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They conclude that, in the penile implant patient with any signs of glans necrosis, the operating surgeon should offer “...immediate implant removal” as it “may prevent subsequent glans necrosis.” In my personal surgical log, I have had only one patient who lost half of his glans after penile prosthesis, and it caused me to lose sleep and necessitated the involvement of hospital risk management. The major issue to be resolved is the exposure from the penile ventral incision being presented in this article. Can the operating surgeon get the access and visualization needed/wanted to perform any major type of Peyronie’s or sliding technique procedures? Time will tell. Not many articles change clinical practice, this one could lead to a paradigm shift in surgical access to the penile shaft tunica albuginea – Bravo Dr. Fang and Dr. Wang!

Commentary on “Nondegloving technique for Peyronie's disease with penile prosthesis implantation and double dorsal-ventral patch graft”