Русский
Penile prosthesis implantation through subcoronal approach with graft-free corporoplasty in patients with Peyronie disease with concomitant erectile dysfunction
DOI: https://dx.doi.org/10.18565/urology.2019.3.124-127
N.D. Akhvlediani, D.Yu. Pushkar, A.N. Bernikov, A.S. Chernushenko, I.A. Reva
1 Department of Urology of A.I. Evdokimov Moscow State University of Medicine and Dentistry (Head – corresponding member of RAS, professor D.Yu. Pushkar), Moscow, Russia; 2 Clinical medical center of A.I. Evdokimov Moscow State University of Medicine and Dentistry (Director – Academician of the RAS, professor V.V. Krylov), Moscow, Russia
Penile prosthesis implantation is a treatment choice in patients with erectile dysfunction (ED) and concomitant penile curvature due to Peyronie disease. Methods for correction of penile deformity during prosthesis implantation are still under discussion, considering variable efficiency and higher risk of complications.
Our aim was to describe clinical case which represent our first experience of performing multiple corporal incisions through innovative subcoronoral approach without subsequent substitution of tunica albuginea. As a result of graft-free technique an effective penile straightening was achieved after three-piece prosthesis implantation with good long-term functional and cosmetic results.
The first experience of graft-free technique of corporotomy during penile prosthesis implantation through subcoronal approach suggests its potential efficacy and safety in patients with a combination of ED and Peyronie disease.
Our aim was to describe clinical case which represent our first experience of performing multiple corporal incisions through innovative subcoronoral approach without subsequent substitution of tunica albuginea. As a result of graft-free technique an effective penile straightening was achieved after three-piece prosthesis implantation with good long-term functional and cosmetic results.
The first experience of graft-free technique of corporotomy during penile prosthesis implantation through subcoronal approach suggests its potential efficacy and safety in patients with a combination of ED and Peyronie disease.
Keywords: subcoronoral approach, corporoplasty, penile prosthesis implantation, Peyronie disease, erectile dysfunction
About the Autors
Corresponding author: N.D. Akhvlediani – MD, professor at the Department of Urology of A.I. Evdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia; e-mail: nikandro@mail.ru
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