(413) Obturator Fenestration Technique for the Woody Indurated Penis

Abstract Introduction Performing penile implant surgery can be challenging especially in the presence of a woody indurated penis (e.g. post priapism, infection, prolonged h/o ICI, etc.) The loss corporal smooth muscle cells and excess collagen deposition caused by fibrosis create challenges increase risk perforation, crossover certainly infection. Clinically, these fibrotic corpora make placement prosthesis difficult surgical procedure. Objective We demonstrate how Obturator Fenestration Technique facilitates penis. Methods 48 y/o male w/ Hx 3-day Priapism treated with shunt at time. Patient was not offered until 8 months following event. At time urologist placed malleable halfway up on right did attempt other side case aborted. Physical examination revealed diffusely corporeal tissue throughout left distally Results Penile successfully implanted using obturator fenestration technique patient previously failed implantation. Conclusions use help facilitate increasingly complex cases This reduce unnecessary complications repeat revision surgery. However, there is learning curve while should performed novice surgeon hope to improve our techniques approaches times post-operative outcomes for Disclosure Any authors act as consultant, employee or shareholder an industry for: Coloplast, Boston Scientific