form presented at the IX Symposium on Corpus Cavernosum Revascularisation,
Singapure 12-16 TH, SEPTEMBER 1994
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USE OF CAVERNOTOME FOR PROSTHESIS IMPLANT IN PROCESS OF CORPORA
Dr. Mariano Rosselló Barbará, Spain.
Dr. Hernán Carrión, Miami.
Cavernotome CARRIÓN & ROSSELLÓ (C&R) is an instrument designed
by us that allows easy dilatation and increases the span of the
corpus cavernous sum. The set consists of four Cavernotomes of 9,
10, 11 and 12 mm. constructed in stainless steal, its length is
of 30 cms. And its weight is between 185 and 220 grs. respectively.
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. Its
circumference has a 6 mm. smooth face that occupies half of the
perimeter. The other face has a total of ten 0.05 mm. pointed edges
having between them groves of a depth of 0.08 mm. The smooth zone
should be placed against the medium wall of the corpora cavernosa
with the pointed edges against the remaining area, and through an
inward and outward movement of the Cavernotome, a carving is made
of ten 0.04mm. furrows, thereby increasing the span of the corpora
cavernosa with each application. It is known fact that to effect
the dilatation with the use of scissors is dangerous, since the
proximal portion or distal portion can be easily perforated, with
a consequent breakage of the pectinoform wall or injury to the urethra
and the albuginean membrane. The Hegar dilator is not enough in
many cases. The Cavernotome C&R is proved to be indispensable
in the implantation of a penile prosthesis in cases of postsurgical
sclerosis, fibrosis, post priapisme, Peyronie diseases, etc… Its
special design avoids perforations in the dilatation process and
reduces the surgical process.