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Use of a microdebrider for corporeal excavation and penile prosthesis implantation in men with severely fibrosed corpora cavernosa: a new minimal invasive surgical technique.

Artikel i vetenskaplig tidskrift
Författare İbrahim Halil Bozkurt
Tarık Yonguç
Özgu Aydogdu
Tansu Değirmenci
Murat Arslan
Süleyman Minareci
Publicerad i Turkish journal of urology
Volym 41
Nummer/häfte 3
Sidor 119-24
ISSN 2149-3235
Publiceringsår 2015
Publicerad vid
Sidor 119-24
Språk en
Länkar dx.doi.org/10.5152/tud.2015.36539
www.ncbi.nlm.nih.gov/entrez/query.f...
Ämneskategorier Urologi och andrologi

Sammanfattning

To propose a new minimal invasive surgical technique using a microdebrider (shaver) to excavate the fibrosed corpora cavernosa for penile prosthesis implantation in patients with severe fibrosis.Two patients with severe corporeal fibrosis were implanted with a penile prosthesis using this technique. In the first patient, fibrosis was due to neglected idiopathic ischemic priapism and the second patient had his prosthesis extruded because of erosion in another center. Both patients were counseled about the procedure and the possible complications related to the experimental nature of the technique. A written informed consent was obtained from both patients. Excavation of the corpora was performed using microdebrider in both patients.Both operations were performed successfully without any intraoperative complications, including urethral injury or perforation of the tunica. The mean operation time was 57 min. The postoperative period was uneventful without any infection, migration, erosion, or mechanical failure. The penile length was increased nearly 2 cm in both patients, and the penile girth was increased around 30% in the patient who underwent inflatable penile prosthesis implantation.The microdebrider potentially provides an important advance in patients with severe corporeal fibrosis to excavate the fibrosed corpora cavernosa for penile prosthesis implantation. The main advantages include fast, safe, and effective excavation of fibrous corpora cavernosa adequate for a satisfactory penile prosthesis implantation.

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