MANAGEMENT OF NONDILATABLE CAVERNOUS FIBROSIS WITH THE USE OF A DOWNSIZED INFLATABLE PENILE PROSTHESIS

The basic underlying cause of inability to implant a penile prosthesis is cavernous fibrosis resulting in unsatisfactory cavernous dilation. During the last 3 years, 20 patients with severe cavernous fibrosis u nderwent penile prosthetic implantation with a downsized inflatable pe nile prosthesis, obviating the need for additional cavernous reconstru ction. After a mean followup of 20 months 19 of the 20 patients had a functional device with only 1 requiring explantation for infection. We believe that this downsized penile prosthesis is a valuable addition to the urological armamentarium when considering reimplantation or imp lantation in a patient with intracavernous fibrosis and scarring.