[69] A novel approach for the removal of an inflatable penile prosthesis

Objective: To describe a novel simple surgical method for the removal of an inflatable penile prosthesis (IPP), with minimal risk of urethral damage that avoids the penoscrotal incision and prevents additional fibrosis. The IPP has been used as definitive treatment for severe erectile dysfunction ov...

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Autores principales:	Abdalla Alhammadi, Abdulmajeed AL-thobity, 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/d2518b7f55c44a0b881899c14d95e84e
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spelling	oai:doaj.org-article:d2518b7f55c44a0b881899c14d95e84e2021-12-02T12:24:08Z[69] A novel approach for the removal of an inflatable penile prosthesis2090-598X10.1016/j.aju.2018.10.022https://doaj.org/article/d2518b7f55c44a0b881899c14d95e84e2018-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X18301165https://doaj.org/toc/2090-598XObjective: To describe a novel simple surgical method for the removal of an inflatable penile prosthesis (IPP), with minimal risk of urethral damage that avoids the penoscrotal incision and prevents additional fibrosis. The IPP has been used as definitive treatment for severe erectile dysfunction over last four decades. Although infection of IPPs is rare, such occurrences have critical clinical consequences and require urgent explantation. Removal of an IPP can be challenging, especially for the non-andrologist urologist and young urologists. Methods: Three incisions are made at the following sites: one incision on each side of the base of the penis, an inguinal incision, and a scrotal incision. Each incision provides direct access to one component of the IPP (cylinders, reservoir and pump). Conclusion: The classic penoscrotal incision for explanation can disrupt the anatomy, which makes future re-implantation difficult and increases the risks of complications. The present approach provides direct exposure of all components of the IPP without dissection of the adhesions of the previous implantation and reduces the risk of iatrogenic injury to the urethra.Abdalla AlhammadiAbdulmajeed AL-thobitySebastien 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 AL-thobity Sebastien Beley [69] A novel approach for the removal of an inflatable penile prosthesis
description	Objective: To describe a novel simple surgical method for the removal of an inflatable penile prosthesis (IPP), with minimal risk of urethral damage that avoids the penoscrotal incision and prevents additional fibrosis. The IPP has been used as definitive treatment for severe erectile dysfunction over last four decades. Although infection of IPPs is rare, such occurrences have critical clinical consequences and require urgent explantation. Removal of an IPP can be challenging, especially for the non-andrologist urologist and young urologists. Methods: Three incisions are made at the following sites: one incision on each side of the base of the penis, an inguinal incision, and a scrotal incision. Each incision provides direct access to one component of the IPP (cylinders, reservoir and pump). Conclusion: The classic penoscrotal incision for explanation can disrupt the anatomy, which makes future re-implantation difficult and increases the risks of complications. The present approach provides direct exposure of all components of the IPP without dissection of the adhesions of the previous implantation and reduces the risk of iatrogenic injury to the urethra.
format	article
author	Abdalla Alhammadi Abdulmajeed AL-thobity Sebastien Beley
author_facet	Abdalla Alhammadi Abdulmajeed AL-thobity Sebastien Beley
author_sort	Abdalla Alhammadi
title	[69] A novel approach for the removal of an inflatable penile prosthesis
title_short	[69] A novel approach for the removal of an inflatable penile prosthesis
title_full	[69] A novel approach for the removal of an inflatable penile prosthesis
title_fullStr	[69] A novel approach for the removal of an inflatable penile prosthesis
title_full_unstemmed	[69] A novel approach for the removal of an inflatable penile prosthesis
title_sort	[69] a novel approach for the removal of an inflatable penile prosthesis
publisher	Taylor & Francis Group
publishDate	2018
url	https://doaj.org/article/d2518b7f55c44a0b881899c14d95e84e
work_keys_str_mv	AT abdallaalhammadi 69anovelapproachfortheremovalofaninflatablepenileprosthesis AT abdulmajeedalthobity 69anovelapproachfortheremovalofaninflatablepenileprosthesis AT sebastienbeley 69anovelapproachfortheremovalofaninflatablepenileprosthesis
_version_	1718394482545655808

[69] A novel approach for the removal of an inflatable penile prosthesis

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