Organización del quirófano e instrumental específico para el implante de prótesis de pene / Organization of the operating room and specific instruments for the implant of penile prosthesis

Tras más de 1.600 cirugías de implante de prótesis de pene hemos constatado que es imprescindible protocolizar los pasos previos a este tipo de cirugía, así como controlar de forma minuciosa la preparación previa al acto quirúrgico. El instrumental que debe estar disponible para la cirugía incluye elementos específicos que se han diseñado especialmente para este tipo de intervención, como por el ejemplo el cavernotomo o el Farlow. Su utilización es de gran ayuda en la práctica habitual de implante de prótesis de pene y se tornan indispensables en casos complejos o en momentos en los que surgen complicaciones. Las complicaciones también forman parte de lo que se debe evitar en la medida de lo posible, o cuando menos prever para ser capaces de minimizarlas, abordarlas y resolverlas gracias a una organización eficaz y un instrumental adecuado. Sin duda la habilidad y la experiencia del cirujano constituyen los componentes clave para el éxito, pero no se debe menospreciar la gran importancia de un protocolo bien trabajado y aplicado con rigor por todos los miembros del equipo. El objetivo de este artículo es exponer la base de los pormenores que deben conformar este procedimiento de una forma clara y realista

After more than 1600 penile implant surgeries, we can affirm the need for a procedure protocol of the steps prior to this type of surgery, and the importance of carefully control the preparation for the surgical act. The instruments that must be available for surgery include elements that have been specifically designed for this type of intervention, such as the Cavernotomo dilators (Rossello®) or the Furlow. These are essential for penile implant surgeries in the usual practice, especially in complex cases or when complications arise. We should avoid complications as much as we can, or at least we should be able to minimize, address and resolve them with effective organization and adequate instruments. Undoubtedly, the surgeon's skills and experience are one of the key components for success, but the great importance of an adequately performed and rigorously applied protocol by all team members should not be underestimated. The objective of this article is to explain the basis of the details of this procedure in a clear and realistic way

Organization of the operating room and specific instruments for the implant of penile prosthesis. / Organización del quirófano e instrumental específico para el implante de prótesis de pene.

After more than 1600 penile implant surgeries, we can affirm the need for a procedure protocol of the steps prior to this type of surgery, and the importance of carefully control the preparation for the surgical act. The instruments that must be available for surgery include elements that have been specifically designed for this type of intervention, such as the Cavernotomo dilators (Rossello®) or the Furlow. These are essential for penile implant surgeries in the usual practice, especially in complex cases or when complications arise. We should avoid complications as much as we can, or at least we should be able to minimize, address and resolve them with effective organization and adequate instruments. Undoubtedly, the surgeon's skills and experience are one of the key components for success, but the great importance of an adequately performed and rigorously applied protocol by all team members should not be underestimated. The objective of this article is to explain the basis of the details of this procedure in a clear and realistic way.