Modified Glanulopexy with Insertion of Malleable Penile Prosthesis

A. Al Homsi, O. Almidani, R. Rowaiee, A. Barham, O. Raheem

Penile Prosthesis, Supersonic Transporter deformity, floppy glans, glanulopexy

This video presents a surgical case demonstrating modified glanulopexy for the correction of Supersonic Transporter (SST) deformity and glans hypermobility following inflatable penile prosthesis (IPP) implantation. A modified glanulopexy is demonstrated, avoiding Buck’s fascia dissection by anchoring the glans to the tunica through dartos reinforcement. This approaches restore proper glans alignment over the prosthesis cylinders and resolve instability associated with a floppy glans.

1. Skrodzka M, Heffernan Ho D, Ralph DJ. Floppy glans—classification, diagnosis and treatment. Sex Med Rev. 2020;8(3):389–395

2. Mulhall JP, Kim ED. Reconstructing penile Supersonic Transporter (SST) deformity using glanulopexy. Urology. 2001;57(6):1160–1162.

3. Ziegelmann MJ, Alom M, Bole R, Trost LW. Modified glanulopexy technique for Supersonic Transporter deformity and glanular hypermobility in men with penile prostheses. J Sex Med. 2018;15(6):914–919.