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阴茎假体即将侵蚀:囊外重新植入重建的手术技术

Penile prosthesis impending erosion: Surgical technique for extracapsular re-implantation reconstruction.

作者信息

Rebez Giacomo, Runti Ottavia, Marco Lorena Di, Boschian Riccardo, Rizzo Michele, Garaffa Giulio, Liguori Giovanni, Trombetta Carlo

机构信息

Department of Urology, University of Trieste, Cattinara Hospital, ASUGI, Trieste, Italy.

Department of Urology, SC Urologia Gorizia-Monfalcone, Gorizia Hospital, Gorizia, Italy.

出版信息

Urologia. 2023 Feb;90(1):170-173. doi: 10.1177/03915603221119165. Epub 2022 Aug 16.

DOI:10.1177/03915603221119165
PMID:35972024
Abstract

INTRODUCTION AND OBJECTIVES

Impending erosion is an unusual complication of inflatable penile prosthesis that can strongly impact on patient's morbidity and quality of life. In this case report we present a salvage surgery technique for impending erosion performed in a 57-year-old man.

MATERIALS AND METHODS

We present our surgical technique for cylinder reimplantation in an impending erosion of a three-component inflatable prosthesis with a peno-scrotal access and extracapsular reseating of the cylinder.

RESULTS

No post-operative complication occurred, and the patient regained full function of the prosthesis after recovery. The surgical site healed well with no signs of infections.

CONCLUSIONS

Impending erosion is a problematic complication of penile prosthesis; however, can be administered with a salvage technique avoiding the explant of the IPP.

摘要

引言与目的

即将发生的侵蚀是可膨胀阴茎假体的一种罕见并发症,会对患者的发病率和生活质量产生重大影响。在本病例报告中,我们介绍了一种针对一名57岁男性即将发生的侵蚀所实施的挽救手术技术。

材料与方法

我们展示了在通过阴茎阴囊入路对三件式可膨胀假体即将发生的侵蚀进行圆柱体重新植入并在囊外重新安置圆柱体的手术技术。

结果

未发生术后并发症,患者康复后假体恢复了全部功能。手术部位愈合良好,无感染迹象。

结论

即将发生的侵蚀是阴茎假体的一个棘手并发症;然而,可以采用挽救技术进行处理,避免取出阴茎假体植入物(IPP)。

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