Using Rectus Fascia for Penile Prosthesis Surgery
Author Information
Author(s): Tran Viet Q., Lesser Timothy F., Kim Dennis H., Aboseif Sherif R.
Primary Institution: Kaiser Permanente Medical Center
Hypothesis
Can rectus fascia grafting improve outcomes in penile prosthesis implantation for patients with severe tunical fibrosis?
Conclusion
The use of rectus fascia grafts during penile prosthesis implantation is effective and leads to high patient satisfaction.
Supporting Evidence
- All patients had functioning prostheses at a mean follow-up of 18 months.
- Patients resumed sexual activity at a mean time of 9 weeks.
- There were no adverse events related to the graft or its harvest.
- Six patients reported temporary discomfort that resolved.
- Four patients experienced temporary penile hypoesthesia.
Takeaway
Doctors can use a piece of tissue from the abdomen to help put in a device that helps men with erectile problems when their penis is very damaged.
Methodology
The study involved 15 patients who underwent penile prosthesis implantation with rectus fascia grafting, followed by evaluations at various intervals.
Limitations
One patient was lost to follow-up, which may affect the overall results.
Participant Demographics
Patients included those with severe erectile dysfunction due to Peyronie's disease or prior prosthesis complications.
Digital Object Identifier (DOI)
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