The Hostile Penis: Managing the Patient with Corporal Fibrosis

Corporal fibrosis usually develops following prolonged cavernosal tissue ischemia, explantation of an infected penile prosthesis, or penile trauma. Inflatable penile prosthesis (IPP) insertion is the mainstay of treatment for erectile dysfunction in this setting. These challenging cases are more likely than virgin IPP insertions to be complicated by procedural, mechanical, and/or infectious issues. Satisfactory results are achievable when meticulous surgical technique is used in conjunction with contemporary instruments and implants. The vast majority of patients with corporal fibrosis are able to safely regain sexual function through IPP placement.