IPP: Semi-rigid prosthesis placed via subcoronal approach

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This video demonstrates a technique for placing an AMS Spectra penile prosthesis (American Medical Systems) using a subcoronal incision.

 

This video demonstrates our technique placing an AMS Spectra penile prosthesis (American Medical Systems) using a subcoronal incision. We describe the advantages and disadvantages utilizing this efficacious technique. It is a quick and safe method of placing a malleable prosthesis, ideal for patients who would benefit from a smaller wound and shorter surgical time.

Dr. Brant: The subcoronal technique is an excellent approach for placement of malleable or semi-rigid prostheses when there is minimal fibrosis within the corpora. In cases requiring more extensive dissection, alternative approaches may be more appropriate, although the surgeon typically will need larger corporotomies.

James M. Hotaling, MD, MS, Section Editor
Dr. Hotaling is assistant professor of surgery (urology) at the

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