RESUMO
The article presents a case of successful penile revascularization using laparoscopic mobilization of the inferior epigastric artery in a 35 y. o. patient with penile arteriovenous insufficiency.
Assuntos
Artérias Epigástricas/cirurgia , Impotência Vasculogênica/cirurgia , Laparoscopia/métodos , Pênis/irrigação sanguínea , Estruturas Criadas Cirurgicamente , Procedimentos Cirúrgicos Vasculares , Adulto , Humanos , Impotência Vasculogênica/etiologia , Masculino , Insuficiência Venosa/complicaçõesRESUMO
Long-term clinical experience with conservative treatment of Peyronie's disease has demonstrated that clinical efficacy of this therapy comprises maily anesthesia while erectile problems are not solved. Introduction of the drugs into the fibrous plaque is not adequate and hard to perform. Some drugs affect only some components of pathogenesis. For stabilization of the process it is recommended to use transdermal electrophoresis or phonophoresis. The search for new effective drugs and methods continues.
Assuntos
Corticosteroides/uso terapêutico , Interferon-alfa/uso terapêutico , Induração Peniana/tratamento farmacológico , Verapamil/uso terapêutico , Niacinato de Xantinol/uso terapêutico , Administração Cutânea , Corticosteroides/administração & dosagem , Eletroporação , Humanos , Interferon alfa-2 , Interferon-alfa/administração & dosagem , Masculino , Pessoa de Meia-Idade , Dor/prevenção & controle , Fonoforese , Proteínas Recombinantes , Resultado do Tratamento , Verapamil/administração & dosagem , Niacinato de Xantinol/administração & dosagemRESUMO
Clinical experience of the authors on patients with Peyronie's disease shows that intraplaque therapy with verapamil and interferon and a malignant course of the disease can result in shortening of the penis (4 and 1 cases were observed, respectively). The length of the penis diminished by 30 to 50%. The patients were treated with graft corporoplasty with endoprosthesis of the penis. Basing on the experience with these cases the following conclusions were made: intraplaque injections are hard to perform and can provoke progression of the disease; long-term conservative treatment for stabilization of the active stage of Peyronie's disease can lead to shortening of the penis; in malignant course of the disease and progressive shortening of the penis surgical policy is justified despite "acute" phase of the disease.
