Document Type
Original Article
Abstract
Background: Currently, penile prosthesis placement remains a third-line therapy for erectile dysfunction. Infection remains the most challenging complication among patients post-PPI.
Aim of the work: Compare the validity and outcomes of the pure scrotal approach versus the classic penoscrotal incision for malleable PPI in our institute.
Patients and methods: 100 Participants candidates for malleable PPI were randomized after informed consent into two groups. Group (A) (n 50) underwent PPI through the scrotal approach, and group (B) (n 50) underwent the procedure through the Peno-scrotal approach. Both groups were studied for post-operative pain, wound healing, validity of the approach and post-operative complications.
Results: We found a significant variance regarding pain duration, wound healing and regaining sexual activity between both groups in favour of group A (p-value < 0.001). Wound scarring in patients of group B was (100%) while no observed scar in group A (0%). There was a significantly higher incidence of post-operative penile oedema and wound dehiscence in group B compared to group A.
Conclusion: The small transverse scrotal approach is a valid, straightforward approach for malleable PPI with a lower incidence of post-operative complications and satisfactory patient outcomes.
Keywords
Scrotal incision; penile prosthesis; PPI complications
Subject Area
Urology
How to Cite This Article
Ibrahim, Ahmed Mahmoud Mahfouz; Badran, Yasser Ali Ahmed; AlGammal, Mohamed Ibrahim AlMetwally; Hindawy, Mohamed Abdallah; and Koritenah, Ayman Kotb Mohammed
(2024)
"Small Transverse Scrotal Incision for Penile Prosthesis Implantation, Novel Technique,"
Al-Azhar International Medical Journal: Vol. 5:
Iss.
5, Article 4.
DOI: https://doi.org/10.58675/2682-339X.2406
