The Cavernotome C&R is also CE approved and Uroan 21 has completed a device listing for the Cavernotome with the US FDA. The Cavernotome is available for sale in the US. Each set of Cavernotome C&R consists of four Cavernotome tools of 9, 10, 11, & 12 mm. They are sterilised by gas and are disposable.

The main objective in the implantation of the penile prosthesis is to correctly place the prosthesis inside the corpora cavernosa. Sometimes, surgery becomes very difficult due to the severe fibrosis that is often located in the corpora cavernosa, or also due to an important penile curvature. The Cavernotome aids the surgeon in overcoming these problems as described below
What are the advantages of the Cavernotomes C&R?
The use of the Cavernotomes is indispensable for the implant of the penile prosthesis, and specially, in cases of severe fibrosis. The Cavernotomes scrape the fibrotic areas from the inside towards the tunica albuginea, completely removing the fibrotic plaque, increasing the inner diameter of the corpora cavernosa, and also improving the elasticity of the tunica albuginea. In cases of penile curvature or Peyronie's disease, once the fibrotic plaque has been removed with the Cavernotomes, the penis become straight. This technique avoids performing corporatomies and, consequently, plastias of goratex, dura madre, or skin whose aesthetic and functional results are very dubious.

Technical characteristics:
The set consists of four Cavernotomes of 9, 10, 11, 12 mm. made out of stainless steel and the scraping area and handle constructed in a biocompatible polycarbonate. Its length is 30 cms and its weight is 165, 169, 173 and 175 gr. respectively

The working area of 10 cm. of length has a smooth facet besides the scraping facet, which consists of 75 scraping edges of 0,5 mm. and 9 furrows.
Cavernotome number 10 is marked from 0 cms to 15 cms in order to be used not only as a dilator, but also to measure the corpora cavernosa. The Cavernotomes of 11 and 12 mm. respectively have 4 scraping edges on their distal portion that are used to dilate and remove the fibrotic plaque of the proximal and distal portion of the corpora cavernosa.

How to use the Cavernotome:
When the albuginean membrane of the corpora cavernosa has been incised, Cavernotome no. 9 is introduced in order to dilate the proximal portion, The smooth zone should be placed against the medium wall of the corpora cavernosa with the pointed edges against the external area, and through an inward and outward movement of the Cavernotome, grooves of 0,5 mm., are made. Thereby increasing the inner diameter of the corpora cavernosa with each application. Then a dilatation is effected on the distal part, ensuring that the smooth zone of the Cavernotome is applied and displaced against the pectiniform wall, with the pointed edges against the external part. When the Cavernotome reaches the end of distal portion it can be easily detected since it can be felt by pressing with the fingers on the glans. The Cavernotomes C&R will be used progressively 9 - 10 - 11 and 12 mm. depending of the size of the prosthesis to be implanted. Besides facilitating the surgical performance and placing correctly the prosthesis without creating tension, the Cavernotomes C&R also facilitate the suture of the tunica albuginea, thus reducing post-surgical pain

Advantages:
· Eradicates the fibrotic plaque.
· The albuginea recovers its extensivity.
· Facilitates the dilatation and enlargement of the span of inner diameter of the corpora cavernosa of the penis.
· Protects the urethra and the medium wall of the corpora cavernosa avoiding perforation during the dilatation process.
· Represents a significant reduction of the surgical process and therefore, reduces the risk of post-surgery infections.

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