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LOSS OF THE PENILE GLANS AND/OR CORPORA FOLLOWING PRIMARY REPAIR OF BLADDER EXSTROPHY USING THE COMPLETE PENILE DISASSEMBLY TECHNIQUE

2004; Lippincott Williams & Wilkins; Volume: 172; Issue: 4 Part 2 Linguagem: Inglês

10.1097/01.ju.0000138675.16931.cb

1527-3792

Douglas A. Husmann, John P. Gearhart,

Restraint-Related Deaths

No AccessJournal of UrologyExstrophy/Epispadias1 Oct 2004LOSS OF THE PENILE GLANS AND/OR CORPORA FOLLOWING PRIMARY REPAIR OF BLADDER EXSTROPHY USING THE COMPLETE PENILE DISASSEMBLY TECHNIQUE D.A. HUSMANN and J.P. GEARHART D.A. HUSMANND.A. HUSMANN and J.P. GEARHARTJ.P. GEARHART View All Author Informationhttps://doi.org/10.1097/01.ju.0000138675.16931.cbAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: The technique of penile disassembly is increasingly being used for the surgical repair of classical bladder exstrophy. We describe the complications and discuss the possible etiologies of genital injuries we have seen following this operation. Materials and Methods: A review of the records of patients evaluated for management of genital complications following complete repair of bladder exstrophy from 1996 to 2003 was performed. Results: Nine patients were evaluated for genital injuries following complete repair of bladder exstrophy using the penile disassembly technique. Injuries included the loss of 1 hemiglans and penile urethra in 2 cases; loss of 1 hemiglans and distal corpora in 2; loss of bilateral glans, distal corpora and penile urethra in 2; loss of 1 hemiglans, 1 corporal body, urethral plate and penile shaft skin in 1; loss of 1 hemiglans, distal corporal body and a portion of the urethra in 1; and loss of 1 hemiglans in 1. The exact etiology of these complications is unknown, and possibilities include, a technical mishap, induction of venous congestion/arterial spasm or disruption of a congenitally abnormal blood supply. Conclusions: The finding that primary repair of bladder exstrophy using the penile disassembly technique is associated with the risk of partial or complete penile loss dampens our enthusiasm for this procedure. 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Link, Google Scholar From the Department of Urology, Mayo Clinic, Rochester, Minnesota, and Department of Urology, James Buchanon Brady Urological Institute, The Johns Hopkins Hospital, Baltimore, Maryland© 2004 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byHarris T, Manyevitch R, Wu W, Leto Barone A, Bivalacqua T, Burnett A, Gearhart J and Redett R (2020) Pedicled Anterolateral Thigh and Radial Forearm Free Flap Phalloplasty for Penile Reconstruction in Patients With Bladder ExstrophyJournal of Urology, VOL. 205, NO. 3, (880-887), Online publication date: 1-Mar-2021.Benz K, Dunn E, Maruf M, Facciola J, Jayman J, Kasprenski M, Michaud J, Di Carlo H and Gearhart J (2018) Novel Anatomical Observations of the Prostate, Prostatic Vasculature and Penile Vasculature in Classic Bladder Exstrophy Using Magnetic Resonance ImagingJournal of Urology, VOL. 200, NO. 6, (1354-1361), Online publication date: 1-Dec-2018.Massanyi E, Gupta A, Goel S, Gearhart J, Burnett A, Bivalacqua T and Redett R (2012) Radial Forearm Free Flap Phalloplasty for Penile Inadequacy in Patients with ExstrophyJournal of Urology, VOL. 190, NO. 4S, (1577-1582), Online publication date: 1-Oct-2013.Djordjevic M, Bizic M, Martins F, Kojovic V and Krstic Z (2013) Treatment for Failed Epispadias Repair Presenting in AdultsJournal of Urology, VOL. 190, NO. 1, (165-170), Online publication date: 1-Jul-2013.Caione P, Nappo S, Matarazzo E, Aloi I and Lais A (2012) Penile Repair in Patients with Epispadias-Exstrophy Complex—Can we Prevent Resultant Hypospadias?Journal of Urology, VOL. 189, NO. 3, (1061-1065), Online publication date: 1-Mar-2013.Schaeffer A, Purves J, King J, Sponseller P, Jeffs R and Gearhart J (2008) Complications of Primary Closure of Classic Bladder ExstrophyJournal of Urology, VOL. 180, NO. 4S, (1671-1674), Online publication date: 1-Oct-2008.Perovic S and Djinovic R (2007) New Insight Into Surgical Anatomy of Epispadiac Penis and its Impact on RepairJournal of Urology, VOL. 179, NO. 2, (689-696), Online publication date: 1-Feb-2008.GEARHART J and BAIRD A (2018) THE FAILED COMPLETE REPAIR OF BLADDER EXSTROPHY: INSIGHTS AND OUTCOMESJournal of Urology, VOL. 174, NO. 4 Part 2, (1669-1673), Online publication date: 1-Oct-2005.BORER J, GARGOLLO P, HENDREN W, DIAMOND D, PETERS C, ATALA A, GRANT R and RETIK A (2018) EARLY OUTCOME FOLLOWING COMPLETE PRIMARY REPAIR OF BLADDER EXSTROPHY IN THE NEWBORNJournal of Urology, VOL. 174, NO. 4 Part 2, (1674-1679), Online publication date: 1-Oct-2005.BAIRD A, MATHEWS R and GEARHART J (2018) THE USE OF COMBINED BLADDER AND EPISPADIAS REPAIR IN BOYS WITH CLASSIC BLADDER EXSTROPHY: OUTCOMES, COMPLICATIONS AND CONSEQUENCESJournal of Urology, VOL. 174, NO. 4 Part 1, (1421-1424), Online publication date: 1-Oct-2005. Volume 172Issue 4 Part 2October 2004Page: 1696-1701 Advertisement Copyright & Permissions© 2004 by American Urological Association, Inc.Keywordsbladder exstrophyepispadiaspenisMetrics Author Information D.A. HUSMANN More articles by this author J.P. GEARHART More articles by this author Expand All Advertisement PDF downloadLoading ...