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Furlow Insertion Tools
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Furlow / Ferlow Insertion Tool - Overview and Surgical Use
1. Introduction
The Furlow Insertion Tool is a specialized penile prosthesis surgical tool designed to facilitate the safe and efficient placement of penile implants during erectile dysfunction surgery. Also referred to as the Furlow Tool, Furlow Measurer, Furlow Dilator, or Furlow introducer for penile implant, this implantation tool for penile prosthetics ensures precise navigation through the corpus cavernosum while minimizing tissue trauma. Developed for use in both inflatable and malleable penile prostheses, the Furlow device for penile implant is a trusted instrument in urology surgical procedures worldwide.2. Design Features of the Furlow Tool
The Furlow insertion tool system includes:- A barrel with a central bore to guide surgical elements.
- A Keith needle, which is inserted into the bore and used to pass a suture through the glans penis.
- An obturator, which serves as a Furlow dilator and ensures controlled insertion through the corpus cavernosum.
3. Surgical Application
Step-by-Step Use of the Furlow Measurer Tool:1. Preparation:
- The Keith needle is attached to a surgical suture, which is then secured to the penile implant cylinder.
- The Keith needle and suture are loaded into the Furlow Measurer or Furlow introducer for penile implant via the bore.
2. Insertion into Corpus Cavernosum:
- After making the corporotomy incision, the Furlow insertion tool is advanced into the corpus cavernosum until it reaches the distal tip near the glans.
- This movement allows for minimal trauma insertion through sensitive penile tissue.
3. Trans-Glans Needle Passage:
- The Keith needle is deployed through the glans penis using the Furlow Tool.
- The surgeon retrieves the needle externally, leaving the suture threaded along the penile shaft.
4. Implant Insertion:
- The Furlow inserter is withdrawn from the penis.
- The suture is then pulled to draw the penile prosthesis cylinder through the corpus cavernosum using the Furlow insertion tool as guidance.
5. Final Positioning:
- The proximal end of the implant reaches the pelvic bone, while the distal end rests under the mid-glans.
- The corporotomies are closed, and the process is repeated for the second corpus cavernosum.
6. Pump and Reservoir Placement:
- A pouch is created in the scrotal septum to house the pump.
- Using Metzenbaum scissors and a nasal speculum, the transversalis fascia is opened, and the saline-filled reservoir is inserted into the retropubic space via the same penoscrotal incision.
- All components are connected, and the Dartos fascia and skin are closed.
4. Clinical Significance of the Furlow Device in Urology
The Furlow insertion tool and its related components — such as the Furlow Measurer Tool, penile implant insertion kit, and Furlow introducer for inflatable penile prosthesis — are critical in modern urologic surgery. Despite the growing popularity of non-surgical treatments, penile prosthesis implantation remains a definitive and effective solution for advanced erectile dysfunction. Used globally, this stainless steel Furlow inserter is among the most reliable penile prosthesis tools, providing precise implant positioning and reducing operative complications. As a penile implant surgical instrument with high patient satisfaction outcomes, the Furlow insertion tool continues to be an integral part of best practices in prosthetic urology.Download Broucher/Lef
