Base de dados : MEDLINE
Pesquisa : E04.650.620 [Categoria DeCS]
Referências encontradas : 443 [refinar]
Mostrando: 1 .. 10   no formato [Detalhado]

página 1 de 45 ir para página                         

  1 / 443 MEDLINE  
              next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:27770853
[Au] Autor:Trost LW; Munarriz R; Wang R; Morey A; Levine L
[Ad] Endereço:Department of Urology, Mayo Clinic, Rochester, MN, USA. Electronic address: Trost.Landon@mayo.edu.
[Ti] Título:External Mechanical Devices and Vascular Surgery for Erectile Dysfunction.
[So] Source:J Sex Med;13(11):1579-1617, 2016 11.
[Is] ISSN:1743-6109
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: The field of sexual medicine is continuously advancing, with novel outcomes reported on a regular basis. Given the rapid evolution, updated guidelines are essential to inform practicing clinicians on best practices. AIM: To summarize the current literature and provide clinical guidelines on penile traction therapy, vacuum erection devices, and penile revascularization. METHODS: A consensus panel was held with leading sexual medicine experts during the 2015 International Consultation on Sexual Medicine (ICSM). Relevant literature was reviewed and graded based on Oxford criteria to develop evidence-based guideline and consensus statements. MAIN OUTCOME MEASURES: The development of clinically relevant guidelines. RESULTS: Penile traction therapy is a viable therapy to modestly improve penile length as a primary therapy, before penile prosthesis placement in men with decreased penile length or after surgery for Peyronie's disease. It also might have a role in the acute phase of Peyronie's disease but has inconsistent outcomes in the long-term phase. Vacuum erection devices are effective in creating an erection satisfactory for intercourse, even in difficult-to-treat populations. They also might be used in the post-prostatectomy setting to maintain penile length but have insufficient evidence as a penile rehabilitation therapy. For vasculogenic erectile dysfunction, men with suspected arterial insufficiency can be evaluated with penile Duplex Doppler ultrasonography and confirmatory angiography. Penile revascularization procedures have consistently demonstrated benefits in very select patient populations; however, inadequate data exists to suggest the superiority of one technique. Men with vascular risk factors are likely poor candidates for penile revascularization, although veno-occlusive dysfunction and age are less significant. Therapies for treating primary veno-occlusive dysfunction are not recommended and should be reserved for clinical trials. CONCLUSIONS: Since the prior ICSM meeting, multiple developments have occurred in external mechanical devices and penile revascularization for the treatment of erectile and sexual dysfunction. Sexual medicine clinicians are encouraged to review and incorporate recommendations as applicable to their scope of practice.
[Mh] Termos MeSH primário: Disfunção Erétil/terapia
Induração Peniana/cirurgia
Procedimentos Cirúrgicos Vasculares/métodos
[Mh] Termos MeSH secundário: Consenso
Disfunção Erétil/etiologia
Disfunção Erétil/fisiopatologia
Seres Humanos
Masculino
Microcirurgia/métodos
Ereção Peniana/fisiologia
Implante Peniano/instrumentação
Implante Peniano/métodos
Prótese de Pênis
Pênis/irrigação sanguínea
Pênis/cirurgia
Prostatectomia/efeitos adversos
Encaminhamento e Consulta
Reperfusão/métodos
Fatores de Risco
Comportamento Sexual
Vácuo
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1706
[Cu] Atualização por classe:171207
[Lr] Data última revisão:
171207
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE


