with Dr. Jay Simhan
Penoscrotal approach surgery performed by Dr. Jay Simhan. The surgery consists of Penoscrotal incision with anticipation of scrotoplasty, Identification of proximal corporal body with corporotomy and hydrodilation, Placement of Furlow for sizing measurement of the corporal body, Placement of the penile implant reservoir through a submuscular/ectopic approach with a long lung grasping forcep, Placement of penile implant cylinders with pump connection to reservoir and Pump placement in the dependent scrotum.
Clinical Background
1. Penoscrotal incision with anticipation of scrotoplasty
2. Identification of proximal corporal body with corporotomy and hydrodilation
3. Placement of Furlow for sizing measurement of the corporal body
4. Placement of the penile implant reservoir through a submuscular/ectopic approach with a long lung grasping forcep
5. Placement of penile implant cylinders with pump connection to reservoir
6. Pump placement in the dependent scrotum.
Technique Description
Patient selection factors prior to penile implant
Intraoperative considerations for the most optimal penile implant placement
Technique for cylinder placement in patients with longer corporal lengths
Technique for reservoir placement through submuscular approach
58 year old male with a history of refractory erectile dysfunction
Patient has failed prior conventional treatments for ED including PDE5 therapy and penile injection therapy.
Patient decided to undergo penile implant surgery through penoscrotal approach for treatment of refractory ED.
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