Portal de Periódicos da CAPES

OUTCOME ANALYSIS OF PENILE IMPLANT SURGERY AFTER EXTERNAL BEAM RADIATION FOR PROSTATE CANCER

1997; Lippincott Williams & Wilkins; Volume: 158; Issue: 5 Linguagem: Inglês

10.1016/s0022-5347(01)64129-6

1527-3792

Francisco Dubocq, Fernando J. Bianco, Shiva Maralani, Jeffrey D. Forman, C.B. Dhabuwala,

Prostate Cancer Diagnosis and Treatment

No AccessJournal of UrologyClinical Urology: Original Articles1 Nov 1997OUTCOME ANALYSIS OF PENILE IMPLANT SURGERY AFTER EXTERNAL BEAM RADIATION FOR PROSTATE CANCER Francisco M. Dubocq, Fernando J. Bianco, Shiva J. Maralani, Jeffrey D. Forman, and C.B. Dhabuwala Francisco M. DubocqFrancisco M. Dubocq , Fernando J. BiancoFernando J. Bianco , Shiva J. MaralaniShiva J. Maralani , Jeffrey D. FormanJeffrey D. Forman , and C.B. DhabuwalaC.B. Dhabuwala View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)64129-6AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We evaluated the success and possible complication rates of penile implant surgery in patients who underwent external beam radiation therapy for prostate cancer. Materials and Methods: We reviewed the charts of 43 patients who underwent penile implant surgery after radiation therapy for prostate cancer. The type, dose and volume of radiation were assessed. The types of surgical approach and prosthesis as well as complications were recorded. A total of 34 patients was alive and traceable, and 9 were untraceable (7 dead and 2 missing). The 34 traceable patients were interviewed personally or by telephone to evaluate the function of an satisfaction with the penile implant. Followup of the 9 untraceable patients was assessed through a chart review. Results: A total of 35 patients (81%) received definitive radiation therapy to the prostate and seminal vesicles, and 8 (19%) underwent radical retropubic prostatectomy followed by radiation therapy to the prostatic bed. Mean age at implant surgery was 67 years (range 36 to 83). In the 43 men 46 procedures were done and mean followup was 40 months. None of the patients in this series had infection or erosion. Of the men 24 (71%) use the prosthesis at least once weekly or more for sexual intercourse, 6 (17%) use it twice monthly, 4 (12%) are not sexually active despite a functioning implant, 2 are not sexually active because of a lack partners, and 2 are not satisfied with the implant and would not recommend this device. Discomfort from the penile implant was reported by 2 patients, although they currently use the implant for intercourse at least twice weekly. Conclusions: Penile prosthesis surgery can be safely and effectively performed after radiation therapy with minimal intraoperative and postoperative complications, and an excellent patient satisfaction rate. References 1 : Radiation-Associated impotence. A clinical study of its mechanisms. J.A.M.A.1984; 251: 903. Google Scholar 2 : Extensive corporeal fibrosis after irradiation. J. Urol.1995; 153: 372. Abstract, Google Scholar 3 : Side effects of self-administration of intracavernous papaverine and phentolamine for the treatment of impotence. J. Urol.1989; 141: 54. Link, Google Scholar 4 : Vasoactive intracavernous pharmacotherapy. Urol. Clin. N. Amer.1988; 15: 95. Google Scholar 5 : An improved vasoactive drug combination for a pharmacological erection program. J. Urol.1991; 146: 1564. Link, Google Scholar 6 : Intracavernous self-injection pharmacotherapy program: analysis of results and complications. Int. J. Impotence Res.1988; 6: 81. Google Scholar 7 : Intracavernous injection therapy for male erectile dysfunction. Urol. Clin. N. Amer.1995; 22: 833. Google Scholar 8 : Clinical guidelines panel on erectile dysfunction: summary report on the treatment of organic erectile dysfunction. J. Urol.1996; 156: 2007. Link, Google Scholar 9 : Periprosthetic infections. J. Urol.1987; 138: 68. Link, Google Scholar 10 : Eleven years of experience with inflatable penile prosthesis. J. Urol.1988; 139: 951. Abstract, Google Scholar 11 : Risk factors associated with penile prosthesis infection. J. Urol.1992; 147: 383. Abstract, Google Scholar 12 : Inflatable penile implant infection: predisposing factors and treatment suggestions. J. Urol.1995; 153: 659. Link, Google Scholar 13 : Complications of penile prosthesis surgery for impotence. J. Urol.1982; 128: 1192. Link, Google Scholar 14 : Complications of penile prosthesis in the spinal cord injury population. J. Urol.1988; 140: 984. Abstract, Google Scholar 15 : Management of complications of radiation therapy. AUA Update Series1982; vol. I. lesson 8. Google Scholar 16 : Potency following conformal neutron/photon irradiation for localized prostate cancer. Int. J. Rad. Oncol. Biol. Phys.1996; 35: 881. Google Scholar From the Departments of Urology and Radiation Oncology, Wayne State University, Detroit, Michigan.© 1997 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byZermann D, Kutzenberger J, Sauerwein D, Schubert J and Loeffler U (2018) Penile Prosthetic Surgery in Neurologically Impaired Patients: Long-Term FollowupJournal of Urology, VOL. 175, NO. 3, (1041-1044), Online publication date: 1-Mar-2006. Volume 158Issue 5November 1997Page: 1787-1790 Advertisement Copyright & Permissions© 1997 by American Urological Association, Inc.MetricsAuthor Information Francisco M. Dubocq More articles by this author Fernando J. Bianco More articles by this author Shiva J. Maralani More articles by this author Jeffrey D. Forman More articles by this author C.B. Dhabuwala More articles by this author Expand All Advertisement PDF downloadLoading ...