  2 / 443 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
[PMID]:28422042
[Au] Autor:Bolat D; Kozacioglu Z; Polat S; Koras O; Arslan M; Minareci S
[Ad] Endereço:Department of Urology. Bozyaka Training and Research Hospital. Izmir. Turkey.
[Ti] Título:Synchronous penoscrotal implantation of penile prosthesis and artificial urinary sphincter after radical prostatectomy.
[Ti] Título:Implante dual sincrónico de prótesis de pene y esfinter urinario artificial después de prostatectomia radical..
[So] Source:Arch Esp Urol;70(3):367-372, 2017 Apr.
[Is] ISSN:0004-0614
[Cp] País de publicação:Spain
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To evaluate the results of synchronous dual implantation of penile (PP) and artificial urinary sphincter prosthesis (AUSP) in patients with severe erectile dysfunction (ED) and urinary incontinence (UI) after radical prostatectomy (RP). METHODS: Between January 2006 and March 2015, patients who underwent synchronous dual implantation of PP for severe post-RP ED and AUSP for moderate to severe post-RP UI in our clinic were screened retrospectively. The erectile function and the continence status were evaluated by the questionnaires of IIEF-5 and ICIQ-SF. Results for the preoperative period and for the 1st postoperative year were revealed from patient charts. Long term results were evaluated by telephone interviews. Comorbidities, infection rates and complications were noted. RESULTS: A total of 14 patients underwent synchronous dual implantation; out of which, 11 had a long enough follow up period for a sufficient long term evaluation. 3/11 had MPP and 8/11 had two-piece IPP implantation together with an AUSP. All of the implantations were carried out through an upper transverse scrotal incision. Mean follow up time was 61.3 ± 20 months. In 1 patient who had received adjuvant radiotherapy, both of the devices were removed due to infection and cuff erosion. Mean daily usage of pads diminished from 4 to 1 while ICIQ-SF score decreased from 19 to 2 and IIEF-5 score increased from 3 to 23. CONCLUSION: Synchronous implantation of PP and AUSP is a safe and effective treatment option for patients with severe ED and moderate to severe UI after RP.
[Mh] Termos MeSH primário: Disfunção Erétil/cirurgia
Implante Peniano/métodos
Prótese de Pênis
Complicações Pós-Operatórias/cirurgia
Prostatectomia
Implante de Prótese/métodos
Escroto/cirurgia
Incontinência Urinária/cirurgia
Esfíncter Urinário Artificial
[Mh] Termos MeSH secundário: Seres Humanos
Masculino
Meia-Idade
Prostatectomia/métodos
Estudos Retrospectivos
Fatores de Tempo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170713
[Lr] Data última revisão:
170713
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170420
[St] Status:MEDLINE


  3 / 443 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28400085
[Au] Autor:Pineda M; Burnett AL
[Ad] Endereço:The James Buchanan Brady Urological Institute, The Johns Hopkins Hospital, Baltimore, MD, USA; Staten Island University Hospital, Northwell Health System, Staten Island, NY, USA. Electronic address: miguel.a.pineda@gmail.com.
[Ti] Título:Distinguishing Failure to Cure From Complication After Penile Prosthesis Implantation.
[So] Source:J Sex Med;14(5):731-737, 2017 May.
[Is] ISSN:1743-6109
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: A successful penile prosthesis implantation (PPI) surgery can be defined by outcomes beyond the absence of complications. AIM: To introduce the concept of failure to cure (FTC) in the context of PPI to more accurately gauge postoperative outcomes after PPI. METHODS: Consecutive patients from our sexual function registry who underwent PPI from January 2011 to December 2013 were analyzed. Demographics, previous treatment of erectile dysfunction, comorbidities, social history, postoperative problems (POPs), and surgical outcomes were tabulated. Patients completed the International Index of Erection Function (IIEF) and the Erectile Dysfunction Inventory of Treatment Satisfaction questionnaires. We defined a complication, according to the Clavien-Dindo classification, as any deviation from the ideal postoperative course that is not inherent in the procedure and does not constitute an FTC. FTC was defined as a POP that was not a complication. The χ tests, t-tests, or Wilcoxon rank-sum tests were used. OUTCOMES: Patient-reported and objective outcomes after PPI. RESULTS: Our enrollment consisted of 185 patients, and we contacted 124 (67%). Of these, 16 (12.9%) had a POP requiring reoperation. Eight patients developed surgical complications (three infections, four erosions, and one chronic pain). Eight patients had FTC (four malpositions and four malfunctions). Factors that correlated with POPs were previous PPI, body mass index higher than 30 kg/m , and previous treatment with intracorporal injections (P < .05 for all comparisons). Patients who had POPs scored significantly lower on the IIEF erectile function and intercourse satisfaction domains (P < .05 for the two comparisons), but not on the orgasmic function, sexual desire, and overall satisfaction domains (P > .05 for all comparisons). CLINICAL IMPLICATIONS: POPs after PPI surgery can be more accurately categorized using the Clavien-Dindo classification of surgical complications to more clearly distinguish surgical complications from FTC. STRENGTHS AND LIMITATIONS: Limitations of our study include its retrospective approach. Our series included a large proportion of patients treated for prostate cancer, which limits the generalizability of our findings. We also had a relatively short median follow-up time of 27 months. CONCLUSIONS: Patient-reported outcome assessments can vary greatly from what physicians determine to be successful PPI. An assessment of POPs encompasses more than just complication rates; it also reflects FTC. Even when POPs occur, patients can still derive satisfaction if they are correctively managed. Factors that possibly predispose to POPs include previous PPI surgery, body mass index greater than 30 kg/m , and history of intracorporal injections. Pineda M, Burnett AL. Distinguishing Failure to Cure From Complication After Penile Prosthesis Implantation. J Sex Med 2017;14:731-737.
[Mh] Termos MeSH primário: Implante Peniano/efeitos adversos
Complicações Pós-Operatórias/epidemiologia
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Índice de Massa Corporal
Disfunção Erétil/epidemiologia
Seres Humanos
Libido
Masculino
Meia-Idade
Satisfação do Paciente
Pênis/cirurgia
Estudos Retrospectivos
Estatísticas não Paramétricas
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170413
[St] Status:MEDLINE


