with Dr. Dean Knoll
The surgical procedure was done via an infrapubic approach with a horizontal incision made 1 cm above the base of the penis. The reservoir was placed under direct vision by opening the tracts fascia in a horizontal manner and the rectified muscles separated in the midline. Transverse fascia then was opened and the reservoir was placed under the recti muscle. Corporotomy incisions were made on the dorsal aspect of the penis lateral to the identified cavernosal nerve bilaterally. After dilation, measurement and placement of the cylinders in each cavernosal body, the pump was placed in the most dependent portion of the right hemiscrotum lateral to the testicle and cord. The device cycled appropriately and good rigidity was demonstated and a 7 French flat JP drain was placed above the incision and placed alongside the pump.
Patient is a 63 y/o male with a 15 years history of diabetes mellitus and a 10 years history of hypertension. Patient's medication list is: Atorvastin; Valsartan; Glipizide; Furosemide; Diltiazem; Xigduo; and Trulicity. Patient had been experiencing erectile dysfunction for 8 years and has failed erectile dysfunction therapy including oral PDE5 medications (tried 3 medications); penile vacuum device and intracavernosal injection therapy with trimix and quadmix . Patient decided to have a penile implant and has undergone implantation of a 3 pieces’ inflatable device an AMS 700 -CX device.
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