WHAT HAPPENS DURING IMPLANT SURGERY

There has been some debate on the peyronies society forum about what happens to the corpus cavernosum (CC) during penile implant (IPP) surgery. You may hear that the CC is removed among other things that are not true. To answer that question I sent an email to Todd Doran at Vanderbilt. Below is his responce.

This is one reason a man with peyronies or other penile damage should use a well qualified Male Sexual Function Specialist, not a general practice urologist. To my knowledge right now there are only 3 or 4 well qualified doctors for this procedure in the US.

The most common complaint from men with peyronies is loss of penile size. The only implant available to help restore this is the AMS 700 LGX length expanding implant.

Jack


February 15, 2012 11:28 PMFrom: "Doran, Todd James" to "Jack Pinner"
Tunica albuginea is an elastic thick fibrous outer covering of the erectile body and the inside are expansile sinusoids and collectively they are called the corpus cavernosum. We have a right and left one. Peyronie's disease can cause dysfunction, plaque, scarring of either the sinusoids or the tunica albuginea. Placement of IPP cylinders are more complex and tedious to perform in a man with PD. There are tools to dilate the sinusoids thereby causing their destruction through the dilating process. Sometimes we need to use cavertomes (resembles a cylindrical cheesegrater) that are extremely sharp. They are used to dilate/surgically cut open a space within the corpus cavernosum. The destruction of the architecture of the erectile bodies in order to place the inflatable cylinders are why you can't get an erection at all after an IPP. We don't remove any of the corpus cavernosum to place an IPP, we dilate and create a space to place the cylinders.

Feel free to place this on site verbatim.


Todd

Todd J. Doran, MS, PA-C
Associate in Urologic Surgery
Vanderbilt University
Dept of Urologic Surgery
A-1302 MCN
Nashville, TN 37232
615-322-2880