Clinical experience of penile prosthesis surgery [Peni·l protez yerleşti·ri·lmesi· cerrahi·si·nde kl·i?ik deneyi·mleri·?iz]
Küçük Resim Yok
Tarih
2007
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Introduction: The aim of this study is to analyze the data of men with erectile dysfunction who had been inserted with various types of penile prosthesis; focusing on the examination of the re-operations and patient and partner satisfaction. Materials and Methods: Medical records of 284 men implanted with either malleable or inflatable penile prostheses from January 1989 to December 2006 were reviewed and retrospectively analyzed. During that period, 250 malleable and 34 inflatable penile prostheses were inserted. The AMS 600 Malleable prosthesis was inserted in 97 cases, the AMS 650 Malleable prosthesis in 6 cases, the Mentor Malleable prosthesis in 143 cases, the Mentor Acuform prosthesis in 4 cases, the AMS Dynaflex prosthesis in 21 cases, the AMS Ultrex Plus prosthesis in 9 cases and the Mentor Alpha-1 prosthesis in 4 cases. Most patients (n=234) received spinal anesthesia during their operations. Regarding the surgical approaches penoscrotal, infrapubic or subcoronal approaches were used. One hundred and fifty-six men and 110 partners were interviewed regarding the satisfaction of the operations. Results: All patients had a history consistent with an organic etiology of erectile dysfunction, including vascular disease in 58%, diabetes in 10.9%, radical pelvic surgery in 11.3%, Peyronie's disease in 8.8% and others in 10.9%. The mean patient age was 64.3 years (range 31-74) and follow-up was 24 months (range 3-68). Eighty patients (28.2%) had transient minor complications such as penile edema, penile or scrotal hematoma or infections responsive to treatment. Besides, 19 patients (6.7%) had to be re-operated because of major complications such as: uncontrolled infection-14, mechanical failure-3, inadequate length-1 and spontaneous urethral prosthesis erosion-1. Overall, 92 (70.2%) of 131 men and 66 (73.3%) of 90 partners with malleable penile prosthesis sind 22 (88%) of 25 men, and 18 (90%) of 20 partners with inflatable penile prosthesis were satisfied with the results of the penile prosthesis surgery concerning sexual relationship. Conclusion: Use of penile prostheses is a safe and efficient long term therapeutic option in patients with erectile dysfunction.
Açıklama
Anahtar Kelimeler
Complications, Erectile dysfunction, Penile prosthesis, Re-operation, Satisfaction
Kaynak
Turk Uroloji Dergisi
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
33
Sayı
2
