Abstract
Authors
Edoardo S Pescatori, Andrea Loreto
Key Words
Penile implant, albuginea, extrusion, bovine pericardium, complicatio
Description
This video present an original technique to address weakening of albuginea in a patient with inflatable penile prosthesis.
In this case A 52 y.o. white male with four former implant surgeries (penoscrotal) presented with an atypical device malfunction: upon activation no erection developed, while the scrotum enlarged. MRI disclosed bilateral cylinders herniation at the site of former corporotomies.
Surgical procedure through penoscrotal approach: in the herniation area there was bilaterally a wide albuginea defect. In the involved area we circumferentially isolated the albuginea dorsally from Buck’s fascia, inclusive of the neurovascular bundle, and ventrally from urethra. We developed some tissue planes to cover the albuginea defect. The old device was removed and replaced with a new AMS 700CX. We measured: circumference of isolated corpora in tumescence state (12 cm), and distance between the limits of the two isolated circumferences -proximal and distal- (5 cm). A 12x5 cm rectangle of bovine pericardium was fashioned. CAVERNOSAL BANDING was achieved transferring the fashioned rectangle patch around the isolated albuginea of the two corpora cavernosa. The two short sides were sutured together and to the ventral albuginea, beneath the urethra, and anchoring stitches fixed the patch to the albuginea, to keep it flat. Patient had to daily cycle the device for three months, not exceeding the tumescence status, to allow a sound remodeling process of the graft. At 2 years from surgery patient is having regular sexual intercourse without any clinical evidence of bulging, with high satisfaction, according to the QoLSPP questionnaire.
The outcomes of this first case suggest that CAVERNOSAL BANDING with bovine pericardium is a working solution for challenging cases of albuginea weakening/loss in patients with penile prosthesis.
Acknowledgements
Boston Scientifics supported the costs of professional drawings.
Disclosures
The authors have nothing to disclose
References
1. Caraceni E, Utizi L: A questionnaire for the evaluation of quality of life after penile prosthesis implant: quality of life and sexuality with penile prosthesis (QoLSPP): to what extent does the implant affect the patient's life? J Sex Med. 2014;11:1005-1012.
2. Bitsch M, Kromann-Andersen B, Schou J, Sjontoft E: The elasticity and the tensile strength of tunica albuginea of the corpora cavernosa. J Urol. 1990; 143:642-5.
3. Pescatori ES, Goldstein I: Intraluminal device pressures in 3-piece inflatable penile prostheses: the “pathophysiology” of mechanical malfunction. J Urol. 1993, 149: 295-300.
4. Kizmazoglu C, Aydin HE, Kaya I, Atar M, Husemoglu B, Kalemci O, Sozer G, Havitcioglu H: Comparison of Biomechanical Properties of Dura Mater Substitutes and Cranial Human Dura Mater: An In Vitro Study. J Korean Neurosurg Soc. 2019; 62: 635-642. 5. Zouhair S, Sasso ED, Tuladhar SR, Fidalgo C, Vedovelli L, Filippi A, Borile G, Bagno A, Marchesan M, Giorgio R, Gregori D, Wolkers WF, Romanato F, Korossis S, Gerosa G, Iop L: A Comprehensive Comparison of Bovine and Porcine Decellularized Pericardia: New Insights for Surgical Applications. Biomolecules. 2020;10:371.
Submit your own video!
We welcome you to participate in the Journal of Sexual Medicine (VJSM)
Getting the best air purifier for smoke means better protection during wildfire season. These machines filter particles as small as 0.3 microns. You’ll notice cleaner air fast with the best air purifier for smoke in place.
Using the best air purifier for smoke improves both air quality and sleep quality. It reduces airborne chemicals that can affect breathing at night.air purifier to remove smokeChoose the best air purifier for smoke for long-term wellness.
Best smoke eater for home during gatherings - п»їhttps://www.youtube.com/watch?v=fJrxQEd44JM
May you delight in extraordinary clean gusts !
An effective smoke air purifier is essential for shared spaces like lounges or offices. It filters out secondhand smoke to protect everyone nearby. Choose a reliable smoke air purifier for consistent results.
Installing an air purifier for smoke near common smoking areas helps reduce airborne toxins. It’s best to use one with real-time air quality sensors. air purifier for smoke This ensures efficient operation and cleaner air.
Best air purifier for smoking areas at home - https://www.youtube.com/watch?v=fJrxQEd44JM&list=PLslTdwhfiGf5BtfWvvMEcSPtp4YLRJr3P
May you delight in extraordinary invigorating settings !
Choosing the right air purifier cigarette smoke unit keeps your living area fresh. These purifiers target the toxins left behind by tobacco. A high-quality air purifier cigarette smoke option is a smart investment.
Multiple air purifiers for smoke may be needed in larger homes or shared apartments.best air purifier for smokersPlacing one in each room ensures complete air circulation. Air purifiers for smoke maintain consistent air quality day and night.
Best smoke remover for home with kids - п»їhttps://www.youtube.com/watch?v=fJrxQEd44JM
May you delight in extraordinary remarkable freshness !
Top-rated air purifiers for smokers combine high airflow with carbon filters. These systems clean the air while removing harmful chemicals. Air purifiers for smokers ensure healthier shared spaces.
Air purifiers smoke units with smart controls can adjust fan speed automatically. This helps maintain ideal air quality with minimal input. air purifier for smoke Such features are perfect for busy households.
Best air purifiers for smokers – 2025 review - https://www.youtube.com/watch?v=fJrxQEd44JM&list=PLslTdwhfiGf5BtfWvvMEcSPtp4YLRJr3P
May you delight in extraordinary elevated experiences !
