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Urethral Injury and the Penile Prosthesis
Evan C Carlos1, Stephanie J Sexton1, Aaron C Lentz1
1Duke University, Division of Urology, Durham, NC, USA.
Sexual Medicine Reviews
|August 7, 2018
Summary
Urethral injuries during penile prosthesis implantation are rare but can cause significant morbidity. This review compiles literature on causes, diagnosis, and management to improve patient outcomes.
Area of Science:
- Urology
- Sexual Medicine
- Medical Device Complications
Background:
- Urethral injuries during penile prosthesis implantation are infrequent but understudied.
- These injuries can lead to significant morbidity and increased healthcare costs.
Purpose of the Study:
- To review the literature on acute and delayed urethral injuries associated with penile prostheses.
- To analyze the causes, diagnosis, and management strategies for these injuries.
Main Methods:
- A comprehensive literature search was conducted using PubMed from 1985 to 2018.
- The review focused on urethral injuries during penile prosthesis implantation, including associated comorbidities and risk factors.
Main Results:
- While rare, certain patient populations are at higher risk for urethral injuries.
- Injuries can occur at various urethral locations, presenting complex clinical challenges.
- Effective management options exist to restore normal voiding and ensure prosthesis success.
Conclusions:
- Penile prostheses enhance quality of life, but urethral injuries can diminish these benefits.
- Advances in understanding and management strategies can mitigate the morbidity associated with these rare complications.
- Current strategies aim to reduce frustration and improve outcomes for patients experiencing urethral injuries post-implantation.
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