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. 2024 Apr 18;13(4):596–612. doi: 10.21037/tau-23-354

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2024 Translational Andrology and Urology. All rights reserved.

Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0.

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The tunica expansion procedure. (A) After subcoronal incision with penile degloving and dissection of the neurovascular bundle, the tunica expansion procedure is performed with transverse “lengthening” (5–8 mm in length) and staggered incisions (spaced 2–3 mm apart) positioned on the tunica albuginea in a meshed pattern before an inflatable penile prosthesis placement and Tachosil grafting (Baxter Healthcare, Deerfield, IL, USA). (B) A representative tunica expansion procedure patient with IPP in place. IPP, inflatable penile prosthesis.