A minimally invasive infrapubic implantation of a three-component hydraulic penile prosthesis was performed at Sapienza University of Rome by Dr. Paul Perito and Dr. Gabriele Antonini, renowned experts in urology and andrology. The procedure utilized the “scratch endocavernous” technique developed by Paul Perito in a 58-year-old patient diagnosed with Peyronie’s disease (IPP) characterized by a severe dorsal-lateral curvature exceeding 90 degrees.
The patient had a complex medical history, including arterial hypertension, diabetes mellitus, and chronic erectile dysfunction unresponsive to phosphodiesterase type 5 inhibitors (PDESi), but a good response to intracavernous injections of prostaglandin E1 (PGE I). The IPP diagnosis included a fibrotic plaque located in the mid-penile area, measuring 2.5 cm by 0.5 cm, with widespread fibrotic involvement.
The minimally invasive technique employed reduces surgical impact and recovery time, providing an effective solution for complex cases like this. The hydraulic three-component implant allows for natural and discreet functionality, significantly enhancing the patient’s quality of life.
