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

1 Dar-elzokora Center of Andrology, Alexandria 21500, Egypt
2 Alexandria Faculty of Medicine, Alexandria University, Alexandria 21131, Egypt
3 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

PMID: 34213492

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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