Patient Preparation

Preoperative antibiotics and thromboprophylaxis is given. An elliptical incision is marked around the penis which can be modified to incorporate a larger part of the scrotal skin which has the advantage of pulling up the scrotal contents once the incision is closed thereby reducing any obstruction to the perineal urethrostomy when voiding in the sitting position. Preoperative staging using MRI is useful in order to determine the extent of the tumor as illustrated in Fig. 7.11 which shows extensive tumor within the corpus cavernosum to the level of the crural attachments.

Dealing With Erectile Dysfunction

Dealing With Erectile Dysfunction

Whether you call it erectile dysfunction, ED, impotence, or any number of slang terms, erection problems are something many men have to face during the course of their lifetimes.

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