Penoscopy: optical corporotomy and resection for prosthesis implantation in cases of penile fibrosis, Shaeer's technique.

FIGURE 1 Implanting a penile prosthesis in corpora cavernosa with significant fibrosis represents a challenge to the surgeon. Fibrosis may result from delayed re-implantation following removal of an infected prosthesis, extensive Peyronie’s disease, as well as veno-occlusive priapism. Forceful dilation of the corpora cavernosa against resistance is performed in a blind fashion. Complications resulting from aggressive blind dilation include perforation of the corpora and injury to the urethra. The optical corporotomy and resection technique allows a tunnel to be created within rather than alongside the fibrous tissue to accommodate the prosthesis without force and under vision. Healthy erectile tissue Fibrotic erectile tissue