6533b826fe1ef96bd1284786

RESEARCH PRODUCT

Silicone-Silver Penile Prosthesis: Description, Operative Approach and Results

Udo JonasGünther H. Jacobi

subject

MaleDorsummedicine.medical_specialtySilverUrologymedia_common.quotation_subjectmedicine.medical_treatmentProsthesis DesignUrinationProsthesischemistry.chemical_compoundPostoperative ComplicationsSiliconeHumansMedicineGlansmedia_commonbusiness.industryPenile prosthesisProstheses and ImplantsFasciaSurgerymedicine.anatomical_structurechemistrySilicone ElastomersbusinessPenisPenis

description

A silicone penile prosthesis in which silver wires are embedded to allow for voluntary bending of the penis for urination and resting position and for straightening for intercourse is described. The implantation is done via a hemicircular incision on the dorsum of the penis in the sulcus coronarius. Buck's fascia is identified and opened, and the corpora are dilated up to 30F. After the exact length is determined with a special sizer the prosthesis is slipped into each corpus cavernosum. The advantage of this approach is the optimal insertion of the prosthesis distal to the sulcus coronarius, thereby preventing kinking of the glans during intercourse. Our experiences with the implantation in 17 patients followed for 1 to 14 months showed successful results in 15.

https://doi.org/10.1016/s0022-5347(17)56168-6