(414) Double Distal Fixation Stitch

Abstract Introduction Distal cylinder extrusion is not a common complication of penile prothesis surgery when compared to mechanical device failure but can have very serious complications if addressed properly. Reported revision for IPP implantation more commonly required cosmetic and erosion problems as opposed failure. Complications such distal crossovers, delayed impending lateral be treated with double fixation stitch. This technique addresses stabilization issues keeps implant secure in place. Objective We demonstrate the Double Fixation Stitch meandering Methods 62 y/o white male Hx erectile dysfunction Penile No significant past medical history Presents pending left Implant functional Patient underwent corporoplasty stich order ensure aspect remains place Results A sub-coronal incision used on affected side where should positioned. Dissection carried through Buck fascia, followed by transverse tunica albuginea, delivered. Two 2-0 Ethibon sutures are threaded islet implant. new, properly positioned intracorporal channel created using longitudinal capsulotomy dilation 9 Hagar. passed cylinder. The first suture glans native corpora position, second about .25cm apart from creating small bridge. made connecting two exit sites. Both then tied down individually leaving one each across knots buried elevating skin closing 3-0 chromic. Conclusions ensured that remained newly created, appropriately channel. stitch safe effective securing an inflatable prosthesis preventing recurrence. useful surgical adjunct treating patients prosthetic extrusions or crossovers applied almost all cases migrating weak tunica. Disclosure Any authors act consultant, employee shareholder industry for: coloplast, boston scientific.