Traditional Glanulopexy for the treatment of Suprasonic Transporters (SST)

A. Al Homsi, M. Alkassis, O. Almidani, R. Rowaiee, O. Raheem

Penile Prosthesis, Supersonic Transporter deformity, floppy glans, glanulopexy

This video presents two surgical cases demonstrating glanulopexy for the correction of Supersonic Transporter (SST) deformity and glans hypermobility following inflatable penile prosthesis (IPP) implantation. In the first case, a traditional glanulopexy technique is performed using a dorsal subcoronal incision with Buck’s fascia dissection to mobilize the glans and secure it to the underlying tunica albuginea using permanent sutures. In the second case, a modified glanulopexy is demonstrated, avoiding Buck’s fascia dissection by anchoring the glans to the tunica through dartos reinforcement. Both approaches restore proper glans alignment over the prosthesis cylinders and resolve instability associated with a floppy glans.

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