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Out of place cylinders discovered in the postoperative period

International Journal of Impotence Research volume 33, pages 43–48 (2021)Cite this article

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Abstract

If the surgeon makes a flawed and unrecognized movement with an instrument during implantation surgery, the cylinder subsequently may migrate into an unexpected position with inflation and thrusting post operatively. The out of position cylinder is now evident to the patient or symptomatic with discomfort. This 5th Wilson’s Workshop will describe our recommended surgeries for correction of out of place cylinders and illustrate the simplest, safest and least invasive.

We noted in the previous Wilson’s Workshop #4 that cylinders could become out of place during the implantation surgery. We espoused two safety checks (the goal post and interrogation of the distal corpora) that the operator could use on each surgery to allow him to recognize the aberrant position and correct it intraoperatively. If the surgeon makes a flawed and unrecognized movement with an instrument and pierces a tissue plane, the cylinder subsequently may migrate into an unexpected position with inflation and thrusting post operatively. The out of position cylinder is now evident to the patient as either visible or painful. The client returns to his physician wishing a solution to the problem.

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Fig. 1: Erosion of cylinders.
Fig. 2: Mulcahy’s distal corporoplasty uses capsule.
Fig. 3: Original Mulcahy illustrations for distal corporoplasty.
Fig. 4
Fig. 5
Fig. 6: Transeptal corporoplasty.
Fig. 7: Pseudo SST from cylinders too short.
Fig. 8: Retrieval of RTE with adult Yankauer suction tip.
Fig. 9: Delayed Cylinder Extrusion.

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Authors and Affiliations

  1. Institute for Urologic Excellence, La Quinta, CA, USA

    Steven K. Wilson

  2. University of South Florida School of Medicine, Tampa, FL, USA

    Justin Parker & Rafael Carrion

  3. Einstein Healthcare Network and Fox Chase Cancer Center, Philadelphia, PA, USA

    Jay Simhan

Authors
  1. Steven K. Wilson
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  2. Justin Parker
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  3. Rafael Carrion
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  4. Jay Simhan
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Corresponding author

Correspondence to Steven K. Wilson.

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Conflict of interest

SKW: Consultant AMT, Coloplast, International Medical Devices. Stockholder Neotract. Lecturer Boston Scientific. JP: Consultant Coloplast, Lecturer Boston Scientific. RC: Consultant Boston Scientific, Coloplast, Endo Pharmaceuticals, JS: Consultant Boston Scientific, Coloplast,

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Wilson, S.K., Parker, J., Carrion, R. et al. Out of place cylinders discovered in the postoperative period. Int J Impot Res 33, 43–48 (2021). https://doi.org/10.1038/s41443-020-0310-0

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  • DOI: https://doi.org/10.1038/s41443-020-0310-0

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