Corpora cavernosa reconstruction for penile prosthetics surgery using a lightweight mesh: a viable alternative? A single centre experience
BAUS ePoster online library. Venturino L. 11/10/20; 304262; P6-2
Mr. Luca Venturino
REGULAR CONTENT
Abstract
Discussion Forum (0)
Rate & Comment (0)
Corpora cavernosa reconstruction for penile prosthetics surgery using a lightweight mesh: a viable alternative? A single centre experience
Venturino L1, Lee W1, Assiri H1, Cakir O1, Chiriaco G1, Schlager D1, Castiglione F1, Christopher N1, Ralph D1
1UCLH, London, United Kingdom
Introduction:Options for reconstruction of the corpora cavernosa are limited. Synthetic grafts like Dacron™ and GORE-TEX™ are used but have high infection rates. Lightweight macroporous mesh is a promising alternative due to better integration and surrounding tissue ingrowth. We present the first experience using a lightweight mesh for this indication.
Materials and Methods: The medical records of all patients undergoing insertion or revision of penile prosthesis between May 2016 and November 2019 were reviewed retrospectively. Patient characteristics, management and outcomes were extracted.
Results:
Fifteen patients required corpora cavernosa reconstruction during penile prosthesis surgery (median age 56, range 18 to 74 years). Reasons for reconstruction included severe corporal fibrosis (n=7), impending erosion (n=5), congenital corporal agenesis (n=2) and aneurysm of Peyronie's disease plaque grafting (n=1). All but two patients (with corporal agenesis) presented for revision penile prosthesis surgery. Coloplast Titan® OTR inflatable penile prostheses were used in all patients. Two patients (13%) required explant after a mean follow-up period of 7.4 months (+/-2.6 SEM). The first experienced erosion of the prosthesis through the distal corpora 6 months after surgery while the other required explant due to debilitating chronic pain after 3 months. There was no other complication (including infection). All other patients were satisfied with their penile prosthesis and are currently sexually active.
Conclusions:
Our results suggest that a lightweight macroporous mesh may be an alternative synthetic graft for corporal reconstruction. The poliglecaprone-25/polypropylene mesh (ULTRAPRO®, Ethicon LLC, USA) is ideal because it is partially absorbable, easy to handle and not bulky.
Venturino L1, Lee W1, Assiri H1, Cakir O1, Chiriaco G1, Schlager D1, Castiglione F1, Christopher N1, Ralph D1
1UCLH, London, United Kingdom
Introduction:Options for reconstruction of the corpora cavernosa are limited. Synthetic grafts like Dacron™ and GORE-TEX™ are used but have high infection rates. Lightweight macroporous mesh is a promising alternative due to better integration and surrounding tissue ingrowth. We present the first experience using a lightweight mesh for this indication.
Materials and Methods: The medical records of all patients undergoing insertion or revision of penile prosthesis between May 2016 and November 2019 were reviewed retrospectively. Patient characteristics, management and outcomes were extracted.
Results:
Fifteen patients required corpora cavernosa reconstruction during penile prosthesis surgery (median age 56, range 18 to 74 years). Reasons for reconstruction included severe corporal fibrosis (n=7), impending erosion (n=5), congenital corporal agenesis (n=2) and aneurysm of Peyronie's disease plaque grafting (n=1). All but two patients (with corporal agenesis) presented for revision penile prosthesis surgery. Coloplast Titan® OTR inflatable penile prostheses were used in all patients. Two patients (13%) required explant after a mean follow-up period of 7.4 months (+/-2.6 SEM). The first experienced erosion of the prosthesis through the distal corpora 6 months after surgery while the other required explant due to debilitating chronic pain after 3 months. There was no other complication (including infection). All other patients were satisfied with their penile prosthesis and are currently sexually active.
Conclusions:
Our results suggest that a lightweight macroporous mesh may be an alternative synthetic graft for corporal reconstruction. The poliglecaprone-25/polypropylene mesh (ULTRAPRO®, Ethicon LLC, USA) is ideal because it is partially absorbable, easy to handle and not bulky.
