Year : 2022  |  Volume : 24  |  Issue : 2  |  Page : 167-170

Modified malleable prosthesis with a fixed mesh: case series for the Ghattas technique

1 Dar-elzokora Center of Andrology, Alexandria 21500, Egypt Alexandria Faculty of Medicine, Alexandria University, Alexandria 21131, Egypt Department of Urology, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA

Correspondence Address:
Arthur L Burnett
Department of Urology, Johns Hopkins University School of Medicine, Baltimore, MD 21287
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/aja.aja_55_21

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Penile prosthetic implantation represents a cornerstone for patients with organic erectile dysfunction (ED) that is refractory, unsatisfactory, or contra-indicated for other approved medical or mechanical options. In this study, we introduce the “Ghattas technique,” wherein we constructed a polypropylene mesh sheath that surrounds and is fixed to a 13-mm malleable prosthesis cylinder, which can increase the cylinder diameter for cases that need a larger prosthesis. All patients underwent preoperative evaluation and completed the five-item International Index of Erectile Function questionnaire (IIEF-5). Postoperative outcomes were evaluated by IIEF-5 and Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) questionnaires at final follow-up. The mean age of the 23 included patients was 57.9 (standard deviation [s.d.]: 11.4) years and the mean duration of ED was 8.5 (s.d.: 7.9) years. Erection improvement was determined by comparing mean preoperative and postoperative IIEF-5 scores (8.3 [s.d.: 3.9] vs 24.6 [s.d.: 0.6], P < 0.001). High treatment satisfaction was determined according to a mean EDITS score of 94.9 (s.d.: 9.9). The proposed Ghattas technique was safe and effective in our patients, and provides opportunity for cases that need a diameter larger than 13 mm. Further studies are needed to confirm these results.

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