Our Summary

The study looks into a technique called “corporal excavation” for men with severe corporeal fibrosis, a condition that causes hardening of the penis and can complicate penis implant surgeries. The researchers reviewed a 2006 article on this technique and also looked at other studies from 1990 to 2015. They found that the corporal excavation method is an effective way to manage severe corporeal fibrosis, because it allows the successful placement of penis implants without needing extra grafting and with few complications. However, they also noted that the 2006 article lacked some important details, like patient demographics and disease characteristics. There are other techniques to deal with this condition, but because there’s not enough data, they couldn’t suggest one best method. They concluded that corporal fibrosis is tricky to handle and needs experienced surgeons and specialized techniques. The choice of technique might depend on the surgeon’s preference and the specific case.

FAQs

  1. What is “corporal excavation” technique in penile implant surgery?
  2. How effective is the corporal excavation method in managing severe corporeal fibrosis?
  3. What factors might influence the choice of technique for handling corporal fibrosis?

Doctor’s Tip

One helpful tip a doctor might tell a patient about penile implant surgery is to follow all pre-operative and post-operative instructions carefully to ensure the best possible outcome and minimize the risk of complications. This may include avoiding certain medications, abstaining from alcohol and smoking, and taking proper care of the surgical site during the recovery period. It is also important to communicate openly with your healthcare provider about any concerns or questions you may have before and after the procedure.

Suitable For

Patients who are typically recommended penile implant surgery include those with severe erectile dysfunction that has not responded to other treatments, such as medications or vacuum devices. This may include patients with conditions such as diabetes, cardiovascular disease, or Peyronie’s disease. Additionally, patients with severe corporeal fibrosis, as mentioned in the study, may also be candidates for penile implant surgery. These patients may have scarring or hardening of the penile tissue, making it difficult to achieve or maintain an erection. In these cases, penile implants can provide a long-term solution for erectile dysfunction.

Timeline

Before penile implant surgery:

  1. Consultation with a urologist to discuss treatment options for erectile dysfunction
  2. Evaluation of medical history, physical examination, and possibly diagnostic tests
  3. Discussion of risks and benefits of penile implant surgery
  4. Pre-operative instructions, including medication adjustments and fasting requirements

After penile implant surgery:

  1. Recovery period, which may include pain management and monitoring for complications
  2. Follow-up appointments with the urologist to assess healing and function of the implant
  3. Rehabilitation exercises to help with recovery and optimize function
  4. Adjustment period to get used to the implant and its impact on sexual function
  5. Resumption of sexual activity once cleared by the urologist and when comfortable

Overall, the timeline for a patient undergoing penile implant surgery involves pre-operative preparation, the surgical procedure itself, post-operative recovery, and ongoing follow-up care to ensure optimal outcomes.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with penile implant surgery?
  2. How experienced is the surgeon in performing penile implant surgeries, especially in cases of severe corporeal fibrosis?
  3. What alternative techniques are available for managing severe corporeal fibrosis, and why is corporal excavation recommended in some cases?
  4. What is the success rate of penile implant surgery in patients with severe corporeal fibrosis?
  5. How long is the recovery period after penile implant surgery, and what can I expect during the recovery process?
  6. Are there any specific post-operative care instructions or restrictions I should follow after penile implant surgery?
  7. How will penile implant surgery affect my sexual function and satisfaction?
  8. Are there any long-term considerations or follow-up appointments required after penile implant surgery?
  9. Can you provide information on the cost of penile implant surgery, and will insurance cover any of the expenses?
  10. Are there any support resources or counseling services available for patients undergoing penile implant surgery and dealing with severe corporeal fibrosis?

Reference

Authors: Trost L, Patil M, Kramer A. Journal: J Sex Med. 2015 Nov;12 Suppl 7:439-47. doi: 10.1111/jsm.12985. PMID: 26565574