Corpora cavernosa reconstruction for penile prosthetics surgery using a lightweight mesh: a viable alternative? A single centre experience
Venturino L1, Lee W1, Assiri H1, Cakir O1, Chiriaco G1, Schlager D1, Castiglione F1, Christopher N1, Ralph D1
1UCLH, London, United Kingdom
Introduction:Options for reconstruction of the corpora cavernosa are limited. Synthetic grafts like Dacron™ and GORE-TEX™ are used but have high infection rates. Lightweight macroporous mesh is a promising alternative due to better integration and surrounding tissue ingrowth. We present the first experience using a lightweight mesh for this indication.
Materials and Methods: The medical records of all patients undergoing insertion or revision of penile prosthesis between May 2016 and November 2019 were reviewed retrospectively. Patient characteristics, management and outcomes were extracted.
Results:
Fifteen patients required corpora cavernosa reconstruction during penile prosthesis surgery (median age 56, range 18 to 74 years). Reasons for reconstruction included severe corporal fibrosis (n=7), impending erosion (n=5), congenital corporal agenesis (n=2) and aneurysm of Peyronie's disease plaque grafting (n=1). All but two patients (with corporal agenesis) presented for revision penile prosthesis surgery. Coloplast Titan® OTR inflatable penile prostheses were used in all patients. Two patients (13%) required explant after a mean follow-up period of 7.4 months (+/-2.6 SEM). The first experienced erosion of the prosthesis through the distal corpora 6 months after surgery while the other required explant due to debilitating chronic pain after 3 months. There was no other complication (including infection). All other patients were satisfied with their penile prosthesis and are currently sexually active.
Conclusions:
Our results suggest that a lightweight macroporous mesh may be an alternative synthetic graft for corporal reconstruction. The poliglecaprone-25/polypropylene mesh (ULTRAPRO®, Ethicon LLC, USA) is ideal because it is partially absorbable, easy to handle and not bulky.
Venturino L1, Lee W1, Assiri H1, Cakir O1, Chiriaco G1, Schlager D1, Castiglione F1, Christopher N1, Ralph D1
1UCLH, London, United Kingdom
Introduction:Options for reconstruction of the corpora cavernosa are limited. Synthetic grafts like Dacron™ and GORE-TEX™ are used but have high infection rates. Lightweight macroporous mesh is a promising alternative due to better integration and surrounding tissue ingrowth. We present the first experience using a lightweight mesh for this indication.
Materials and Methods: The medical records of all patients undergoing insertion or revision of penile prosthesis between May 2016 and November 2019 were reviewed retrospectively. Patient characteristics, management and outcomes were extracted.
Results:
Fifteen patients required corpora cavernosa reconstruction during penile prosthesis surgery (median age 56, range 18 to 74 years). Reasons for reconstruction included severe corporal fibrosis (n=7), impending erosion (n=5), congenital corporal agenesis (n=2) and aneurysm of Peyronie's disease plaque grafting (n=1). All but two patients (with corporal agenesis) presented for revision penile prosthesis surgery. Coloplast Titan® OTR inflatable penile prostheses were used in all patients. Two patients (13%) required explant after a mean follow-up period of 7.4 months (+/-2.6 SEM). The first experienced erosion of the prosthesis through the distal corpora 6 months after surgery while the other required explant due to debilitating chronic pain after 3 months. There was no other complication (including infection). All other patients were satisfied with their penile prosthesis and are currently sexually active.
Conclusions:
Our results suggest that a lightweight macroporous mesh may be an alternative synthetic graft for corporal reconstruction. The poliglecaprone-25/polypropylene mesh (ULTRAPRO®, Ethicon LLC, USA) is ideal because it is partially absorbable, easy to handle and not bulky.
Code of conduct/disclaimer available in General Terms & Conditions
{{ help_message }}