Advanced Penile Prosthesis Implantation

Professor Shaeer has invented several methods to enhance the results of penile prosthesis implantation surgery.

1. Elongation:

First and foremost, a penile implant restores rigidity and erection. However, many gentleman may have lost some of the length of the penis due to fibrotic changes or gaining weight. When one stands informs of a mirror and pulls back the lower abdomen right above the root of the penis, the penis usually looks longer.

Professor Shaeer has invented a technique to achieve this better cosmetic and functional state, where through the same incision for penile prosthesis implantation,  a tacking suture is made to pull back the lower abdomen right above the root of the penis, increasing visible penile length.

 

tacking2

Published at VJPU:

Dorsal Phalloplasty: Minimizing Shortening upon Penile Prosthesis Implantation by Tucking-in the Peno-Pubic Junction

2. Glans Augmentation

This video shows the simplest and one of the most effective ways to increase the size of the glans penis by injection of filler. This is not a surgical procedure. This method gives an impression of a larger penis immediately.  The augmented size last for 1 to 3 years in most cases. Injection also gives better ejaculatory control for patients with premature ejaculation since it partially decreases the sensitivity of the glans. This is an optional addition to the advanced technique.

3.Highly sterile conditions and very advanced infection control measures

This is achieved via using a dedicated operating room where no other surgeries are performed except for penile prosthesis implantation surgeries, and through the use of the no-touch technique whereby the whole operating field is covered in sterile wraps to avoid any contact between the implant and the patient's skin, even after sterilization of the skin.

Cost of Penile Implant Surgery

4. Prof.Shaeer's Needle-less Corporotomy Closure for Penile Prosthesis Implantation

Upon implantation of an inflatable penile prosthesis (IPP), over-sewing the corporotomies has the advantage of being water-tight, decreasing the possibility of a hematoma, though with the risk of puncturing the implant cylinders. An alternative is tying the stay sutures which –while avoids puncturing the cylinders and shortens the operative time- has the risk of a hematoma formation which increases infection rate, which is why surgeons who adopt this approach prefer to leave a closed drainage system behind. The present work offers an alternative to over-sewing and tying the stay sutures, providing sutureless, water-tight closure and short operative time. Whether before or after incising the corporotomies but always before placement of the cylinders, a continuous suture line is placed in the form of an inverted-U encompassing the site of the corporotomies on both corpora, using Vicryl 2/0 suture material. Following insertion of the implant, the ends of the suture lines are pulled tight and tied as a purse-string, with the cylinders flaccid and dipped-in. 2/0 suture material is preferred to withstand the pulling force required to bring the purse-string together. This technique is particularly suited for a 3-piece implant where the corporotomies are shortest. It is to be noted that the corporotomy should be encompassed totally within the U-shaped suture line and that the tubing is pulled downwards upon tying the purse-string. The technique was applied in forty one cases of 3-piece IPP with neither hematoma formation nor puncturing of the cylinders