Interesting Cases

Interesting Cases

Real revision and reconstruction cases with operative photographs and the pearls behind each fix.

This page contains explicit clinical and surgical imagery for medical professionals. Confirm you are 21 or older to view the images.

Verify to view images
Buried Penis

Buried Penis

A 53 y/o morbidly obese patient with a buried penis, managed with a Boston Scientific Tactra malleable implant after prior paniculectomy and circumcision.

Read case
SST Defect

SST Defect

Causes and fixes for the SST (Sub-coronal Soft Tissue) defect: distal corporal stricture, an implant that is too short, and distal corporal retraction from ischemia.

Read case
Rear Tip Issues

Rear Tip Issues

Why to avoid rear tips when possible, and a before/after revision exchanging long rear tips for a more stable, better-angled result.

Read case
Crossover

Crossover

Recognizing and correcting proximal and distal crossover during cylinder placement using a Hegar dilator to re-establish anatomically correct position.

Read case
Reservoir Placement

Reservoir Placement

Where not to place the reservoir, and the preferred retropubic or ectopic position using finger dissection.

Read case
Dorsal Scrotoplasty

Dorsal Scrotoplasty

Correcting a penoscrotal web — usually from a previous circumcision — at the same time as implant placement to improve effective penile length.

Read case
Implant Cylinder Erosion

Implant Cylinder Erosion

An eroded implant cylinder found in the ER, removed and repaired, with a malleable implant placed on the contralateral side to preserve length.

Read case
Revision Cases Pearls

Revision Cases Pearls

Approach revisions on your own terms: assume no implant is present, place corporotomies where you want them, and avoid inherited rear tips.

Read case
Distal Ventral Impending Erosion Repair

Distal Ventral Impending Erosion Repair

A pseudocapsule flap technique to repair a distal ventral impending erosion in a patient with a 5-year-old IPP, restoring normal anatomy.

Read case

These materials are intended for medical professional education only.

Ready to schedule training?

Training programs should be coordinated through your local Boston Scientific implant representative.

Coordinate Training