지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 364 - 366 (3page)
이용수
초록· 키워드
오류제보하기
Purpose: To describe a case of safe placement of an inflatable penile prosthesis reservoir for postoperative erectile dysfunction (ED) with a history of radical cystoprostatectomy with an orthotopic Studer neobladder. Materials and Methods: A 55-year-old bladder cancer patient, who underwent radical cystoprostatectomy with orthotopic Studer neobladder 2 years prior, suffered from postoperative ED. A 3-piece inflatable penile prosthesis was implanted via a penoscrotal incision. The alternative reservoir placement began with a longitudinal 4-cm incision, which was 2 finger-breaths to the left and lateral to the umbilicus. Thereafter, the anterior and posterior rectus sheaths were dissected and incised. Then, the transversalis fascia entering into the preperitoneal space was incised, followed by circumferential sweeping using the forefinger, and, finally, placement of a 100 mL 'flat' reservoir. The reservoir was filled with 65 mL saline and then evaluated for back pressure. The reservoir tubing exited through the defect of the rectus sheaths and tunneled through the abdominal fat into the penoscrotal wound. Results: Total operative time was 105 minutes, and the estimated blood loss was minimal. The patient was discharged at postoperative day 1 and experienced no perioperative complications. At the 6-month follow-up, there was no abdominal bulging from the preperitoneal reservoir, and the reservoir was not palpable. Conclusions: The preperitoneal placement of the flat reservoir at the level of the umbilicus is a safe and acceptable surgical technique for postoperative ED after radical cystoprostatectomy with orthotopic neobladder.
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등록된 정보가 없습니다.
참고문헌 (7)
참고문헌 신청
Garber BB / 2013 / Intravesical penile implant reservoir: case report, literature review, and strategies for prevention / Int J Impot Res 25:41~44
Al-Enezi A / 2011 / Three-piece inflatable penile prosthesis: surgical techniques and pitfalls / J Surg Tech Case Rep 3:76~83
Perito PE / 2011 / Traditional (retroperitoneal) and abdominal wall (ectopic) reservoir placement / J Sex Med 8:656~659
Morey AF / 2013 / High submuscular placement of urologic prosthetic balloons and reservoirs via transscrotal approach / J Sex Med 10:603~610
Hartman RJ Jr / 2010 / Outcomes of lateral retroperitoneal reservoir placement of three-piece penile prosthesis in patients following radical prostatectomy / Int J Impot Res 22:279~283
Al-Enezi A / 2011 / Three-piece inflatable penile prosthesis: surgical techniques and pitfalls / J Surg Tech Case Rep 3:76~83
Perito PE / 2011 / Traditional (retroperitoneal) and abdominal wall (ectopic) reservoir placement / J Sex Med 8:656~659
Morey AF / 2013 / High submuscular placement of urologic prosthetic balloons and reservoirs via transscrotal approach / J Sex Med 10:603~610
Hartman RJ Jr / 2010 / Outcomes of lateral retroperitoneal reservoir placement of three-piece penile prosthesis in patients following radical prostatectomy / Int J Impot Res 22:279~283
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