Distal tunical repair for apical herniation of corpora cavernosa and penile prosthesis malfunction

Ceruti, C., Dalmasso, E., Falcone, M., Frea, B., Gontero, P., Hosseini, J., Mohseni, M., Rolle, L., Sedigh, O., Timpano, M.

penile disassembly; penile implant malfunction

This video demonstrates the case of a patient with a distal herniation of a penile implant with simultaneous malfunction of the penile implant. Surgery starts with a subcoronal incision and degloving of the penile shaft. The neurovascular bundle and the corpus spongiosum are dissected resulting in a penile disassembly according to Perovic. The tip of both corpora is removed from the glans penis and reconstructed with a Prolene hernia mesh for re-enforcement. The glans is fixed to the tip of both corpora cavernosa. A second transverse penoscrotal incision allows classical implantation of a Titan Coloplast implant after removal of the previous malfunctioned implant. After implantation a scrotoplasty is performed for cosmetic reasons.

1. Perovic SV, Djordjevic ML. The penile disassembly technique in the surgical treatment of Peyronie’s disease.: BJU Int. 2001 Nov;88(7):731-8
2. Loreto C, Garaffa G, Dijnovic R, Barbagli G, Villa M, Sansalone S. Penile disassembly: anatomical surgical steps. BJU Int. 2013 Nov;112(7):1035-45