Double-Headed Crooks Dilator Set

The Double-headed Crooks Dilator Set

The Double-Headed Crooks Dilator Set is an alternative equivalent of the Brooks, but more compact, and it has “cm” markings for sizing during dilation. It has 4 sequential dilators between 8-9, 10-11, 12-13, and 14-15 mm diameter. It’s also the only dilator with a 15 mm size.

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Key Benefits

The Uramix Double-Headed Crooks Dilator Set offers the usefulness of the Brooks to those implanters, who have come to rely on these dilators for their virgin cases, but they are more compact.  “Cm” markings added for sizing during dilatation.

Features Overview

High Quality Material

Top grade surgical steel.

Can be resterilized.

The Double-Headed Crooks Dilator Set:

4 sequential dilators between 8-15 mm.

Pricing

Crooks Dilator Set: 

Set of 4 (8-15 mm): $1,295

SKU # 9918

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Crooks Dilator Set

The Crooks Dilator Set

The Crooks Dilator Set is an alternative equivalent of the Brooks. It has 7 sequential dilators between 8-14 mm diameter. It has an improved ergonomic handle. 

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Key Benefits

The Uramix Crooks Dilator Set offers the usefulness of the Brooks to those implanters, who have come to rely on these dilators for their virgin cases. “Cm” markings added for measuring during dilatation.

Features Overview

High Quality Material

Top grade surgical steel.

Can be resterilized.

The Crooks Dilator Set:

7 sequential dilators between 8-14 mm.

Pricing

Crooks Dilator Set: 

Set of 7 (8-14 mm): $1,495

SKU # 9917

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Mooreville CavernoCorer

Mooreville Cavernocorer

The Mooreville CavernoCorer is a new type of cavernotome and was developed to satisfy the multitude of scenarios of difficult cases in the implantation of penile prosthesis arising from various degrees of fibrotic changes in the corpus cavernosus. The advancement of cavernotomes in prepping a severely scarred corpora can be challenging and this cavernotome takes advantage  of the screwing effect of its continuous blade.

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Key Benefits

The Mooreville CavernoCorer takes advantage of a continuous blade designed in a “screw type” arrangement to advance into severely scarred corpora. The tip to base dimension ranges between 5-10 mm and 6-12 mm, dilating the corpora as it advances through scar tissue. The device can be “screwed” into scarred corpora. Once it reaches the end point it can be pulled back with oscillating movement to shave off some scar tissue, or if it feels “stuck”, it can be removed by unscrewing.

Features Overview

High Quality Material

Top grade surgical steel.
22 cm long, working head: 5-10 mm and 6-12 mm tip to base

Can be resterilized

Method of Use:

Screws into fibrotic tissue. Remove by oscillating backwards or unscrewing depending on the amount of resistance encountered.

Pricing

Mooreville CavernoCorer: $879/one

Set of 2 (5-10 mm and 6-12 mm): $1,499

SKU # 9914/one

SKU # 9915/set of two

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Morey Forceps and Olsen-Hegar Needle Holder

Morey Forceps and olsen-hegar Needle holder

The Morey Forceps was envisioned by Alan Morey, MD , Distinguished Chair in Urologic Reconstruction at UT Southwestern Medical Center, to help “sit” the prosthetic chamber in the proximal corpora, by pressing down on the junction between the chamber and connecting tube with the back notch during closing.

The Olsen-Hegar Needle Holder has a stich cutting feature below the holding area to reduce instrument changes during closure. 

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Key Benefits

The Morey Forceps relieves stress on the metacarpal joint as the maneuver it replaces is done with the thumb and over time busy implanters note arthritic changes in this joint. 

The Olsen-Hegar Needle Holder reduces instrument changes and saves time.

Features Overview

High Quality Material

Top grade surgical steel

Can be resterilized

Easy to Clean

Pricing

Morey Forceps: $99

SKU # 9911

Olsen-Hegar: $145

SKU # 9912

Set of both: $199

SKU # 9913

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Mooreville Needle Introducer

Mooreville Needle Introducer

The first new needle introducer in 40 years. The Furlow Needle Introducer was made available 40 years ago. Recently, it was noted that the Furlow design, which is a closed system, can harbor proteinaceous material in its interior and thus bacteria, which can be a source of contamination at the time of the prosthesis introduction (https://doi.org/10.1038/s41443-020-0256-2). This dooms the implant and can be disastrous to the patient. The Mooreville Introducer has an open design made from two halves which come apart for easy cleaning and sterilization.

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Key Benefits

Smooth surface. No indents to collect bacteria. Comes apart for internal cleaning.

Features Overview

High Quality Material

Top grade surgical steel

Can be resterilized

Easy to Clean

Two mirror halves, which can come apart, allowing for easy cleaning

Two halves

Each piece forms a central channel, when together, through which the pusher travels

Length

18 cm

Width

9 mm

Pricing

$1,199 per item

SKU # 9909

Patent Pending

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Morey-Mooreville Spacemaker Cavernotome

Morey-Mooreville Spacemaker Cavernotome

The Morey-Mooreville Pacemaker Cavernotome makes access easier in cases with complete corporal fibrosis with loss of domain. 

