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BJU Int ; 125(1): 168-172, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31265201

RESUMO

OBJECTIVES: To compare the rates of intra- and postoperative complications between early (<4 months) or delayed (>4 months) inflatable penile prosthesis (IPP) re-implantation performed after a fibrosis-inducing event. PATIENTS AND METHODS: Cases of IPP re-implantation were performed by a single, high-volume prosthetic surgeon in hospitals domestically and abroad over a 15-year period (2001-2016). The time interval from the precipitating event to operation, intra-operative complications and postoperative complications for up to 1 year after implantation, were recorded. RESULTS: A total of 72 cases of IPP re-implantation were recorded. There were 16 (53%) intraoperative complications in patients who had surgery at <4 months (Group 1) and 23 (55%) in patients operated at >4 months (Group 2). There were four (13%) postoperative complications in Group 1 and 14 (33%) in Group 2. CONCLUSION: Re-implantation of an IPP into fibrotic corporal bodies is associated with less serious postoperative complications when performed within 4 months of the fibrosis-inducing event.


Assuntos
Cicatriz/complicações , Disfunção Erétil/complicações , Disfunção Erétil/cirurgia , Complicações Intraoperatórias/epidemiologia , Doenças do Pênis/complicações , Implante Peniano/métodos , Prótese de Pênis , Pênis/patologia , Pênis/cirurgia , Complicações Pós-Operatórias/epidemiologia , Complicações Pós-Operatórias/prevenção & controle , Fibrose/complicações , Humanos , Masculino , Desenho de Prótese , Reoperação , Estudos Retrospectivos , Fatores de Tempo
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