A Clinical Review from UKSH, Campus Kiel<\/em><\/p>\n Welcome to the Rigicon Academy Blog, where we delve into the latest developments in prosthetic urology and surgical technique. In today\u2019s article, we explore a fascinating comparison between two surgical approaches to inflatable penile prosthesis (IPP) implantation\u2014penoscrotal<\/strong>\u00a0and\u00a0subcoronal<\/strong>\u2014as performed at the University Hospital Schleswig-Holstein (UKSH), Campus Kiel.<\/p>\n This topic was also discussed at the\u00a0Rigicon Symposium during ESSM 2021<\/strong>, where\u00a0Dr. Ahmed Ragheb<\/strong>\u00a0and\u00a0Dr. Daniar Osmonov<\/strong>\u00a0presented their experiences and insights into advanced penile prosthetic techniques, highlighting the advantages of flexible approaches in complex surgical cases.<\/p>\n Learn how meticulous surgical planning and technique can restore erectile function and transform lives.<\/p>\n Patient:<\/strong>\u00a071-year-old male A traditional transverse penoscrotal incision was used. Through careful dissection of Buck\u2019s fascia and the tunica albuginea, the corpora cavernosa were accessed. This approach allowed optimal placement of implant tubing to reduce the risk of nerve injury.<\/p>\n Precise measurements were taken using a Furlow introducer\u201410 cm distal, 12 cm proximal on both sides. A\u00a0size 18 cm Infla10\u00ae<\/sup>\u00a0Pulse\u2122<\/sup><\/strong>\u00a0prosthesis was selected. Rear Tip Extenders (RTEs) of 3 cm and 1 cm were used to reach a total length of 22 cm.<\/p>\n All components were dipped in a\u00a0rifampin (60 mg) and gentamicin (120 mg)<\/strong>\u00a0antimicrobial solution. The device\u2019s\u00a0hydrophilic coating<\/strong>\u00a0and fourth-layer reinforced cylinders offer both durability and a natural feel.<\/p>\n The reservoir was placed\u00a0ectopically<\/strong>, and tubing was tunneled posteriorly with Babcock forceps. A closed suction drain was used postoperatively, and a\u00a0\u201cmummy wrap\u201d<\/strong>\u00a0compression bandage was applied.<\/p>\n \ud83d\udc49 Outcome:<\/strong>\u00a0The penis was left partially inflated overnight, ensuring hemostasis. Recovery was uneventful.<\/p>\n Patient:<\/strong>\u00a058-year-old male This approach began with a\u00a0circumferential subcoronal incision<\/strong>\u00a0and full degloving of the penis. Exposure allowed access to the tunica albuginea for effective corporotomy.<\/p>\n This technique is particularly useful in patients undergoing simultaneous procedures, such as those for\u00a0Peyronie\u2019s disease<\/strong>, or in cases where general anesthesia is contraindicated.<\/p>\n The same\u00a0Infla10\u00ae<\/sup>\u00a0Pulse\u2122<\/sup><\/strong>\u00a0prosthesis with identical RTE sizing was used. A\u00a0standard retropubic reservoir<\/strong>\u00a0placement was performed, and the\u00a0pump was placed in a subdartos pouch<\/strong>\u00a0created through blunt dissection.<\/p>\n \ud83d\udc49 Outcome:<\/strong>\u00a0Reduced scrotal trauma and potential for earlier device cycling due to minimized swelling.<\/p>\n With hands-on experience and proper training, urologists can provide life-changing outcomes through penile prosthesis surgery.<\/p>\n Prosthetic urology is both a\u00a0technical and emotional<\/strong>\u00a0discipline. From cancer survivors to men with diabetes-related ED, restoring sexual function means restoring confidence and dignity.<\/p>\n With leading-edge devices like the\u00a0Infla10\u00ae<\/sup>\u00a0Pulse\u2122<\/sup><\/strong>\u00a0and a commitment to precision surgery, the future of erectile dysfunction treatment is stronger than ever.<\/p>\n This message was echoed at the\u00a0ESSM 2021 Rigicon Symposium<\/strong>, where\u00a0Dr. Ragheb and Dr. Osmonov<\/strong>\u00a0underscored the value of global collaboration and advanced prosthetic innovation in improving patient outcomes.<\/p>\n \ud83e\ude7a\u00a0Stay tuned<\/strong>\u00a0for more surgical insights, real-life cases, and innovations from the Rigicon Academy.<\/p>\n All trademarks (\u00ae<\/sup>\u00a0and\u00a0\u2122<\/sup>) and product names are the property of their respective owners. Their inclusion does not imply any affiliation or endorsement. This content is for informational purposes only and should not replace professional medical advice. Always consult a qualified healthcare provider before making any medical decisions.<\/p>\n","protected":false},"featured_media":6153,"parent":0,"template":"","meta":{"_acf_changed":false},"categories":[83],"class_list":["post-6152","academy-blog","type-academy-blog","status-publish","has-post-thumbnail","hentry","category-rigicon-academy-blog"],"acf":[],"yoast_head":"\n
\n\ud83c\udfe5 Case Study 1: Penoscrotal Approach<\/h3>\n
\nMedical history:<\/strong>\u00a0Post-radical prostatectomy ED, non-smoker<\/p>\n
\n\u2702\ufe0f Case Study 2: Subcoronal Approach<\/h3>\n
\nMedical history:<\/strong>\u00a021-year diabetes, Caverject-induced corporal fibrosis, 10 pack-year smoking history<\/p>\n
\n\ud83d\udee0 Why Surgical Technique Matters<\/h3>\n
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\nFinal Thoughts<\/h3>\n
\n\u26a0\ufe0f Disclaimer<\/h4>\n