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Introducing and evaluating the accuracy of a novel method for estimating inflatable penile prosthesis cylinders length by stretching the tumesncent penis intraoperatively instead of taking proximla and distal measurement to the corporotomy
Objectives:
Introducing and evaluating the accuracy of a novel method for estimating inflatable penile prosthesis cylinders length.
Methods:
24 patients undergoing a Coloplast Titan ® Touch implantation procedure will berandomly divided into two groups.
The "Tumescent Stretching Measurement Technique" (TSMT) group (N=12) will be administered an intracorporal injection (ICI) of 20 microgram Alprostadil. Hegar 7 dilator will be introduced through the corporotomy until reaching a bone stopping point. The tumescent penis will be stretched maximally, and the proximally inserted dilator measured externally to the coronal sulcus.
The control group (N=12) will receive no intraoperative ICI. Following maximal corporal dilatation, cylinder length will be estimated by adding up the internally measured distal and proximal corpora to the length of the corporotomy.
Implants are deemed correctly sized when cylinders reached the proximal third of the glans with no buckling of cylinders or floppy glans.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Tumescent Stretching Measurement Technique | Active Comparator | The "Tumescent Stretching Measurement Technique" (TSMT) group (N=12) will be administered an intracorporal injection (ICI) of 20 microgram Alprostadil. Hegar 7 dilator will be introduced through the corporotomy until reaching a bone stopping point. The tumescent penis will stretched maximally, and the proximally inserted dilator measured externally to the coronal sulcus. |
|
| Conventional Measurement technique | Active Comparator | The control group (N=12) will receive no intraoperative ICI. Following maximal corporal dilatation, cylinder length will be estimated conventionally by adding up the internally measured distal and proximal corpora to the length of the corporotomy. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Tumescent Stretching Measurement Technique | Procedure | The "Tumescent Stretching Measurement Technique" (TSMT) group (N=12) will be administered an intracorporal injection (ICI) of 20 microgram Alprostadil. Hegar 7 dilator will be introduced through the corporotomy until reaching a bone stopping point. The tumescent penis will stretched maximally, and the proximally inserted dilator measured externally to the coronal sulcus. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of penile implant insertions and re-insertions needed to arrive to adequate penile implant size | Number of penile implant insertions and re-insertions needed to arrive to adequate penile implant size | Intraoperative |
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Inclusion Criteria:
Males needing Penile implant surgery, not responding to oral pharmacological drugs for ttt of ED -
Exclusion Criteria:
Previouys penile surgery Previous implanted penile prosthesis
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Penile Implants for Males
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cairo University | Cairo | Egypt |
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