Posizionamento di protesi peniena malleabile. Risoluzione di complicanza intraoperatoria.
- Autori: Pavone, C; Coraci, G; Karydi, M; Scarcella, A; Melloni, C; Melloni, D
- Anno di pubblicazione: 2009
- Tipologia: Articolo in rivista (Articolo in rivista)
- Parole Chiave: Prostate cancer, Erectile dysfunction, Malleable prosthesis, Septum perforation,Tumore prostatico, Disfunzione erettile, Protesi malleabili, Perforazione setto intercavernoso
- OA Link: http://hdl.handle.net/10447/56934
Abstract
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)