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首页> 外文期刊>The journal of sexual medicine >Review of Penile Prosthetic Reservoir: Complications and Presentation of a Modified Reservoir Placement Technique
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Review of Penile Prosthetic Reservoir: Complications and Presentation of a Modified Reservoir Placement Technique

机译：阴茎假体水库回顾：并发症和改良水库放置技术的介绍

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Introduction. Multiple modifications have been made to the inflatable penile prosthesis (IPP) since its inception in the 1970s. These modifications have made reservoir-related mechanical malfunctions highly unlikely in current IPP models. Although these complications are rare, it would be incumbent upon the implanting surgeon to be aware of these potential complications, how they present, how they are best treated, and how to prevent them from occurring. Aims. The aim of this article was to present our experience with complications associated with penile prosthesis reservoirs, perform a review of the literature regarding reservoir-related complications, and present our modified technique to place the reservoir into the space of Retzius. Main Outcome Measures. Reservoir-related complications including inguinal herniation, erosion into bladder or bowel, intraperitoneal reservoir placement with subsequent visceral injury, vascular injury, autoinflation, and infection. Methods. We retrospectively reviewed our experience with penile prosthesis reservoir complications or procedures requiring an alternative implantation approach at our center over the past 10 years where over 400 devices were implanted. We also review reservoir-related complications published in the English literature since the 1980s. Results. While exceedingly rare, reservoir complications do occur. Six cases from our institution are presented including one reservoir herniation, one postoperative direct inguinal hernia, one bladder laceration during revision surgery, one ectopic reservoir placement due to morbid obesity, one iliac vein compression syndrome, and one vascular laceration during reservoir revision. Reported reservoir complications include inguinal herniation, erosion into the bladder or bowel, intraperitoneal reservoir placement with subsequent injury to the ureter or bowel, vascular injury, autoinflation, and infection. Conclusion. Penile prosthesis reservoirs rarely fail mechanically but are associated with a variety of complications or may require alternate implantation technique. In our experience, the Jorgensen scissors technique allows safe entry into the space of Retzius with diminished risk of hernia as well as vascular, bladder, or bowel injury.
机译：介绍。自1970年代以来，对充气式阴茎假体（IPP）进行了多种修改。这些修改使得在当前IPP模型中与储层相关的机械故障极不可能发生。尽管这些并发症很少见，但植入手术的外科医生有责任了解这些潜在的并发症，其表现形式，如何得到最佳治疗以及如何防止它们发生。目的本文的目的是介绍我们在与阴茎假体储库相关的并发症方面的经验，对有关储库相关并发症的文献进行综述，并介绍将库储入Retzius空间的改良技术。主要观察指标。与水库有关的并发症包括腹股沟疝，侵蚀为膀胱或肠，腹膜内放置水库及随后的内脏损伤，血管损伤，自体充气和感染。方法。我们回顾性地回顾了过去10年中在我们中心植入了400多种器械的阴茎假体储库并发症或需要其他植入方法的手术经验。我们还回顾了1980年代以来英语文献中发表的与储层相关的并发症。结果。尽管极为罕见，但确实会发生储层并发症。本院共报告6例，其中1例为水库疝，1例为术后腹股沟直疝，1例因翻修手术而发生膀胱撕裂，1例因病态肥胖而异位放置，1例静脉压迫综合征，1例因翻修而发生血管撕裂。报道的储库并发症包括腹股沟疝，膀胱或肠糜烂，腹膜内储库放置以及输尿管或肠损伤，血管损伤，自体充气和感染。结论。阴茎假体储库很少发生机械性衰竭，但会引起各种并发症，或者可能需要其他植入技术。根据我们的经验，Jorgensen剪刀技术可安全进入Retzius的空间，减少疝气以及血管，膀胱或肠损伤的风险。

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