Brison Daniel, Ilbeigi Pedram, Sadeghi-Nejad Hossein
UMDNJ New Jersey Medical School, Department of Surgery, Division of Urology, Newark, NJ 07103-2714, USA.
J Sex Med. 2007 Jul;4(4 Pt 2):1185-7. doi: 10.1111/j.1743-6109.2006.00266.x.
We describe a 51-year-old man with a history of radiation therapy and large bowel diversion for rectal cancer who underwent an uneventful penile implant surgery for erectile dysfunction that was refractory to conservative therapy. The patient presented with acute left lower extremity swelling and pain a few days after surgery. Workup revealed compression of the pelvic veins by the prosthesis reservoir.
To highlight an avoidable, adverse event related to penile prosthesis reservoirs.
Retrospective review of a clinical case.
The patient underwent repositioning of the reservoir followed by venous thrombectomy and Greenfield filter placement.
To the best of our knowledge, this is the first report of an early diagnosis and successful thrombectomy of the external iliac and common femoral vein thrombosis secondary to reservoir compression. Awareness of this possible adverse event and the management strategy are helpful to surgeons who perform penile prosthesis surgery.
我们描述了一名51岁男性，有直肠癌放射治疗和大肠改道病史，因勃起功能障碍接受了阴茎植入手术，该勃起功能障碍对保守治疗无效，手术过程顺利。患者在术后几天出现急性左下肢肿胀和疼痛。检查发现假体储液器压迫盆腔静脉。
强调与阴茎假体储液器相关的可避免不良事件。
对一例临床病例进行回顾性分析。
患者接受了储液器重新定位，随后进行了静脉血栓切除术并放置了格林菲尔德滤器。
据我们所知，这是首例因储液器压迫导致髂外静脉和股总静脉血栓形成并早期诊断和成功进行血栓切除术的报告。认识到这种可能的不良事件及其管理策略对外科医生进行阴茎假体手术有帮助。