  4 / 443 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28089244
[Au] Autor:Kavoussi NL; Hofer MD; Viers BR; Cordon BH; Mooney RP; Pagliara TJ; Scott JM; Morey AF
[Ad] Endereço:Department of Urology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
[Ti] Título:Synchronous Ipsilateral High Submuscular Placement of Prosthetic Balloons and Reservoirs.
[So] Source:J Sex Med;14(2):264-268, 2017 Feb.
[Is] ISSN:1743-6109
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Synchronous ipsilateral high submuscular placement of artificial urinary sphincter (AUS) pressure-regulating balloons (PRBs) and inflatable penile prosthesis (IPP) reservoirs in a single submuscular tunnel is a novel strategy that could be advantageous for patients who have had major pelvic surgery. AIM: To report our initial experience with synchronous ipsilateral vs bilateral placement of AUS PRBs and IPP reservoirs in men undergoing implant surgery. METHODS: We retrospectively reviewed all patients undergoing synchronous AUS and IPP placement from 2007 through 2015 by a single surgeon at our tertiary center. Patients were stratified according to ipsilateral vs bilateral placement of the AUS PRB and IPP reservoir. MAIN OUTCOME MEASURES: Reoperation rates because of infectious or erosive complications and mechanical failure were assessed. RESULTS: Of the 968 implant surgeries during the study period, 47 men had synchronous device placement, of whom 17 (36%) underwent ipsilateral placement of the PRB and reservoir. During a median follow-up of 19 months (range = 1-84 months), reoperations were necessary in 12 of 47 (26%) and were similar between groups (ipsilateral, 5 of 17, 29%; bilateral, 7 of 30, 23%; P = .73). Most reoperations were due to AUS-related complications (10 of 12, 83%) and nearly all patients with reoperation (10 of 12, 83%) had compromised urethras (ie, prior urethral surgery, radiation, or prior AUS implantation). The most common indication for reintervention was cuff erosion (4 of 47, 9%), with no difference between groups (ipsilateral, 3 of 17, 18%; bilateral, 1 of 30, 3%; P = .13). CONCLUSION: Synchronous ipsilateral high submuscular placement of urologic prosthetic balloons could safely facilitate prosthetic surgery in patients with a history of major pelvic and inguinal surgery.
[Mh] Termos MeSH primário: Disfunção Erétil/cirurgia
Implante Peniano/métodos
Prótese de Pênis
Esfíncter Urinário Artificial
[Mh] Termos MeSH secundário: Idoso
Seres Humanos
Masculino
Meia-Idade
Desenho de Prótese
Estudos Retrospectivos
Incontinência Urinária por Estresse/cirurgia
Urologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170626
[Lr] Data última revisão:
170626
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170117
[St] Status:MEDLINE


