- 18 -
p
repare
n
on
-c
onnected
c
ylInders
Once the surgeon has determined the proximal and distal lengths of the corpora cavernosa,
choose a pair of appropriate length cylinders from inventory . Prepare the cylinders with
sterile normal saline using a 15-gauge blunt tip needle and a 60 cc syringe by completing the
following steps:
1 . Hold cylinder in non-dominant hand and squeeze out air .
2 . Attach 15-gauge blunt tip needle to the 60 cc syringe partially filled with sterile normal
saline .
3 . Use partially filled syringe to aspirate all air from the cylinder, and then slowly fill cylinder
with sterile normal saline (approximately 20-30 cc) without injecting air bubble .
- Hold the cylinder from the rear with the front tip down to allow distal portion of
cylinder to fill first (
Figure 4-9
) .
- Inject fluid into cylinder until it is rounded out .
- Aspirate all air from cylinder with syringe .
4 . You may repeat this process once if desired .
5 . Aspirate all sterile normal saline and air from the cylinder until it is flat, or until the syringe plunger meets resistance .
CAUTION: Do not over aspirate to prevent air from being drawn into cylinder through its semi-permeable
silicone elastomer.
6 . Holding the syringe plunger up with your thumb, clamp tubing (1 notch only) 1 inch from needle top using the
blue shod mosquito hemostat . Then remove the 15-gauge needle and syringe .
CAUTION: Do not advance the hemostat’s ratchet more than one notch. Excessive pressure may damage the
tubing permanently.
7 . For a cylinder treated with InhibiZone Antibiotic Surface Treatment, place the cylinder onto an empty, non-covered,
sterile tray, empty kidney basin, or sterile Mayo stand; cylinders should not be submerged in saline .
CAUTION: Soaking antibiotic impregnated devices in saline will cause the antibiotics to diffuse off the
device into the solution. This will cause the solution to turn an orange and will reduce the concentration of
antibiotics on the device.
8 . For a non-InhibiZone treated cylinder, submerge cylinder in a kidney basin of sterile normal saline or normal saline
mixed with antibiotic solution, until the surgeon is ready to implant it .
9 . Prepare the other cylinder in same manner .
p
repare
r
eservoIrs
Use two 60 cc syringes with 1 cc gradations when filling the 65 ml or 100 ml reservoir .
1 . Begin with reservoir in non-dominant hand and squeeze air out of reservoir .
2 . Holding the reservoir, attach 15-gauge blunt tip needle and a 60 cc syringe that is partially
filled with sterile normal saline to the reservoir (
Figure 4-10
) .
3 . Use partially filled syringe to aspirate all air from reservoir .
4 . After air has been removed, inject sterile normal saline (approximately 20-30 cc) without
injecting an air bubble .
5 . Using your thumb press in on side of reservoir to form it into a bowl shape .
6 . Aspirate all remaining saline and air out of reservoir and into syringe, stopping when syringe
plunger encounters resistance and/or reservoir makes a flattened bowl shape . Leave in the
flattened bowl shape .
Figure 4-10
Surgical Procedures
(continued)
Figure 4-9