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
Mr. Luca Venturino
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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.
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.
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