  5 / 443 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28065350
[Au] Autor:Kavoussi NL; Siegel JA; Viers BR; Pagliara TJ; Hofer MD; Cordon BH; Shakir N; Scott JM; Morey AF
[Ad] Endereço:Department of Urology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
[Ti] Título:Preoperative Urine Culture Results Correlate Poorly With Bacteriology of Urologic Prosthetic Device Infections.
[So] Source:J Sex Med;14(1):163-168, 2017 Jan.
[Is] ISSN:1743-6109
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Although preoperative negative urine culture results and treatment of urinary tract infections are generally advised before artificial urinary sphincter (AUS) and penile prosthesis (PP) surgery to prevent device infection, limited evidence exists to support this practice. AIM: To evaluate the relation between preoperative urine culture results and the bacteriology of prosthetic device infections. METHODS: Men undergoing AUS and/or PP placement at a tertiary referral center from 2007 through 2015 were analyzed. A total of 713 devices were implanted in 681 patients (337 AUSs in 314 patients and 376 PPs in 367 patients), of whom 259 (36%) did not have preoperative urine culture and were excluded. The remaining 454 patients received standard broad-spectrum perioperative antibiotics. Two patient groups were identified based on preoperative urine cultures: group 1 had negative urine culture results and group 2 had untreated asymptomatic positive urine culture results identified postoperatively. MAIN OUTCOME MEASURES: Device infection was diagnosed clinically and cultures obtained from the explanted device and tissue spaces were compared with preoperative urine culture results. RESULTS: Although multivariate analysis showed that patients undergoing AUS placement had a 4.5-fold greater risk of positive urine culture results (114 of 250, 45%) compared with those undergoing PP placement (36 of 204, 18%; P < .001), infection rates between device types were similar (8 of 250 for AUSs [3%] and 7 of 204 for PPs [3%]; P = .89). At a median follow-up of 15 months, device infection occurred in 15 of 454 devices (3%) implanted and no differences in infection rates were noted between urine culture groups (10 of 337 in group 1 [3.3%] and 5 of 117 in group 2 [4.3%]; P = .28). Remarkably, only 1 of 15 device infections (7%) had the same organism present at preoperative urine culture. CONCLUSIONS: Despite the finding that patients with AUS placement had a 4.5 times higher rate of positive urine culture results than patients with PP placement, preoperative urine culture results appeared to show little correlation with the bacteriology of prosthetic device infections.
[Mh] Termos MeSH primário: Implante Peniano/métodos
Esfíncter Urinário Artificial
Infecções Urinárias/microbiologia
[Mh] Termos MeSH secundário: Idoso
Bacteriologia
Seres Humanos
Masculino
Meia-Idade
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170707
[Lr] Data última revisão:
170707
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170110
[St] Status:MEDLINE


  6 / 443 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:27938991
[Au] Autor:Tsambarlis PN; Chaus F; Levine LA
[Ad] Endereço:Department of Urology, Rush University Medical Center, Chicago, IL, USA.
[Ti] Título:Successful Placement of Penile Prostheses in Men With Severe Corporal Fibrosis Following Vacuum Therapy Protocol.
[So] Source:J Sex Med;14(1):44-46, 2017 Jan.
[Is] ISSN:1743-6109
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Penile prosthesis (PP) implantation in men with severe corporal fibrosis presents a significant surgical challenge. For the past 7 years, we have used a novel, preoperative protocol of daily vacuum therapy (VT) using a vacuum erection device for at least 3 months before PP placement for men with severe corporal fibrosis from PP infection or ischemic priapism. AIM: To evaluate this standardized preoperative regimen. METHODS: We retrospectively reviewed all patients who underwent three-piece PP placement at our institution from 2008 through 2015. Of these, 13 men had severe corporal fibrosis from prior PP infection (11 of 13) or prolonged ischemic priapism (2 of 13). Our protocol included VT for 10 to 15 minutes at least two times daily in all patients for at least 3 months (mean = 3.5 months). MAIN OUTCOME MEASURES: We report on our surgical experience and post-VT stretched flaccid penile length (SFPL) compared with baseline SFPL. RESULTS: All 13 men underwent successful three-piece PP placement with standard-size cylinders without additional surgical maneuvers. There was one infection and one erosion requiring revision. Daily average use of VT was 32.5 minutes. SFPL increased 0.92 cm (range = 0-2 cm, SD = 0.76 cm) after VT and three-piece PP placement compared with preoperative SFPL. These men also noted improved quality of life and sexuality as measured by postoperative office interviews. CONCLUSION: The use of VT before surgery appears to result in softening of corporal fibrosis and facilitates placement of a PP regardless of the period from developing corporal fibrosis to starting VT. We strongly recommend preoperative corporal tissue rehabilitation with VT to improve surgical outcomes and to decrease difficulty during PP implantation in men with severe corporal fibrosis.
[Mh] Termos MeSH primário: Disfunção Erétil/cirurgia
Doenças do Pênis/cirurgia
Implante Peniano/métodos
Prótese de Pênis
[Mh] Termos MeSH secundário: Fibrose
Seres Humanos
Masculino
Pênis/cirurgia
Período Pós-Operatório
Priapismo/cirurgia
Qualidade de Vida
Estudos Retrospectivos
Vácuo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170707
[Lr] Data última revisão:
170707
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161213
[St] Status:MEDLINE


