Figure 2.

Simultaneous corporeal reconstruction and penile prosthesis implantation in patients with penile inadequacy and severe corporeal fibrosis and contracture following repeated explantation of infected penile prosthesis. (a) The corpora are contracted and diffusely fibrotic. (b) A midline longitudinal incision of the penile skin is performed and the corpora exposed. Two longitudinal paraurethral corporeal incisions are carried out and the fibrotic tissue excised. (c) The corpora are reconstructed with the use of two longitudinal grafts. (d) The cylinders of a three pieces inflatable penile prosthesis are inserted in the reconstructed corpora cavernosa.