Supersonic transporter deformity: glanulopexy by means of skin reduction and modification of the original anchoring technique

IntroductionSupersonic transporter (SST) deformity is a complication of penile prosthesis implantation in which the glans penis does not mount on the anterior tip of the penile prosthesis, resulting in ventral angulation resembling the anterior portion of the supersonic airplane. AimThis work describes a new technique to correct the SST deformity by means of dorsal skin reduction in circumcised patients and a modification to the original technique for uncircumcised ones. Main outcome measuresThe main outcome measure of this study was the resolution of deformity. Patients and methodsSST deformity was detected and repaired intraoperatively in 12 patients. Glanulopexy using the skin reduction technique was performed in circumcised (n=9) patients by excising enough dorsal skin and suturing the wound edges so as to anchor the glans in position. Glanulopexy using an anchoring suture was performed in three patients with SST deformity, one circumcised and two uncircumcised, in which a polyester suture anchors the glans to the dorsal midline. ResultsSST deformity was fully corrected without any recurrence or glans anesthesia throughout the follow-up period. One patient treated using the modified anchoring technique complained of palpable knot. ConclusionSkin reduction glanulopexy is effective and minimally invasive in circumcised patients. In uncircumcised patients, anchoring glanulopexy can be performed using a single midline polyfilament stitch without the need for mobilization of the neurovascular bundle or glans.