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Laparascopic Capsulotomy to Treat Autoinflation of Inflatable Penile Prostheses

机译:腹腔镜囊切开术治疗充气阴茎假体的自体充气

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Introduction. Inflatable penile prosthetic implants are a reliable treatment for erectile dysfunction. Mechanical failures now are the most common reason for revision of this type of device, and autoinflation is a common cause for device revision. There are currently no published surgical treatments for this malfunction. Aim. To describe a simple outpatient surgical revision for an automatically inflating device using laparascopic dissection. Main Outcome Measures. Complete deflation of penile prosthesis on follow-up visit, intraoperative and postsurgical complications, and length of procedure. Methods. We performed a retrospective review of patients treated for inflatable penile prosthesis autoinflation with laparascopic capsulotomy to release constricting connective tissue rind surrounding the device reservoir at a single institution. We collected information about etiology of impotence, surgical procedures relating to implant and revision of prosthetic devices, and follow-up evaluations. Results. Four patients underwent laparascopic capsulotomy to treat autoinflation. Mean operative time was 45minutes, and no adverse surgical or perioperative outcomes occurred. All four patients had deflated corporal cylinders at the time of follow-up evaluation. Conclusions. Laparascopic capsulotomy is an easy and reliable method of treating inflatable penile prosthesis autoinflation that can be performed in the outpatient setting.
机译:介绍。充气式阴茎假体植入物是治疗勃起功能障碍的可靠方法。机械故障现在是修订此类型设备的最常见原因,而自动充气则是修订设备的常见原因。当前没有针对这种故障的公开手术治疗方法。目标。描述使用腹腔镜解剖的自动充气设备的简单门诊手术修订。主要观察指标。在随访,手术中和术后并发症以及手术时间长短时,阴茎假体会完全放气。方法。我们对腹腔镜囊切开术治疗可膨胀的阴茎假体自体充气以在单个机构中释放围绕装置储器的狭窄结缔组织皮进行治疗的患者进行了回顾性研究。我们收集了有关阳of病因,与植入和修复假体装置有关的外科程序以及后续评估的信息。结果。四名患者接受了腹腔镜下切开切开术以治疗自体膨胀。平均手术时间为45分钟,没有发生不良的手术或围手术期结果。在随访评估时,所有四名患者的体都放气。结论。腹腔镜囊切开术是治疗可膨胀的阴茎假体自体充气的一种简单而可靠的方法,可以在门诊进行。

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