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Abstract form presented at the IX Symposium on Corpus Cavernosum Revascularisation,
Singapure 12-16 TH, SEPTEMBER 1994


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"THE USE OF CAVERNOTOME FOR PROSTHESIS IMPLANT IN PROCESS OF CORPORA CAVERNOSA SCLEROSIS"

Dr. Mariano Rosselló Barbará, Spain.
Dr. Hernán Carrión, Miami.

The 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.