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Malleable implant substitution for the management of penile prosthesis pump erosion: a pilot study.

机译:延展性植入物替代治疗阴茎假体泵侵蚀:一项初步研究。

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INTRODUCTION: Managing isolated scrotal pump erosion or infection in patients with inflatable penile prosthesis (IPP) is a challenging problem. We describe our malleable implant substitution technique to address this problem. AIM: The aim of this study was to describe and assess the outcomes of the malleable implant substitution technique. METHODS: In this retrospective case series, six patients underwent removal of the infected and/or eroded scrotal pump, and replacement of the entire IPP with a malleable prosthesis. This procedure was only performed in men in the absence of penile pain on palpation or overwhelming sepsis. The procedure utilized components of the Mulcahy washout protocol with loose scrotal wound approximation and drains as necessary. MAIN OUTCOME MEASURES: The main outcome is a recurrent infection rate and prosthesis functionality of the malleable implant substitution technique. RESULTS: All six men who underwent the procedure have done well and remain infection-free. Two men have undergone conversion from a malleable prosthesis back to IPP. Three are considering conversion to an IPP as they are satisfied with their current malleable prosthesis function. One man had a distal erosion of the malleable prosthesis that necessitated complete removal. CONCLUSIONS: We believe the malleable implant substitution technique provides an excellent option for management of isolated scrotal pump erosion or infection and prevents the problems associated with the other common management strategies.
机译:简介:在阴茎充胀假体(IPP)患者中管理孤立的阴囊泵侵蚀或感染是一个具有挑战性的问题。我们描述了可延展的植入物替代技术来解决这个问题。目的:本研究的目的是描述和评估可延展植入物替代技术的结果。方法:在这个回顾性病例系列中,六名患者接受了感染和/或腐蚀的阴囊泵的切除,并用可延展的假体替换了整个IPP。仅在没有触诊或阴囊压倒性阴茎痛的男性中执行此程序。该程序利用了Mulcahy冲洗方案的组件,阴囊阴囊伤口近似松散,必要时引流。主要观察指标:主要结果是可延展植入物替代技术的复发感染率和假体功能。结果:接受该手术的所有六名男性都做得很好,并且没有感染。两名男子经历了从可塑假肢到IPP的转变。由于他们对目前的延展性假体功能感到满意,因此三人正在考虑转换为IPP。一名男子的可塑性假体远端被侵蚀,需要完全切除。结论:我们认为,可延展的植入物替代技术为孤立的阴囊泵侵蚀或感染的处理提供了一个极好的选择,并可以防止与其他常见管理策略相关的问题。

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