  7 / 443 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:27751990
[Au] Autor:Staller AL; Chang CM; Wagenheim GN; Wang R
[Ad] Endereço:Division of Urology, University of Texas McGovern Medical School, Houston, Texas 77030, USA.
[Ti] Título:A novel approach for removal of an inflatable penile prosthesis reservoir using laparoscopic instruments.
[So] Source:Asian J Androl;19(1):132-134, 2017 Jan-Feb.
[Is] ISSN:1745-7262
[Cp] País de publicação:China
[La] Idioma:eng
[Mh] Termos MeSH primário: Remoção de Dispositivo/instrumentação
Prótese de Pênis
Infecções Relacionadas à Prótese/cirurgia
Instrumentos Cirúrgicos
[Mh] Termos MeSH secundário: Remoção de Dispositivo/métodos
Seres Humanos
Laparoscopia/instrumentação
Masculino
Meia-Idade
Implante Peniano
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161019
[St] Status:MEDLINE
[do] DOI:10.4103/1008-682X.188661


  8 / 443 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:27647082
[Au] Autor:Carrino M; Chiancone F; Battaglia G; Pucci L; Fedelini P
[Ad] Endereço:Andrology Unit, Aorn A. Cardarelli, Naples - Italy.
[Ti] Título:Distal corporoplasty for distal cylinders extrusion after penile prosthesis implantation.
[So] Source:Urologia;84(1):38-39, 2017 Feb 03.
[Is] ISSN:0391-5603
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Distal extrusion of cylinders is a potential complication of the penile prosthesis implantation. Several methods have been proposed for repairing a distal penile erosion. We present our preliminary experience in "Distal corporoplasty" technique. METHODS: We enrolled 18 consecutive patients whose underwent a distal corporoplasty with simultaneous reimplantation of an "AMS 700 inflatable penile prosthesis (LGX)" from January 2013 to November 2015 at our hospital. All procedures were performed by a single surgical team. Intraoperative and postoperative complications have been classified and reported according to Satava6 and Clavien-Dindo (CD) system.7 Mean values with standard deviations (±SD) were computed and reported for all items. RESULTS: Mean age of the patients was 53.61 (±11.90) years. Mean body max index (BMI) was 24.22 (±2.51). Mean operative time was 85.2 (±13.1) minutes. Blood losses were minimal. No intraoperative complications are reported according to Satava classification. Four out of 18 patients (22.22%) experienced postoperative complications according to CD system. All patients had sexual intercourse for the first time postsurgery after a mean of 59.11 ± 2.08 days. Mean follow-up was 22.11 (±9.95). DISCUSSIONS: Distal extrusion of cylinders is a potential complication of the penile prosthesis implantation. Distal corporoplasty was first described by Mulcahy. He reported a series of 14 patients with a follow-up of about 2 years with optimal functional outcomes. Moreover, distal corporoplasty resulted in shorter operative time, better function, less pain, and fewer recurrences than Gortex windsock repair.10 In our experience, distal corporoplasty is a simple and safe procedure in the treatment of distal cylinders extrusion when the prosthetic material is not exposed to the exterior.
[Mh] Termos MeSH primário: Migração de Corpo Estranho/cirurgia
Prótese de Pênis/efeitos adversos
Pênis/cirurgia
Complicações Pós-Operatórias/cirurgia
Falha de Prótese
[Mh] Termos MeSH secundário: Seres Humanos
Masculino
Meia-Idade
Implante Peniano
Procedimentos Cirúrgicos Urológicos Masculinos/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170803
[Lr] Data última revisão:
170803
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160921
[St] Status:MEDLINE
[do] DOI:10.5301/uro.5000191


