USE OF A PREFABRICATED TUNICA VAGINALIS FASCIA FLAP TO RECONSTRUCT THE TUNICA ALBUGINEA AFTER RECURRENT PENILE PROSTHESIS EXTRUSION
| Autor: | John Greisman, Gary J. Alter, Philip Werthman, Arnold S. Seid, Bruce J. Joseph |
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| Rok vydání: | 1998 |
| Předmět: |
Adult
Male endocrine system medicine.medical_specialty Urology medicine.medical_treatment Penile Implantation urologic and male genital diseases Surgical Flaps Tunica albuginea (ovaries) Urethra medicine Humans Glans urogenital system business.industry Tunica vaginalis Local flap Penile prosthesis Fascia Anatomy Middle Aged eye diseases Surgery medicine.anatomical_structure Penile Prosthesis business Penis |
| Zdroj: | Journal of Urology. 159:128-132 |
| ISSN: | 1527-3792 0022-5347 |
| DOI: | 10.1016/s0022-5347(01)64034-5 |
| Popis: | Although a penile prosthesis usually perforates into the urethra, it can extrude through the glans or corporeal shaft. Various materials have been used to reconstruct tunica albuginea but no method of repair has been satisfactory in such difficult cases. Repair of the weakened tunica albuginea should ideally be performed with autogenous tissues. Inasmuch as the scarred tissue bed is inadequate to ensure graft survival and no local flaps are available for this purpose, prefabrication of a local flap has been designed.We present 2 cases in which the distal corpus was reconstructed with a prefabricated tunica vaginalis fascia flap. The first stage involves grafting rectus fascia onto the external tunica vaginalis of the testicle. At the second stage the prefabricated tunica vaginalis fascia flap is transposed to the distal corpus, placing it as a buttress between the cylinder and urethra medially or between the cylinder and thin lateral and distal tunica albuginea. The flap also replaces part of the tunica albuginea.In both patients repair of the tunica albuginea was successful and each has a functioning inflatable penile prosthesis at 2 1/2 1 1/2 years postoperatively, respectively.Reconstruction of the weak tunica albuginea with a prefabricated tunica vaginalis fascia flap is an excellent procedure in these difficult cases. |
| Databáze: | OpenAIRE |
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