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Key Benefits

It combines a corkscrew tip with a Rosello-like body. The grating indents on the body are arraigned in both vertical and horizontal positions to remove fibrotic tissue as it rotates forward (vertical indents) and as it pulls back (horizontal indents). It comes in 9 and 11 mm sizes.

Method of Use

 Once access to the corpora is obtained the M-M Spacemaker Cavernotome is inserted and advanced in either direction in a screwing motion. Rotation advances the cavernotome into the corpora and the body indents remove fibrotic tissue. Here Dr. Sung Park, Director of the Sewum Prosthetic Urology Center of Excellence, demonstrates its use.

Method of Use

Once access to the corpora is obtained advance the scissor in a closed position and pull back with the arms spread.

The Morey-Mooreville Spacemaker Cavernotome Set. 9 and 11 mm sizes.

Pricing

$1,595 per set

SKU # 9918

Money back guarantee if returned in 30 days

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Wilson-Mooreville Backward Cutting Scissors

Wilson-Mooreville Backward Cutting Scissors

The Wilson-Mooreville scissors were designed to improve the creation of space in deeply scarred corpora by the addition of lateral serrations. The scissors come in two different widths and two different tip lengths to accommodate most situations.

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Key Benefits

Lateral serrations, which are hidden when the scissor is closed and exposed when open, cutting on the way out of the corpora.

Features Overview

Length

21 cm (8") long

Two Widths

7 mm (distal corpora) and 10 mm (proximal corpora) width

Two Scissor Front Lengths

4.5 cm and 8.2 cm

Wilson-Mooreville-Scissors2

Pricing

$745 per set of 2

4.5 cm front end in 7 and 10 mm width

SKU # 6611SA

8.2 cm front end in 7 and 10 mm width

SKU # 6611LA

Full set (4) $1,490

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Corpus Ruler

Corpus Ruler

“This new measuring rod is indispensable for obtaining an accurate length of malleable penile implants when placed through the subcoronal incision. Its completely smooth surface is an improvement over the previous model whose indentations prevented a smooth passage to the ischial tuberosity and may have harbored bacteria.”

 

Steven K. Wilson, MD, FACS, FRCS
Former Professor Urology: University of AR for Medical Sciences (UAMS)

2007 Wilson Chair of Prosthetic Urology, UAMS
2010 St. Paul’s Medal: British Association Urologic Surgeons
2013 F Brantley Scott Award of Excellence
2017 Living Legend Award: Society Urologic Prosthetic Surgeons
760 342 6657
79440 Corporate Center Dr. Suite 102
La Quinta, CA 92253

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Key Benefits

Smooth surface. No indents to collect bacteria.

Features Overview

High Quality Material

Surgical Stainless Steel

Sterilizable, reusable

Corpus Ruler Features

27 cm long by 11 mm diameter

Pricing

$579 for one

$899 for two

SKU # 9902

Patent Pending

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Mooreville-Wilson Preparation Tool

Mooreville-Wilson Preparation Tool

Serial dilation with Hegar or Brooks dilators has been largely abandoned by today’s prosthetic urologists…introducing the first innovation in corpora preparation in 35 years. The two preparation tools for setting up the corpora to receive a penile prosthesis have sizes: 9-11 mm and 10-12 mm. They do the work of 4 Brooks Dilators plus a measuring tool.

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Key Benefits

Smooth surface. No indents to collect bacteria.

Using the Mooreville-Wilson Prep Tool
Prepping the corpora to receive the prosthesis.

Method of Use

Combine dilating and measurement in one easy step.

Method of Use

Combine dilating and measurement in one easy step.

Using the Mooreville-Wilson Prep Tool
Prepping the corpora to receive the prosthesis.

Features Overview

Made from surgical steel. Can be sterilized

Length

27 cm long

Available in

9-11, 10-12 and 10-13 mm diameters

Pricing

$549 for one

$899 for two

$1,299 for three

SKU # 9906

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The Mooreville II

DBACNewHandle-(1)-2

The Mooreville II

Double-Bladed Advanced Cavernotome

The Double-Bladed Cavernotome is an advancement on the original cavernotome for more challenging cases of severely scarred corpora. The cavernotome gets two cutting blades, which are sharper and rise from a beveled surface within the circumference of the dilator and the blades do not exceed this perimeter, for a precise and controlled cut or shaving action. Now available with fixed posts.
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Key Benefits

Easier and faster creation of an intracorporeal space in scarred genitalia from previous surgery or disease (i.e. – Peyronie’s, Sickle Cell). The cavernotome is great at removing bacterial film from previously infected corpora.

