Cavernous fibrosis

Identification of the cavernous fibrosis presents no difficulties: the penis is sealed, its thickness is reduced. Virtually absent all kinds of erections, sometimes there is a deformation of the penis. Cavernous fibrosis of the penis - the process of sclerosis of the normal erectile tissue of penile fibrosis with complete or partial loss of erectile function.

Causes of cavernous fibrosis is a prolonged brand viagra abnormal erection, and inflammation of the cavernous bodies. Peyronie's disease is rarely the cause of cavernous fibrosis as a pathological process usually occurs in the tunica albuginea.

Two-stage prosthetic penis in cavernous fibrosis

Okolovenechnym access is carried out skeletization penis. Vascular grafts cut out along the length of the penis, the ends sutured tightly. Then, vascular grafts are fixed to the tunica albuginea in their distal and proximal to the lateral side of the cavernous bodies of the thread shed 3-0. Cavernous body is not opened. To create a layer of soft tissue between the skin of the penis and pay attention vascular grafts requires complex tissue transplantation. As a transplant using a free site rectus abdominis muscle. Adrectal incision exposed rectus sheath. Aponeurosis is opened and the medial portion of muscle is taken of such length and width, so that you can wrap the penis in the form of coupling. As the vascular pedicle is used inferior epigastric artery. After this section the muscles moving under the skin of the penis, through the established subcutaneous channel. Muscle is fixed to the distal part of penis on vascular prostheses.

The patient is released for 2-3 months for outpatient treatment. During this period there is some convincing test complete wound healing. In the absence of complications, the patient holds the second stage surgery - implantation of penile prostheses. Through an incision in the "root" of penile vascular grafts are opened and implanted them in semi-rigid prostheses. Vascular grafts and the skin sutured tightly over them without leaving graduates or drainages. Thus, vascular grafts, fixed from the outside to the cavernous bodies, imitate intrakavernoznye space and keep the rod prosthesis, preventing their migration. Soft-woven layer of the rectus abdominis muscle fragment prevents the formation of pressure sores and erosion of the skin over the prosthesis.

On the other hand, in the presence of latent infection in the cavernous bodies is possible to avoid the development of periproteznoy infection in the postoperative period due to the fact that the cavernous body remain intact.

Advantages of the method

The method of two-stage penile prosthesis for total cavernous fibrosis using a fragment of the rectus abdominis muscle on the axial blood flow allows, above all, to minimize postoperative complications associated with the development of periproteznoy infection, erosion of the skin over the prosthesis and its migration, which leads to inflammation and graft rejection. This is achieved by ensuring that the modified fibro-cavernous body remain intact, and in the case of inflammatory etiology of cavernous fibrosis (cavity) there is no activation focus dormant infection. Soft-woven layer of the rectus abdominis muscle fragment prevents the formation of pressure sores and erosion of the skin over the prosthesis.

Powerful effect
pre-eclampsia
Advanced age