The Corpus Cavernosums are not removed.

[jackp]

The terms used in the glossary about the corpus cavernosum being removed in implant surgery is not correct they are not removed. This is from Todd Doran at Vanderbilt about what really happens during implant surgery.
Jackp

Tunica albuginea is an elastic thick fibrous outer covering of the erectile body and the inside are expansile sinusoids and collectively they are called the corpus cavernosum. We have a right and left one. Peyronie's disease can cause dysfunction, plaque, scarring of either the sinusoids or the tunica albuginea. Placement of IPP cylinders are more complex and tedious to perform in a man with Peyronies Disease. There are tools to dilate the sinusoids thereby causing their destruction through the dilating process. Sometimes we need to use cavertomes (resembles a cylindrical cheesegrater) that are extremely sharp. They are used to dilate/surgically cut open a space within the corpus cavernosum. The destruction of the architecture of the erectile bodies in order to place the inflatable cylinders are why you can't get an erection at all after an IPP. We don't remove any of the corpus cavernosum to place an IPP, we dilate and create a space to place the cylinders.

Feel free to place this on site verbatim.


Todd

Todd J. Doran, MS, PA-C
Associate in Urologic Surgery
Vanderbilt University
Dept of Urologic Surgery
A-1302 MCN
Nashville, TN 37232
615-322-2880

[Hawk]

Jack,

I appreciate the specifics from the standpoint of just having the technical information.  From a practical standpoint however, I see no difference between having the cavernosa removed as opposed to having them permanently and totally destroyed.

[BrooksBro]

I could have done without the mental image created from learning of the cavertomes.  YIKES!