Method of Use

A new double-bladed cavernotome with improved coring ability and ease of use.

  • Entry to fibrotic corpora needs to be accessed by scalpel & extended both proximally & distally to allow entry to dilator
  • Working element should initially be directed laterally
  • Cutting of fibrotic tissue can be obtained longitudinally & also in a rotating shaving action
  • Dilators are used in succession to the desired size
  • Dilators can be used in nonfibrotic corpora for speedier dilation

Method of Use

A new double-bladed cavernotome with improved coring ability and ease of use.

  • Entry to fibrotic corpora needs to be accessed by scalpel & extended both proximally & distally to allow entry to dilator
  • Working element should initially be directed laterally
  • Cutting of fibrotic tissue can be obtained longitudinally & also in a rotating shaving action
  • Dilators are used in succession to the desired size
  • Dilators can be used in nonfibrotic corpora for speedier dilation

Features Overview

High Quality Material

Top grade surgical steel, does not need resharpening

Long-lasting

Both the instrument and the handle are autoclavable

The main Set

6 cavernotomes with diameters between 6, 7, 8, 9, 10, and 11 mm

The X-Large Set

3 cavernotomes with diameters between 12, 13, and 14mm

graded in centimeters

Cavernotomes can also be used as a measuring tool

Working element

2 parallel blades of 5 cm

Length

23.5 cm

More Control

Additional handle for increased torque in difficult dilations, flat surface on the same plane as the blade for ease of orientation

The Handle

Easily mountable and removable for use and cleaning as well as fixed handle instruments

Tapered head

Rounded protective tip

Blade Height

Height of blade does not exceed circumference of the dilator

Blade Details

Two blades advanced to within 0.5 cm of the tip

Includes

EVA cases, combining the protection of a hard case with the versatility and portability of a soft case

Pricing

$2,899 for full set (6)

$2,699 for any five

$2,399 for any four

$1,999 for any three

$1,999 for X-Large set (3),

$4,299 for the full set (6) and X-tra large set (3)

Fixed handle SKU # FH9907 | Removable handle SKU # RH9007

Case study

The cavernotomes were used in nineteen patients with corporeal fibrosis. The etiology of the fibrosis was removal of previously infected prosthesis (15), extensive fibrosis from recurrent priapism secondary to sickle cell disease (2), pharmacologic injection program and subsequent Winter shunts (2). One of the patients whose prosthesis was removed for infection also had a tip erosion on the contralateral side necessitating the creation of a subcapsular space for the insertion of a new cylinder.

Surgical Technique

After a small corporotomy is created, the cavernotomes are introduced and moved in an oscillating motion resulting in forward advancement. If more resection is needed, rotation of the cavernotomes will create a “shaving” action which removes 1 mm strips of fibrotic tissue.

  • Cutting can be done both in a longitudinal, up and down, movement, or in a “drilling” rotational movement.
  • The largest size (13 mm) corresponds to standard cylinder diameter. Dilation to 10 mm is necessary for insertion of the Furlow tool or the Mentor NB cylinder base. Dilation to 11 mm is necessary for the insertion of the AMS CXM base.
  • Internal cutting of the fibrosis obviates extensive corporotomies and results in quicker procedures.
  • The cavernotome’s design and oscillating advancement promote safe dilation without perforation.

Cavernotome being used to dilate fibrotic corpora

All uses of the cavernotomes resulted in successful implantation of inflatable cylinders or semimalleable rods without urethral injury or corporal perforation.

  • Fifteen of the patients received downsized prosthesis (13 Alpha NB, 2 AMS 700 CXM).
  • Of the remaining four patients, three patients were implanted with Mentor Alpha 1 standard size cylinders, and 1 patient was implanted with an AMS semimalleable prosthesis.
  • Graft material was not required and only two patients required additional distal penile incisions for optimum cylinder tip placement.
  • Average operative time was 51 minutes (39-86 minutes range).

As seen in Wilson’s Perils and Pitfalls of Penile Prosthesis Surgery, Tobias S. Kohler, MD, Nikhil Gupta, MD, Steven K. Wilson, MD, 2nd edition, January 2018

references

Bruce B. Garber, Caitlin Lim.  “Inflatable Penile Prosthesis Insertion in Men with Severe Intracorporal Fibrosis.” Current Urology  (2017)  10:92–96.

Michael Mooreville, Sorin Adrian, John R. Delk, and Steven K. Wilson.  “Implantation of Inflatable Penile Prosthesis in Patients with Severe Corporeal Fibrosis: Introduction of a New Penile Cavernotome.”  The Journal of Urology 162 (1999).

Steve K. Wilson. “Reimplantation of inflatable penile prosthesis into scarred corporeal bodies”. International Journal of Impotence Research (2003) 15, Suppl 5, S125-S128.

Cylinder insertion into scarred corporal bodies: prosthetic urology’s most difficult challenge: some suggestions for making the surgery easier

Instrument Cleaning

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