Modified malleable prosthesis with a fixed mesh: case series for the Ghattas technique

Author(s): Osama Ghattas, Mohamed Fahmy Doheim, Hossam Kotb, Arthur L Burnett

JOURNAL

Asian Journal of Andrology

YEAR

2022

DOI

https://doi.org/10.4103/aja.aja_55_21

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Abstract Short Summary

This study introduces the Ghattas technique—using a polypropylene mesh fixed around a 13-mm malleable prosthesis—to increase the prosthesis diameter for patients with large corporal bodies. The method led to significantly improved IIEF-5 and EDITS scores. The Rigicon malleable prosthesis was used in select cases.

Abstract

Objective:

To evaluate the effectiveness and safety of the Ghattas technique using mesh-fixed malleable penile prostheses in patients requiring a diameter larger than 13 mm.

Key Findings:

The Ghattas technique resulted in significant improvement in erectile function, with mean IIEF-5 scores increasing from 8.3 to 24.6 (P < 0.001), and a high mean EDITS score of 94.9. No major complications occurred, and the technique provided a viable solution for patients with larger corporal bodies.

Conclusion:

The Ghattas technique safely increases prosthesis diameter beyond standard limits, offering a promising surgical option for select ED patients. Long-term studies are required.

Clinical Relevance:

This technique addresses a key limitation in malleable penile prostheses by enabling tailored solutions for patients with large corporal dimensions, improving satisfaction and reducing complications.

Keywords

erectile dysfunction penile prosthesis malleable implant Ghattas technique mesh sheath Rigicon Rigi10 IIEF-5 EDITS

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