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MANAGEMENT OF IMPENDING PENILE PROSTHESIS EROSION WITH A POLYTETRAFLUOROETHYLENE DISTAL WIND SOCK GRAFT

1998; Lippincott Williams & Wilkins; Volume: 160; Issue: 6 Part 1 Linguagem: Inglês

10.1016/s0022-5347(01)62237-7

1527-3792

Christopher P. Smith, Stephen R. Kraus, Timothy B. Boone,

Genital Health and Disease

No AccessJournal of UrologyClinical Urology: Original Articles1 Dec 1998MANAGEMENT OF IMPENDING PENILE PROSTHESIS EROSION WITH A POLYTETRAFLUOROETHYLENE DISTAL WIND SOCK GRAFT CHRISTOPHER P. SMITH, STEPHEN R. KRAUS, and TIMOTHY B. BOONE CHRISTOPHER P. SMITHCHRISTOPHER P. SMITH More articles by this author , STEPHEN R. KRAUSSTEPHEN R. KRAUS More articles by this author , and TIMOTHY B. BOONETIMOTHY B. BOONE More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)62237-7AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Erosion of penile prostheses can be calamitous, often leaving patients unable to accommodate further implants. There is a paucity of literature describing impending erosion of penile prosthesis. We report on 5 patients with impending erosion of a penile prosthesis who underwent polytetrafluoroethylene distal wind sock graft placement. Materials and Methods: From 1993 to 1997, 5 patients with a mean age of 49 years and impending penile prosthesis erosion underwent 6 revisions using a polytetrafluoroethylene distal wind sock graft. Two patients underwent simultaneous bilateral grafts while 1 patient underwent separate right and left grafts 3 years apart. Indications for reconstruction included distal migration of the prosthetic cylinders into the glans in 4 patients and impingement of the distal urethra in 2. Of the patients 3 were spinal cord injured, 1 had lumbar radiculopathy and 1 had a history of pelvic irradiation. Inflatable prostheses were implanted in 4 patients, while 1 received a malleable prosthesis. Results: Patients underwent a mean of 1.5 penile prosthetic revisions (0 to 4) before diagnosis of impending erosion. An interval of 8 to 144 months (mean 66) elapsed from the most recent penile prosthesis insertion until distal wind sock graft placement. Mean operative time was 1 hour 51 minutes (1.3 to 2.5 hours). Mean hospital stay was 6.3 days (3 to 12). At a mean followup of 32 months (0.7 to 5.2 years) all patients had satisfactory and functional erections with no pain or evidence of impending erosion or penile prosthesis infection. Conclusions: Erosion of a penile prosthesis can have disastrous consequences. We describe a safe and effective technique for managing impending penile prosthesis erosion using a polytetrafluoroethylene distal wind sock graft. References 1 : Repair of distal extrusion of a penile prosthesis. Contemp. Urol.1998; 10: 13. Google Scholar 2 : Marlex replacement of tunica albuginea. J. Urol.1980; 124: 732. Link, Google Scholar 3 : Complications of penile prosthesis surgery for impotence. J. Urol.1982; 128: 1192. Link, Google Scholar 4 : Complicated implantations of inflatable penile prostheses. Urol. Clin. N. Amer.1987; 14: 217. 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Link, Google Scholar 19 : Urologic prostheses. Emer. Med. Clin. N. Amer.1994; 12: 729. Google Scholar From the Scott Department of Urology, Baylor College of Medicine, Houston, Texas© 1998 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byFerguson G and Brandes S (2007) Gunshot Wound Injury of the Testis: The Use of Tunica Vaginalis and Polytetrafluoroethylene Grafts for ReconstructionJournal of Urology, VOL. 178, NO. 6, (2462-2465), Online publication date: 1-Dec-2007.SZOSTAK M, PIZZO J and SKLAR G (2018) THE PLUG AND PATCH: A NEW TECHNIQUE FOR REPAIR OF CORPORAL PERFORATION DURING PLACEMENT OF PENILE PROSTHESESJournal of Urology, VOL. 163, NO. 4, (1203-1205), Online publication date: 1-Apr-2000. Volume 160Issue 6 Part 1December 1998Page: 2037-2040 Advertisement Copyright & Permissions© 1998 by American Urological Association, Inc.MetricsAuthor Information CHRISTOPHER P. SMITH More articles by this author STEPHEN R. 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