6533b873fe1ef96bd12d5c46

RESEARCH PRODUCT

Posizionamento di protesi peniena malleabile. Risoluzione di complicanza intraoperatoria.

Carlo PavoneDarvinio MelloniG CoraciM KarydiA ScarcellaC Melloni

subject

Prostate cancer Erectile dysfunction Malleable prosthesis Septum perforationTumore prostatico Disfunzione erettile Protesi malleabili Perforazione setto intercavernosoSettore MED/24 - Urologia

description

ABSTRACT. We report a technique for the solution of an intraoperative complication occurred during penile prosthetic surgery. MATERIALS AND METHODS. A 70-year-old patient underwent open radical retropubic prostatectomy in 2004 due to a prostate cancer - Gleason 6 (3+3) pT2N0M0. The erectile dysfunction subsequently observed was not responsive to oral or intracavernosal drug administration, so a malleable penile implant surgery was recommended. RESULTS. During the positioning of the left penile cylinder, a septum perforation (cross-over) occurred. Instead of interrupting and postpone surgery in order to allow the septum to recover, we decided to proceed utilizing our technique for a safe positioning of the implants. As far as we know, this is the first detailed report on the technique. CONCLUSIONS. Septum perforation during a penile prosthesis implant does not represent an absolute contraindication to terminating surgery. Our technique allows a safe placing of the cylinders after septum perforation with optimal functional and aesthetic results at long-term follow-up. (Urologia 2009; 76: 218-20)

yearjournalcountryeditionlanguage
2009-01-01
http://hdl.handle.net/10447/56934