El Camino Urology Medical Group Mountain View, CA, USA.
Regional Urology Shreveport, LA, USA.
Sex Med. 2013 Dec;1(2):95-8. doi: 10.1002/sm2.14.
Capsular contraction (CC) occurring with inflatable penile prosthesis (IPP) reservoirs has been reported by urologists as a cause of autoinflation. The concept of CC occurring around IPP cylinders has not been studied.
Herein we report a case of CC occurring with nonlength-expanding IPP cylinders, resulting in an S-shaped deformity.
We sought to report a novel cause of S-shaped deformity in patients after IPP surgery.
We reviewed a recent clinical case and conducted a literature review on capsular scar formation in prosthetic surgery. We also conducted a literature review of the inflammatory cascade related with prosthetic surgery.
Capsular contracture of nonlength-expanding cylinders resulting in S-shaped deformity has not been previously reported. The role of certain inflammatory markers seems to play a common role of capsular contracture in the penis and other prosthetic implantation sites.
Capsular contractures around the cylinders of an IPP can cause deformity, even in patients who have appropriately sized, nonlength-expanding cylinders. A better understanding is needed regarding the mechanical properties of the tunica albuginea and the inflammatory cascade associated with penile implant surgery. This case represents an argument for early and aggressive postoperative inflation of the IPP. Future studies should evaluate the role of inflammation modulators as adjuvant therapy after IPP surgery. Karpman E and Henry G. Capsular contraction with S-shaped deformity of nonlength-expanding inflatable penile prosthesis cylinders: Management and prevention strategies. Sex Med 2013;1:95-98.
泌尿科医生报告称，可充气阴茎假体（IPP）储液器的包膜挛缩（CC）是自动充气的原因。围绕 IPP 圆柱体发生 CC 的概念尚未得到研究。
本文报告了一例非长度扩张型 IPP 圆柱体发生 CC 的病例，导致 S 形畸形。
我们旨在报告 IPP 手术后患者 S 形畸形的新病因。
我们回顾了最近的临床病例，并对假体手术中包膜瘢痕形成进行了文献复习。我们还对与假体手术相关的炎症级联反应进行了文献复习。
非长度扩张型圆柱体的包膜挛缩导致 S 形畸形，以前没有报道过。某些炎症标志物的作用似乎在阴茎和其他假体植入部位的包膜挛缩中发挥共同作用。
IPP 圆柱体周围的包膜挛缩可导致畸形，即使在患者具有适当大小、非长度扩张型圆柱体的情况下也是如此。需要更好地了解白膜的机械性能和与阴茎植入手术相关的炎症级联反应。该病例为 IPP 术后早期和积极的充气提供了依据。未来的研究应评估炎症调节剂作为 IPP 手术后辅助治疗的作用。Karpman E 和 Henry G. 非长度扩张型可充气阴茎假体圆柱体的包膜挛缩伴 S 形畸形：处理和预防策略。性医学 2013;1:95-98.
