TREATMENT OF PENILE FIBROSIS WITH PROSTHETIC IMPLANTATION AND FLAP ADVANCEMENT WITH TISSUE DEBULKING

Purpose: Even after successful penile prosthesis implantation in patie nts with extensive penile fibrosis, a subset will have insufficient pe nile length for satisfactory sexual intercourse. We report a combined surgical approach to gain additional functional length in these patien ts. Materials and Methods: During the last 18 months 11 patients with extensive cavernous fibrosis underwent penile prosthesis implantation with a modified suprapubic V-Y advancement flap and lower abdominal ti ssue debulking. Results: After prosthesis implantation the accompanyin g procedures allowed these patients to gain an additional 3.5 to 6.5 c m. in functional length. All patients had a functional device after a mean followup of 12 months. No prosthesis became infected and no patie nt required an additional flap procedure. Conclusions: This surgical a pproach allows patients to gain additional functional length for satis factory intercourse after treatment of extensive penile fibrosis.