One Shot Keto heals what we're doing here as we've exposed the corpora cavernosa which are the strength layers of the penis every man has two of those corpora and those paired columns are what fills with blood to give an erection so by the time you need a penile implant blood doesn't really flow that well into the area which we'll see in a second because when we cut into this area if there would be a healthy guy blood would come out pretty briskly but here we don't see very much bleeding at all because again the normal mechanism to cause erections has failed so once we've cut into that corpora cavernosa what we're going to do next is kind of make a potential space with what's called a Brooks dilator we don't actually remove any tissue for this procedure we just kind of moved the existing tissue out of the way so here comes the Brooks dilator and we basically go up and down the penis with this device to create a potential space to put the device in so nice controlled dilation some people will take a very long time to do this maneuver it's really not necessary you just need to make space up and down call it a day you can see I'm bouncing off what's called the issue of tuberosity that's the bone in which the base of the penis sits so most
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