Shaeer’s Corporotomy Closure Technique: Bringing Suturing Back

Shaeer, O, Shaeer, O.K.M., Shaeer, K

The Double Chop Incision An Easy Open and Close Penoscrotal Access for Penile Prosthesis Implantation (2)

Contemporary inflatable penile implant surgery involves sealing the corporotomies by tying the pre-placed stay sutures. This is fast and reliable, but not water tight. Sealing the corporotomies by water-tight running sutures decreases the risk of hematoma formation and the subsequent infection. On the downside, it bears the risk of puncturing the implant cylinders and may therefore be time consuming. Although frank hematoma formation is not common, it is still reported in 0.2% to 3.6% 1 of cases, up to 9.6% in complex cases 2. What is more prevalent – as a general impression- is the mild hematoma that renders the scrotum hard and cycling both difficult and delayed. Since the corporotomies are a source of significant bleeding 1, therefore water tight closure may possibly help reduce the risk of hematoma formation. This video demonstrates a surgical technique for suturing the corporotomies closed, with a lower risk for puncturing the cylinders. To achieve that purpose, the corporotomy edges are everted by placing lateral stay sutures in a horizontal mattress fashion, in a three-step protocol described herein. After corporotomy incision, the stay sutures are tied. This everts the edges such that they pup out, away from the implant. The corporotomy edges can thereby be sutured closed with a lower risk for compromising the implant cylinders.p out, away from the implant. The corporotomy edges can thereby be sutured closed with a lower risk for compromising the implant cylinders.

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[1] O'Rourke TK, Jr., Erbella A, Zhang Y, Wosnitzer MS. Prevention, identification, and management of post-operative penile implant complications of infection, hematoma, and device malfunction. Transl Androl Urol. 2017;6: S832-s48.