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[Replacement of prosthesis of the penis]
N A Cruz Guerra1, A Allona Almagro, L Clemente Ramos
1Servicio de Urología, Hospital Ramón y Cajal, Madrid.
Objective:
To analyze the series of patients who underwent replacement of their penile prosthesis between years 1990 to 1999, due to any kind of complication.
Material And Methods:
85 patients underwent implantation, 13 different prosthesis models being utilized. It was replaced (once or more) in 15 of these patients (17.64%). The mean age at the moment of the replacement was 51.5 years. The most frequent surgical approach was the infrapubic one.
Results:
A total of 32 prosthesis-replacement interventions were carried out. The main causes were: mechanical failure (13 cases, 40.62%); infection (10 cases, 31.25%); and corpus cavernosum perforation (five cases, 15.62%). Progressive increase of complications incidence with regard to the ordinal number of the implanted prosthesis was not observed. Best overall results: Mentor Mark II and AMS 700 Ultrex Plus. At present day, only eight (53.33%) out of 15 reimplanted patients use their prosthesis with normality.
Conclusions:
Those patients who undergo replacement of their penile prosthesis are potential sources for later complications. Their knowledge and proper handling is important in order to a progressive improvement of the final results, (above all if--such as our case--these ones are not suitable for conformity).