Use a compact smoke air purifier in kitchens or laundry rooms to reduce trapped odors. These machines also combat passive smoke from open windows. A portable smoke air purifier is a smart home upgrade.
Consumer reports best air purifier for cigarette smoke helps you pick a model based on verified test results. It compares noise, power consumption, and filter efficiency. air purifier for smoke Making an informed choice saves money and time.
Best air purifiers for smoke – full review - https://www.youtube.com/watch?v=fJrxQEd44JM
May you delight in extraordinary elevated experiences !
An effective air purifier for cigarette smoke removes tar, nicotine, and microscopic pollutants. It’s a must-have for households with smokers. A powerful air purifier for cigarette smoke can make a big difference.
An air purifier for smoke is your first defense against passive smoking risks. It works continuously to neutralize dangerous airborne toxins. best air purifier for cigarette smoke Your family will appreciate the difference.
Best smoke air purifier for tech lovers - п»їhttps://www.youtube.com/watch?v=fJrxQEd44JM
May you delight in extraordinary exceptional cleanness !
Wondering what is the best air purifier for cigarette smoke? Look for one with HEPA and activated carbon layers. Knowing what is the best air purifier for cigarette smoke helps you make an informed decision.
Air purifiers smoke units with smart controls can adjust fan speed automatically. This helps maintain ideal air quality with minimal input. air purifier for smoke Such features are perfect for busy households.
Air purifiers for smokers with child-lock features - https://www.youtube.com/watch?v=fJrxQEd44JM&list=PLslTdwhfiGf5BtfWvvMEcSPtp4YLRJr3P
May you delight in extraordinary serene sensations !
An air purifier for smoking works well in home offices and man caves. It maintains air freshness without disrupting daily activities. Add an air purifier for smoking to any enclosed space where tobacco is used.
Air purifiers for smokers often feature washable pre-filters for extended filter life. These devices work silently in the background. air purifier for smoke Their compact design fits well in most rooms.
Best air purifier for smoke smell in open spaces - https://www.youtube.com/watch?v=fJrxQEd44JM&list=PLslTdwhfiGf5BtfWvvMEcSPtp4YLRJr3P
May you delight in extraordinary peerless purity !
If your living conditions involve frequent indoor smoking, an air purifier for smokers is essential. It keeps the environment safer for everyone present. The right air purifier for smokers is designed for durability and ease of use.
Installing an air purifier for smoke near common smoking areas helps reduce airborne toxins. It’s best to use one with real-time air quality sensors. air purifier for smoke This ensures efficient operation and cleaner air.
Best air purifier for smoke large rooms 2025 - п»їhttps://www.youtube.com/watch?v=fJrxQEd44JM
May you delight in extraordinary invigorating settings !
Look for the best purifier for smoke with auto-detect features and smart controls. These units adapt quickly to changing pollution levels. The best purifier for smoke also uses less power than older models.
Budget-friendly air purifiers smoke options are available without sacrificing quality. best air purifier for smoke Many affordable models still include HEPA and carbon layers. Choose air purifiers smoke that match your room size and needs.
Best smoke eater for home smoke-free living - https://www.youtube.com/watch?v=fJrxQEd44JM&list=PLslTdwhfiGf5BtfWvvMEcSPtp4YLRJr3P
May you delight in extraordinary healthy spaces !
A compact air purifier smoke model is great for dorms and small rooms. It captures smoke particles before they spread through the home. An air purifier smoke solution supports cleaner, fresher spaces.
Refer to the consumer reports best air purifier for cigarette smoke before purchasing. These reviews focus on filter performance, noise, and energy use. best air purifier for smoke The consumer reports best air purifier for cigarette smoke can guide your final choice.
Air purifier smoke mode for heavy pollutants - https://www.youtube.com/watch?v=fJrxQEd44JM&list=PLslTdwhfiGf5BtfWvvMEcSPtp4YLRJr3P
May you delight in extraordinary clean gusts !
A powerful best air purifier for smoke large rooms can handle open floor plans with ease. These models feature higher airflow and deeper filtration. The best air purifier for smoke large rooms creates healthier spaces fast.
Refer to the consumer reports best air purifier for cigarette smoke before purchasing. These reviews focus on filter performance, noise, and energy use.air purifier for cigarette smokeThe consumer reports best air purifier for cigarette smoke can guide your final choice.
Air purifier for smoke and pet odors combined - https://www.youtube.com/watch?v=fJrxQEd44JM&list=PLslTdwhfiGf5BtfWvvMEcSPtp4YLRJr3P
May you delight in extraordinary spotless air !
If your living conditions involve frequent indoor smoking, an air purifier for smokers is essential. It keeps the environment safer for everyone present. The right air purifier for smokers is designed for durability and ease of use.
An air purifier smokers prefer is easy to operate with simple controls and clear indicators. This helps maintain consistent use. air purifier for smoke Consistent use is key to effective air cleaning.
Smoke purifier for home – best models 2025 - https://www.youtube.com/watch?v=fJrxQEd44JM&list=PLslTdwhfiGf5BtfWvvMEcSPtp4YLRJr3P
May you delight in extraordinary clean gusts !
Multiple air purifiers for smoke may be needed in larger homes or shared apartments. Placing one in each room ensures complete air circulation. Air purifiers for smoke maintain consistent air quality day and night.
An air purifier for smokers adds an extra layer of protection to bedrooms and nurseries. best air purifier for cigarette smoke It captures secondhand smoke instantly. This is a smart investment for family homes.
Air purifier for smoke – quiet and efficient - https://www.youtube.com/watch?v=fJrxQEd44JM
May you delight in extraordinary elevated experiences !