Use of rectus fascia graft for corporeal reconstruction during placement of penile implant

Pathak, Apurba S.; Chang, Joseph H.; Parekh, Ashish; Aboseif, Sherif R.

doi:10.1016/j.urology.2004.12.062

Cited by 41 publications

(13 citation statements)

References 18 publications

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“…As previously reported, 15 patients who underwent placement of an inflatable penile implant and corporeal/tunica reconstruction using autologous rectus sheath were included into the study [21]. The patients were divided into two groups.…”

Section: Methodsmentioning

confidence: 99%

“…The surgical technique is detailed here as we have previously described [21]. Preoperative intravenous antibiotics, including 1 gram of Vancomycin and 160 mg of Gentamicin (adjusted for patient weight and renal function), were administered to all patients.…”

Section: Methodsmentioning

confidence: 99%

“…As we previously reported, we evaluated the functional outcomes and patient satisfaction in patients who underwent rectus fascia grafting for reconstruction of the corporeal bodies in the setting of severe tunical/corporeal fibrosis in order to facilitate the placement of a penile prosthesis [21]. …”

Section: Introductionmentioning

confidence: 99%

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Penile Corporeal Reconstruction during Difficult Placement of a Penile Prosthesis

Tran

Lesser

Kim

et al. 2008

Advances in Urology

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For some patients with impotence and concomitant severe tunical/corporeal tissue fibrosis, insertion of a penile prosthesis is the only option to restore erectile function. Closing the tunica over an inflatable penile prosthesis in these patients can be challenging. We review our previous study which included 15 patients with severe corporeal or tunical fibrosis who underwent corporeal reconstruction with autologous rectus fascia to allow placement of an inflatable penile prosthesis. At a mean follow-up of 18 months (range 12 to 64), all patients had a prosthesis that was functioning properly without evidence of separation, herniation, or erosion of the graft. Sexual activity resumed at a mean time of 9 weeks (range 8 to 10). There were no adverse events related to the graft or its harvest. Use of rectus fascia graft for coverage of a tunical defect during a difficult penile prosthesis placement is surgically feasible, safe, and efficacious.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Penile Corporeal Reconstruction during Difficult Placement of a Penile Prosthesis

Tran

Lesser

Kim

et al. 2008

Advances in Urology

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“…This has the most similar structure to tunica albuginea and can be easily harvested without a second incision if penile prosthesis insertion is carried out through an infrapubic approach. Furthermore, due to its low metabolic rate, fascia inherently is resistant to ischemia and less prone to contracture [30,31]. These characteristics make autologous rectus fascia an ideal graft.…”

Section: Plaque Incision/excision and Graftingmentioning

confidence: 99%

Addressing residual penile deformity in the Peyronie’s disease patient during penile implant surgery

Bonillo¹,

Garaffa²,

Ralph

2007

Curr sex health rep

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“…Les résultats sont globalement bons avec les prothèses gonflables : 95 à 100 % de patients satisfaits, 4,4 % d'infections, 80 % qui utilisent leur prothèse [59,60]. La mise en place de prothèses gonflables semble actuellement la meilleure solution et donne les meilleurs résultats à condition de les activer plus systématiquement et plus précocement.…”

Section: Prothèses Et Greffesunclassified

Maladie de La Peyronie: connaissances validées et hypothèses en physiopathologie, épidémiologie, diagnostic et thérapeutique

et al. 2007

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Objet : La maladie de La Peyronie est décrite depuis plus de deux cents ans, mais elle demeure encore mal comprise. Cela explique le foisonnement d'hypothèses étiopathogéniques, même si aujourd'hui un certain consensus émerge.Mé thodes : Les grandes études reconnues et les conférences sur le sujet ont servi de base pour décrire la maladie de La Peyronie. Une revue systématique et presque exhaustive de la littérature depuis 2004 a été réalisée et a permis, avec l'expérience du service, de dégager les tendances actuelles.Résultats : Sur le plan étiopathogénique, l'hypothèse des microtraumatismes reste d'actualité mais n'est pas suffisante et les hypothèses auto-immune, génétique et vasculaire semblent actuellement valables. Il n'y a pas d'examens complémentaires nécessaires en pratique courante. Les traitements médicaux sont très nombreux et ont surtout fait la preuve de leur efficacité sur la douleur. On retiendra la vitamine E, la colchicine ainsi que les injections intraplaques de corticoïdes ou de vérapamil. Des traitements prometteurs par inhibiteurs de la phosphodiestérase de type 5 ou par injection d'interféron B doivent être validés. Les traitements chirurgicaux de correction de la courbure et des troubles de l'érection ne seront proposés que si la courbure est stabilisée depuis six mois. La qualité des érections, la taille de la verge, l'importance de la courbure et les souhaits du patient seront les éléments permettant de prendre la bonne décision thérapeutique. La correction de la courbure par la technique de Nesbit reste la technique de référence. En cas de plaque très importante et de troubles de l'érection, la section de la plaque avec greffe veineuse et prothèse gonflable est actuellement la meilleure technique. On citera la technique de Leriche, la mise en place d'implants souples et la lithotritie extra-corporelle comme possibles techniques d'avenir. Mots clés : La Peyronie -Chirurgie -Courbure -VergeDouleurPeyronie's disease: evidence-based knowledge and hypotheses in its pathophysiology, epidemiology, diagnosis and treatment Abstract: Subject: Although still poorly understood, La Peyronie's disease has been described for two hundred years. This lack of solid knowledge explains the existence of so many etiopathogenic hypotheses, despite the current emerging consensus.Method: We performed an exhaustive review of the major studies and conference reports on La Peyronie's disease since 2004 to determine present thinking on this condition.Results: The microtrauma hypothesis remains valid today but is not comprehensive enough to fully explain aetiology; explanations touching on autoimmunity, genetics and the vascular system are necessary to better understand the disease. Clinical examination suffices for establishing diagnosis. Medical treatment has mostly succeeded in managing pain. Vitamin E, colchicine, steroid and intraplaque verapamil injections are now accepted treatments. Further studies are needed to determine the efficacy of treatment with phosphodiesterase type 5 or beta interferon intraplaque...

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Use of rectus fascia graft for corporeal reconstruction during placement of penile implant

Cited by 41 publications

References 18 publications

Penile Corporeal Reconstruction during Difficult Placement of a Penile Prosthesis

Penile Corporeal Reconstruction during Difficult Placement of a Penile Prosthesis

Addressing residual penile deformity in the Peyronie’s disease patient during penile implant surgery

Maladie de La Peyronie: connaissances validées et hypothèses en physiopathologie, épidémiologie, diagnostic et thérapeutique

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