The implantation of a hydraulic penile prosthesis is an effective solution for patients suffering from severe erectile dysfunction that does not respond to pharmacological treatments. However, like any medical device, penile prostheses can develop malfunctions over time, requiring removal and replacement.
One of the most common issues in patients with a penile prosthesis is the so-called “Concorde effect,” a condition in which the glans bends downward during erection, causing both aesthetic and functional discomfort. This problem may arise due to fibrosis of the corpora cavernosa, prosthesis malfunction, or improper pressure distribution within the penile structure.
The procedure performed by Professor Gabriele Antonini involves the removal of the malfunctioning three-component hydraulic prosthesis and the implantation of a new device while correcting the glans deformity. The surgical process begins with the careful removal of the old prosthesis and thorough cavity cleaning to prevent infections. The new prosthesis is then inserted, ensuring better anchorage and proper alignment of the penile structure.
To correct the “Concorde effect,” it is essential to stabilize the glans and restore a physiological angle between the shaft and the glans. This can be achieved through specialized sutures, reinforcement materials, or a more precise adjustment of the prosthesis. The result is a more natural erection, both aesthetically and functionally, leading to greater patient satisfaction.
Penile prosthesis reimplantation is a complex procedure that requires experience and precision. However, thanks to modern surgical techniques, the results are increasingly effective and long-lasting. Professor Antonini is one of the leading experts in this field and continues to develop innovative methodologies to enhance the quality of life for patients.
The surgical procedures shown in this video were performed by Prof. Gabriele Antonini. Some of these images, intended for a medical audience and educational purposes, may be intense for those unaccustomed to surgical scenes.
