Shaeer’s Corporotomy Closure Technique: Everting and Suturing

O. Shaeer

inflatable penile prosthesis, inflatable penile implant, suturing the corporotomies, tying the stay sutures, corporotomy closure

Introduction:

utures. 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% of cases, up to 9.6% in complex cases. 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 , therefore water tight closure may possibly help reduce the risk of hematoma formation.

Objectives:

This video demonstrates Shaeer’s Corporotomy Closure Technique (SCCT); a surgical technique for suturing the corporotomies closed, with a lower risk for puncturing the cylinders

Methods:

Patients were randomized into two groups. The Control Group had the corporotomies closed by tying the pre-placed stay sutures. SCCT Group had the corporotomies sutured closed with the edges everted using horizontal mattress sutures placed on each side of the intended corporotomy, two on each corpus cavernosum. After corporotomy, the stay sutures were tied, everting the edges. The everted corporotomy edges were then sutured closed in a running fashion.

Results:

Operative time was 9.5% (5 minutes) shorter in the Control Group (47.7 ± 5.3 mins vs. 52.7 ± 4.4 mins, p= 0.009). Drain output at 24 hours was 78.8% (59.4 cc’s) higher for Control Group (75.4 ± 32.8 cc’s vs. 16 ± 8.6 cc’s, p<0.001), (Table 1, Figure 5). Total drain output was 81.5% (77.5 cc’s) higher in Control Group (95.1 ± 64.8 cc’s vs. 17.6 ± 12 cc’s, p<0.001).Operative time was 9.5% (5 minutes) shorter in the Control Group (47.7 ± 5.3 mins vs. 52.7 ± 4.4 mins, p= 0.009). Drain output at 24 hours was 78.8% (59.4 cc’s) higher for Control Group (75.4 ± 32.8 cc’s vs. 16 ± 8.6 cc’s, p<0.001), (Table 1, Figure 5). Total drain output was 81.5% (77.5 cc’s) higher in Control Group (95.1 ± 64.8 cc’s vs. 17.6 ± 12 cc’s, p<0.001).

Conclusions:

SCCT allows safer suturing of the corporotomies.

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