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Distortion of the implanted penis: SST and cylinder crossover


In the previous workshop we described cylinders out of place due to flawed and unrecognized surgical movements piercing tissue planes that months later are subsequently exploited by the cylinders during sexual intercourse. This workshop completes the trilogy of cylinders out of place. The fourth workshop cataloged fixes of cylinders out of place intraoperatively and the fifth workshop showed the current surgical revision operations to address the cylinders once they have migrated. This sixth workshop will address correction of the implanted penis that is distorted by hypermobile glans, incorrectly measured or crossed over cylinders.

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Fig. 1: The SST or hypermobile glans deformity.
Fig. 2: Glans fixation for SST deformity.
Fig. 3: Cadaver dissection of the neurovascular bundle.
Fig. 4: New glandulopexy repair of SST.
Fig. 5: Dorsal penoplasty for correction of SST deformity.
Fig. 6
Fig. 7: Medical illustration of over and back crossover.
Fig. 8: Stay lateral with dilator and furlow and avoid crossover.
Fig. 9: Crossover subtle initially, but not after usage.
Fig. 10: Correction of crossover.


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Correspondence to Steven K. Wilson.

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SKW: consultant at AMT, Coloplast, International Medical Devices, stockholder in Neotract, and lecturer at Boston Scientific. JP: consultant at Coloplast, lecturer Baxter International. RC: consultant at Boston Scientific, Coloplast, Endo Pharmaceuticals. JS: consultant at Boston Scientific, Coloplast.

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Wilson, S.K., Parker, J., Carrion, R. et al. Distortion of the implanted penis: SST and cylinder crossover. Int J Impot Res 33, 278–285 (2021).

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