MANAGEMENT OF SEVERE CORPOREAL FIBROSIS WITH IMPLANTATION OF PROSTHESIS VIA A TRANSVERSE SCROTAL APPROACH

Purpose: We reviewed our experience in the management of severe corpor eal fibrosis with placement of the AMS 700 CXM prosthesis to determin e the efficacy of this approach. Materials and Methods: The records of 26 men with severe corporeal fibrosis who underwent placement of the AMS 700 CXM prosthesis via a transverse scrotal approach between Augus t 1991 and July 1996 were reviewed. Results: In all cases the AMS 700 CXM prosthesis was successfully implanted with primary closure of the tunica albuginea, although 2 patients required extended corporotomies. Followup data were available on all 26 men. At a mean followup of 22. 5 months (range 3 to 63) 24 of the 26 men had a functional device (92% ). One patient required explantation for infection and 1 underwent exp lantation for cylinder cross-over. Conclusions: Implantation of the AM S 700 CXM prosthesis in patients with severe corporeal fibrosis produc ed good results at approximately 2 years of followup.