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The pulley stitch: fixation of penile prosthetic exit tubing

Jason A. Levy, Yasin Bhanji, Arthur L. Burnett

Johns Hopkins School of Medicine Brady Urological Institute, Baltimore, Maryland, USA
Address correspondence to Dr. Arthur L. Burnett, Johns Hopkins School of Medicine Brady Urological Institute, 600 North Wolfe Street, Marburg 407 Baltimore, MD 21287 USA

Canadian Journal of Urology 2022, 29(3), 11182-11186.

Abstract

Proximal positioning of the penile prosthesis cylinder is performed during inflatable penile prosthesis surgery. We describe a technique to secure a prosthetic cylinder during inflatable penile prosthesis implantation. Urologists performing prosthetic surgeries employ a variety of surgical techniques to achieve successful outcomes. A surgical technique that secures the prosthetic device may ultimately mitigate cylinder migration and erosion.
This is a simple, cost-effective technique that can be readily incorporated into conventional corporotomy closure procedures. It proves to be a feasible technique for both running and interrupted corporotomy closures. The “pulley stitch” offers an adjunctive technique for prosthesis cylinder positioning and may also help prevent migration of prosthetic devices, and it can be incorporated with corporotomy closure.

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