Soft endocavernous prostheses and glandulopexy

Abstract

Subrini's new prosthetic devices are two soft silicone cylinders, with good patient tolerance over time, that are easily insertable surgically and that make full use of the patient's remaining erectile ability (complementary erection). They have a dual function: reducing cavernosal volume and providing prosthetic support. Patients who retain even minimal erectile function make eligible candidates for this type of implant. Between 1991-1994 we performed surgery to insert such devices in 224 pts. aged 28 to 73 years. A sub-coronal access for exposure was used in ali cases. Operating time was 30 minutes and hospital stay 3 days on average. 33 patients had Peyronie's disease, 36 required only locai anaesthesia. 162 patients could be followed long-term (129 with uncomplicated erectile deficit; 33 with I.P.P.). Aesthetic and functional results were generally satisfactory, as ali patients were able to resumé full sexual activity. Post-implant glans displacement and its asymmetrical insertion over the cavernosal apices (ptosis - glandular asymmetry) were corrected by glandulopexy (partial glans mobilization on the corpora cavernosa and its symmetrical repositioning).