Posizionamento di protesi peniena malleabile. Risoluzione di complicanza intraoperatoria.

ABSTRACT. We report a technique for the solution of an intraoperative complication occurredduring penile prosthetic surgery.MATERIALS AND METHODS. A 70-year-old patient underwent open radical retropubic prostatectomyin 2004 due to a prostate cancer - Gleason 6 (3+3) pT2N0M0. The erectile dysfunctionsubsequently observed was not responsive to oral or intracavernosal drug administration,so a malleable penile implant surgery was recommended.RESULTS. During the positioning of the left penile cylinder, a septum perforation (cross-over)occurred. Instead of interrupting and postpone surgery in order to allow the septum to recover,we decided to proceed utilizing our technique for a safe positioning of the implants.As far as we know, this is the first detailed report on the technique.CONCLUSIONS. Septum perforation during a penile prosthesis implant does not represent anabsolute contraindication to terminating surgery. Our technique allows a safe placing of thecylinders after septum perforation with optimal functional and aesthetic results at long-termfollow-up. (Urologia 2009; 76: 218-20)