FIELD: medicine.
SUBSTANCE: invention refers to medicine, namely to corporate urology. Circular incision of the penis skin is performed, followed by circumcision. Penis is scalped. Tumescence is induced by introducing 0.9% normal saline solution into cavernous bodies, and a zone of retraction is determined. Further, the fibrous plaque is dissected crosswise in the form of a double Y-incision at the point of maximum curvature. Intrinsic subcutaneous fat is sampled in amount of 100–150 ml to obtain SVF, which is introduced into cavernous bodies along the perimeter and along the defect area in volume of 4–5 ml. Length and width of the defect of the tunica albuginea are measured; an Alloplant® allogenic cadaveric pericardium transplant is selected width is 30% greater than the width of the albuginea defect, interrupted sutures are applied on the angles for fixation with a woven synthetic absorbable suture material (glycolide/lactide copolymer) with thickness of 3/0, then suturing is performed on the maximally stretched penis along the perimeter with interrupted sutures with the same material.
EFFECT: method provides improved functional results by achieving a cosmetic result and reduced postoperative risk of erectile dysfunction.
1 cl, 10 dwg, 2 ex
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Authors
Dates
2024-04-23—Published
2024-01-31—Filed