充气式阴茎假体导管扭曲导致设备故障,必须进行拆卸:罕见并发症。

Case Reports in Urology Pub Date : 2024-10-15 eCollection Date: 2024-01-01 DOI:10.1155/2024/4446878
Jordan Sarver, Eriel Emmer, Alex Benben, Matthew Skalak, Daniel Talley, Mazen Abdelhady
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引用次数: 0

摘要

勃起功能障碍(ED)是一种常见的病理现象,男性由于各种不同的因素而无法实现和维持勃起以进行满意的性交。勃起功能障碍的保守治疗包括更换药物、改变生活方式和心理治疗。药物和非手术干预包括磷酸二酯酶-5 抑制剂(PDE-5i)、阴茎海绵体内药物注射和真空装置。随着时间的推移,ED的手术治疗方案也在不断发展,目前包括使用充气阴茎假体(IPP)和可弯曲阴茎假体。插入 IPP 的患者通常满意度较高。然而,装置插入的并发症可能包括下体穿孔、尿道损伤、圆柱侵蚀或挤出、感染和机械故障等。我们的患者出现了装置故障,术中评估显示,第一次手术时,IPP 管道在储尿器的位置扭转,第二次手术时则在气缸和阴囊泵的位置扭转。管道扭曲导致 IPP 功能失效,因为液体无法充满气缸,从而导致勃起。对患者进行了完整的设备解释,并根据患者和伴侣的要求重新安装了新的三件式 IPP。这是第一份强调这种特殊并发症的病例报告,我们希望为临床医生提供认识这种罕见并发症的资源。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Twisting of Inflatable Penile Prosthesis Tubing Leading to Device Malfunction and Required Explantation: A Rare Complication.

Erectile dysfunction (ED), the impairment of achieving and maintaining an erection for satisfactory sexual intercourse, is a common pathology that men experience for a variety of different factors. Conservative treatment for ED includes changing medications, lifestyle modifications, and psychotherapy. Pharmaceutical and nonsurgical interventions include phosphodiesterase-5 inhibitors(PDE-5i), intracavernosal medication injections, and vacuum devices. Surgical treatment options for ED have evolved over time and currently include the use of inflatable penile prosthesis (IPP) and malleable penile prosthesis. IPP insertion is usually met with good patient satisfaction. However, complications of device insertion can include corporal perforation, urethral injury, cylinder erosion or extrusion, infection, and mechanical failure, to name a few. Our patient presented with device malfunction and intraoperative assessment showed the IPP tubing twisted at the levels of the reservoir on the first operation and the level of the cylinder and scrotal pump on the second operation. The twisting of the tubing resulted in a nonfunctioning IPP as the fluid was unable to fill the cylinders resulting in an erection. The patient was managed with complete device explanation and reinsertion of a new three-piece IPP per the patient and partner's request. This is the first case report highlighting this specific complication, and we hope to provide clinicians with the resources to recognize this rare complication.

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