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Advances in Urology
Volume 2008, Article ID 524392, 3 pages
Research Article

A Preliminary Report on Combined Penoscrotal and Perineal Approach for Placement of Penile Prosthesis with Corporal Fibrosis

1Department of Urology, Kaiser Permanente-Bellflower Medical Center, 9400 East Rosecrans Avenue, Bellflower, CA 90706, USA
2Department of Urology, Kaiser Permanente-Los Angeles Medical Center, 4867 Sunset Boulevard, Los Angeles, CA 90027, USA

Received 2 May 2008; Revised 12 August 2008; Accepted 9 October 2008

Academic Editor: Miroslav L. Djordjevic

Copyright © 2008 John P. Brusky et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Purpose. This paper aims at describing the combined penoscrotal and perineal approach for placement of penile prosthesis in cases of severe corporal fibrosis and scarring. Materials and methods. Three patients with extensive corporal fibrosis underwent penile prosthesis placement via combined penoscrotal and perineal approach from 1997 to 2006. Follow-up ranged from 15 to 129 months. Results. All patients underwent successful implantation of semirigid penile prosthesis. There were no short- or long-term complications. Conclusions. Results on combined penoscrotal and perineal approach to penile prosthetic surgery in this preliminary series of patients suggest that it is a safe technique and increases the chance of successful outcome in the surgical management of severe corporal fibrosis.