mesh, Tunica Perforation, IPP Revision

Surgical Mesh has been used for years in penile implant surgery to reinforce, reconstruct, or completely replace segments of the penile shaft in cases of prosthesis protrusion or excessive corporal fibrosis with inadequate corpora width to accommodate a narrow base implant. However, the mesh has always been fashioned as a windsock over the penile prosthesis to ensure implant stabilization. Given the reported complications of this windsock technique, including device infection, pain, and erosion, we developed this novel technique, which requires a significantly smaller portion of mesh material, which is sutured to the intact surrounding tunica tissue with non-resorbable sutures just to fill the corporal defect. This promotes tissue ingrowth into the defect and stabilizes the implant, while minimizing the use of unnecessary mesh material in the medial, uninjured sections of the corpora cavernosa, thus reducing infection risk.

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