[70] Proximal corpora cavernosum approach for management of some penile prosthesis cylinder complications

Objective: To describe a new proximal corpora cavernosum approach for the management of some penile prosthesis cylinder complications. Penile prosthetic cylinder complications identified postoperatively are traditionally managed by approaching the corpora through the prior penoscrotal incision, risk...

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Autores principales:	Abdalla Alhammadi, Abdulmajeed Althobity, Sebastien Beley
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2018
Materias:	Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/4c74bd99958b4931a2e93c8d045f58a5
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spelling	oai:doaj.org-article:4c74bd99958b4931a2e93c8d045f58a52021-12-02T09:51:23Z[70] Proximal corpora cavernosum approach for management of some penile prosthesis cylinder complications2090-598X10.1016/j.aju.2018.10.023https://doaj.org/article/4c74bd99958b4931a2e93c8d045f58a52018-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X18301177https://doaj.org/toc/2090-598XObjective: To describe a new proximal corpora cavernosum approach for the management of some penile prosthesis cylinder complications. Penile prosthetic cylinder complications identified postoperatively are traditionally managed by approaching the corpora through the prior penoscrotal incision, risking contamination of the pump’s biofilm and giving poor exposure of the proximal cruras. This new approach addresses postoperative penile prosthesis cylinder abnormalities when they are located at the crura of a corpus cavernosum. This technique avoids any additional dissection of the previous wound, making the second surgical procedure easier and safer for the underlying implant. It also allows an optimal exposure for the required adjustment of the implant. Methods: The first step of procedure is identification of the affected part of the penis and identification of the type of penile implant anomaly. A 2-cm longitudinal skin incision is carried over the affected crura. A longitudinal incision of the tunica albuginea is done, allowing direct access to proximal part of the affected prosthesis cylinder. The prosthesis’ cylinder is then delivered through this incision allowing management of the problem under direct vision. Results: Our approach is safe, effective and can ensure that the existing penile prosthesis cylinder problem can be managed without the need to approach it through the traditional approach, which in our opinion may add difficulty to the surgery because of the adhesions from the previous intervention. In addition, using the scrotal approach may add a threat to the implant’s pump and tubing by either iatrogenic injury or possible violation of the surrounding biofilm. Conclusion: Our suggested approach is safe, simple and effective in managing some penile prosthetic cylinder complications that require access to the proximal crura and can be used for both inflatable and semi-rigid (malleable) penile prostheses.Abdalla AlhammadiAbdulmajeed AlthobitySebastien BeleyTaylor & Francis GrouparticleDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 16, Iss , Pp S33- (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Diseases of the genitourinary system. Urology RC870-923 Abdalla Alhammadi Abdulmajeed Althobity Sebastien Beley [70] Proximal corpora cavernosum approach for management of some penile prosthesis cylinder complications
description	Objective: To describe a new proximal corpora cavernosum approach for the management of some penile prosthesis cylinder complications. Penile prosthetic cylinder complications identified postoperatively are traditionally managed by approaching the corpora through the prior penoscrotal incision, risking contamination of the pump’s biofilm and giving poor exposure of the proximal cruras. This new approach addresses postoperative penile prosthesis cylinder abnormalities when they are located at the crura of a corpus cavernosum. This technique avoids any additional dissection of the previous wound, making the second surgical procedure easier and safer for the underlying implant. It also allows an optimal exposure for the required adjustment of the implant. Methods: The first step of procedure is identification of the affected part of the penis and identification of the type of penile implant anomaly. A 2-cm longitudinal skin incision is carried over the affected crura. A longitudinal incision of the tunica albuginea is done, allowing direct access to proximal part of the affected prosthesis cylinder. The prosthesis’ cylinder is then delivered through this incision allowing management of the problem under direct vision. Results: Our approach is safe, effective and can ensure that the existing penile prosthesis cylinder problem can be managed without the need to approach it through the traditional approach, which in our opinion may add difficulty to the surgery because of the adhesions from the previous intervention. In addition, using the scrotal approach may add a threat to the implant’s pump and tubing by either iatrogenic injury or possible violation of the surrounding biofilm. Conclusion: Our suggested approach is safe, simple and effective in managing some penile prosthetic cylinder complications that require access to the proximal crura and can be used for both inflatable and semi-rigid (malleable) penile prostheses.
format	article
author	Abdalla Alhammadi Abdulmajeed Althobity Sebastien Beley
author_facet	Abdalla Alhammadi Abdulmajeed Althobity Sebastien Beley
author_sort	Abdalla Alhammadi
title	[70] Proximal corpora cavernosum approach for management of some penile prosthesis cylinder complications
title_short	[70] Proximal corpora cavernosum approach for management of some penile prosthesis cylinder complications
title_full	[70] Proximal corpora cavernosum approach for management of some penile prosthesis cylinder complications
title_fullStr	[70] Proximal corpora cavernosum approach for management of some penile prosthesis cylinder complications
title_full_unstemmed	[70] Proximal corpora cavernosum approach for management of some penile prosthesis cylinder complications
title_sort	[70] proximal corpora cavernosum approach for management of some penile prosthesis cylinder complications
publisher	Taylor & Francis Group
publishDate	2018
url	https://doaj.org/article/4c74bd99958b4931a2e93c8d045f58a5
work_keys_str_mv	AT abdallaalhammadi 70proximalcorporacavernosumapproachformanagementofsomepenileprosthesiscylindercomplications AT abdulmajeedalthobity 70proximalcorporacavernosumapproachformanagementofsomepenileprosthesiscylindercomplications AT sebastienbeley 70proximalcorporacavernosumapproachformanagementofsomepenileprosthesiscylindercomplications
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[70] Proximal corpora cavernosum approach for management of some penile prosthesis cylinder complications

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