阴茎假体植入过程中从海绵体取出布鲁克斯扩张器的分离头部。
Removal of a detached head of the Brooks dilator from the corpora cavernosa during penile prosthesis implantation.
作者信息
Hatzimouratidis Konstantinos, Koliakos Nikolaos, Koutsogiannis Ioannis, Moisidis Kyriakos, Giakoumelos Alexandros, Hatzichristou Dimitrios
机构信息
Aristotle University of Thessaloniki--2nd Department of Urology and Center for Sexual and Reproductive Health, Thessaloniki, Greece.
出版信息
J Sex Med. 2007 Jul;4(4 Pt 2):1179-81. doi: 10.1111/j.1743-6109.2007.00506.x. Epub 2007 May 2.
INTRODUCTION
Several complications during and after penile implantation have been reported. The most difficult part of the procedure seems to be the dilatation of the corpora, especially in fibrotic cases.
AIM
To report a rare intraoperative complication during dilatation of the corpora and its management.
METHODS
During dilation of the corpora cavernosa with Brooks dilators for the implantation of penile prosthesis, its head was detached and stuck at the tip of the corpus cavernosum. Several trials to remove the head of the dilator using different kinds of clamps were unsuccessful. Finally, an incision was performed to the distal lateral part of the corpora cavernosa and the head of the dilator was removed. Implantation was completed uneventfully.
RESULTS
The patient instructed to inflate the prosthesis and use it for sexual intercourse after 6 weeks. Follow-up was 14 months and the patient is using properly the prosthesis.
CONCLUSIONS
Although this is a very rare complication not previously described, we recommend examination of the dilators before use.
引言
阴茎植入术中及术后已报道了多种并发症。该手术最困难的部分似乎是海绵体扩张，尤其是在纤维化病例中。
目的
报告海绵体扩张术中一种罕见的并发症及其处理方法。
方法
在用布鲁克斯扩张器扩张海绵体以植入阴茎假体的过程中，扩张器头部脱落并卡在海绵体尖端。尝试使用不同类型的夹子取出扩张器头部均未成功。最后，在海绵体远端外侧部分做了一个切口，取出了扩张器头部。植入手术顺利完成。
结果
患者在6周后被指示充盈假体并用于性交。随访14个月，患者假体使用正常。
结论
虽然这是一种以前未描述过的非常罕见的并发症，但我们建议在使用前检查扩张器。
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