Treatment of penile fibrosis with prosthetic implantation and flap advancement with tissue debulking.
| Autor: | Knoll LD; Center for Urological Treatment and Research, Nashville, Tennessee, USA., Fisher J, Benson RC Jr, Bilhartz DL, Minich PJ, Furlow WL |
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| Jazyk: | angličtina |
| Zdroj: | The Journal of urology [J Urol] 1996 Aug; Vol. 156 (2 Pt 1), pp. 394-7. |
| DOI: | 10.1097/00005392-199608000-00015 |
| Abstrakt: | Purpose: Even after successful penile prosthesis implantation in patients with extensive penile fibrosis, a subset will have insufficient penile length for satisfactory sexual intercourse. We report a combined surgical approach to gain additional functional length in these patients. Materials and Methods: During the last 18 months 11 patients with extensive cavernous fibrosis underwent penile prosthesis implantation with a modified suprapubic V-Y advancement flap and lower abdominal tissue debulking. Results: After prosthesis implantation the accompanying procedures allowed these patients to gain an additional 3.5 to 6.5 cm. in functional length. All patients had a functional device after a mean followup of 12 months. No prosthesis became infected and no patient required an additional flap procedure. Conclusions: This surgical approach allows patients to gain additional functional length for satisfactory intercourse after treatment of extensive penile fibrosis. |
| Databáze: | MEDLINE |
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