To Try to Eliminate Frequencies of Insertions in Order to Arrive to Adequate Size of Implanted Penile Prosthesis
Conditions
Keywords
penile implant, iflatable penile implant, re-insertion, measurement
Brief summary
Introducing and evaluating the accuracy of a novel method for estimating inflatable penile prosthesis cylinders length by stretching the tumesncent penis intraoperatively instead of taking proximla and distal measurement to the corporotomy
Detailed description
Objectives: Introducing and evaluating the accuracy of a novel method for estimating inflatable penile prosthesis cylinders length. Methods: 24 patients undergoing a Coloplast Titan ® Touch implantation procedure will berandomly divided into two groups. The Tumescent Stretching Measurement Technique (TSMT) group (N=12) will be administered an intracorporal injection (ICI) of 20 microgram Alprostadil. Hegar 7 dilator will be introduced through the corporotomy until reaching a bone stopping point. The tumescent penis will be stretched maximally, and the proximally inserted dilator measured externally to the coronal sulcus. The control group (N=12) will receive no intraoperative ICI. Following maximal corporal dilatation, cylinder length will be estimated by adding up the internally measured distal and proximal corpora to the length of the corporotomy. Implants are deemed correctly sized when cylinders reached the proximal third of the glans with no buckling of cylinders or floppy glans.
Interventions
The Tumescent Stretching Measurement Technique (TSMT) group (N=12) will be administered an intracorporal injection (ICI) of 20 microgram Alprostadil. Hegar 7 dilator will be introduced through the corporotomy until reaching a bone stopping point. The tumescent penis will stretched maximally, and the proximally inserted dilator measured externally to the coronal sulcus.
Sponsors
Study design
Eligibility
Inclusion criteria
Males needing Penile implant surgery, not responding to oral pharmacological drugs for ttt of ED -
Exclusion criteria
Previouys penile surgery Previous implanted penile prosthesis \-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of penile implant insertions and re-insertions needed to arrive to adequate penile implant size | Intraoperative | Number of penile implant insertions and re-insertions needed to arrive to adequate penile implant size |
Countries
Egypt