Penile Prosthesis Surgery for the Fibrotic Penis
نویسنده
چکیده
Penile fi brosis renders implantation of a penile prosthesis a formidable procedure. Fibrosed corporate cavernosa resist dilation by blunt dilators, mandating the use of force and resulting in a high percentage of complications. This is a report on advances in the fi eld of penile prosthesis surgery for the fi brotic penis through the years 2006 to 2008. In that time, bovine pericardium was added to the choices of graft materials used to expand the corpora to accommodate the implant alongside the fi brous tissue. Also, the technique for open excavation of fi brous tissue through extended corporotomies was further evaluated in a series of nine cases. Downsized prostheses that were previously implanted in cases of penile fi brosis were replaced by regular-sized ones after having served as tissue expanders. Finally, minimally invasive, visually guided, sharp excavation of fi brous tissue has evolved through three stages, combining endoscopy and ultrasonography to safely excavate corporeal fi brous tissue.
منابع مشابه
Surgery for Peyronie's disease.
Peyronie's disease (PD) is most simply referred to as a fibrotic wound-healing disorder of the tunica albuginea. It is both a physically and psychologically devastating disorder that causes penile deformity, curvature, hinging, narrowing and shortening, which may compromise sexual function. Although a variety of non-surgical treatments have been suggested, none to date offer a reliable and effe...
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