[Salvage surgery of hydraulic penile prosthesis by modified Mulcahy protocol. Case report and literature review]. / Cirugía de rescate de extrusión de prótesis hidráulica de pene mediante protocolo de Mulcahy modificado. Revisión de la literatura a propósito de un caso.
Rev Int Androl
; 20(2): 136-139, 2022.
Article
em Es
| MEDLINE
| ID: mdl-35168903
ABSTRACT
The extrusion of a penile prosthesis is an indicator of infection and implies its removal, causing fibrosis and shortening of the penis. We present a 62-year-old man, to whom we implanted a hydraulic prosthesis, and three weeks later we underwent salvage surgery by extrusion of the activation pump. After removing the prosthesis, we wash the cavities with four dilutions. The 1st to 50% of hydrogen peroxide; the 2nd to 50% of povidone iodine; the 3rd with 1 g of cefazolin and 40 mg of tobramycin, the 4th with 80 mg of gentamicin and 500 mg of vancomycin. In the act we implanted a malleable prosthesis bathed in antibiotic solutions. The postoperative period was satisfactory. A year later, the patient presents an adequate penile length and aesthetic appearance, maintaining satisfactory sexual relations. Surgical rescue by washing with antiseptic solutions and a malleable prosthesis implant, minimizes the risk of reinfection, preserving sexual function.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Prótese de Pênis
/
Infecções Relacionadas à Prótese
Tipo de estudo:
Etiology_studies
Limite:
Humans
/
Male
/
Middle aged
Idioma:
Es
Ano de publicação:
2022
Tipo de documento:
Article