(241) Shaeer’s Cavernotome: A New Cavernotome to Facilitate Penile Prosthesis Implantation into Scarred Corporal Bodies

Abstract Introduction Penile prosthesis implantation into scarred corporal bodies is one of the most challenging prosthetic urology procedures, with high risks perforation, urethral laceration & lack success. Objective: We introduce a novel Cavernotome (patent application number PCT/EG2021/050003) which cuts channel as it passed forward. The instrument relies on controlled coring rather than forward stabbing, resected tissue accumulated hollow core. Objective Methods After ethical committee approval, we utilized cavernotome in 18 patients severe fibrosis. Scarring was due to penile removal after infection twelve patients, and neglected ischemic priapism six. Surgical Procedure: Surgery performed through peno-scrotal incision catheter placed for identification. Corporotomies are 2-5 cm long depending implant be used. A 2cm core fibrous excised scalpel or electrosurgical pencil. appropriate size Shaeer’s (ShC) determined according maximum that fits fore mentioned excavated space, mostly 11 Hegar. ShC advanced proximally distally screwing / motion, customary oscillating thrusting motion. To prevent inadvertent direction, stretched corpus held between thumb index fingers non-dominant hand ahead tip. doubles sizer ruler marked shaft. Following coring, corpora crura dilated minimal resistance using Hegar Brook’s dilators. proceeds usual fashion. surgical technique available at VJPU: https://www.vjpu-issm.info/videos/peer-reviewed/1-penile-prosthesis-malleable-inflatable-penile-prosthesis-ipp/1-a-first-time-implant/item/198-shaeer-s-cavernotome Results Prosthesis successful 17 out patients. In patient, not possible. were thinned calcified. Size 6 could introduced. Corporal reconstruction performed. Average time 8 minutes. Dilation 13mm 12 11mm 5. used Rigicon Rigi10® (n=12), Infla10® (n=2) Coloplast Genesis® (n=3). No perforations infections implantations. Conclusions new that, its initial study by inventor, facilitates bodies. Disclosure