  9 / 443 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:27641925
[Au] Autor:Hakky TS; Kohn TP; Ramasamy R
[Ad] Endereço:Advanced Urology, Snellville, GA.
[Ti] Título:Submuscular Abdominal Wall Placement of IPP Reservoir.
[So] Source:J Sex Med;13(10):1573-7, 2016 Oct.
[Is] ISSN:1743-6109
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:The Surgical Techniques Section is sponsored in part by Coloplast.
[Mh] Termos MeSH primário: Parede Abdominal/cirurgia
Implante Peniano/métodos
Prótese de Pênis
Escroto/cirurgia
[Mh] Termos MeSH secundário: Disfunção Erétil/cirurgia
Seres Humanos
Masculino
Desenho de Prótese
Urologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170510
[Lr] Data última revisão:
170510
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160920
[St] Status:MEDLINE


  10 / 443 MEDLINE  
              first record previous record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:27555513
[Au] Autor:Sundaram V; Cordon BH; Hofer MD; Morey AF
[Ad] Endereço:Department of Urology, University of Texas Southwestern, Dallas, TX, USA.
[Ti] Título:Is Risk of Artificial Urethral Sphincter Cuff Erosion Higher in Patients with Penile Prosthesis?
[So] Source:J Sex Med;13(9):1432-1437, 2016 Sep.
[Is] ISSN:1743-6109
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Frequently encountered morbidities after prostatectomy include stress urinary incontinence and erectile dysfunction. Patients with severe disease may undergo placement of both a penile prosthesis (PP) and an artificial urethral sphincter (AUS). AIM: We hypothesized that concomitant PP may promote AUS cuff erosion by impaired corporal blood flow and/or direct pressure on the cuff. The aim of this study was to compare the rate of AUS cuff erosion in patients with and without a PP. METHODS: We reviewed 366 AUS operations at our tertiary center between 2007 and 2015 with a mean follow-up of 41 months (range 6-104). Included in the analysis were first-time AUS cuff erosions. Patients with recurrent erosions, AUS revisions, and iatrogenic erosions were excluded. In a separate analysis, we analyzed AUS explantations for all causes. Cohorts were compared by demographic information, preoperative characteristics, and rates of erosion and explantation. MAIN OUTCOME MEASURES: Erosion confirmed by cystourethroscopy and explantation of the AUS for all causes. RESULTS: Among 366 AUS surgeries at a mean follow-up of 41 months, there were 248 (67.8%) AUS alone cases compared to 118 (32.2%) AUS and PP cases (AUS/PP). Sixty-two patients met exclusion criteria for first-time cuff erosion. Among 304 evaluable AUS patients, we found a significantly higher rate of erosion in the AUS/PP group (11/95, 11.6%) compared to the AUS alone group (9/209, 4.3%, P = .037). When examining explantations for all causes in the entire cohort (n = 366), we observed a significantly higher rate of device removal, (20/118, 17%) in the AUS/PP group compared to the AUS group (23/248, 9.2%, P = .044). CONCLUSION: AUS/PP patients appear to have a higher risk of AUS cuff erosion and explantation compared to men with AUS alone.
[Mh] Termos MeSH primário: Disfunção Erétil/etiologia
Implante Peniano/efeitos adversos
Prótese de Pênis/efeitos adversos
Falha de Prótese/etiologia
Esfíncter Urinário Artificial/efeitos adversos
[Mh] Termos MeSH secundário: Idoso
Remoção de Dispositivo/efeitos adversos
Seguimentos
Seres Humanos
Masculino
Meia-Idade
Prostatectomia/efeitos adversos
Estudos Retrospectivos
Risco
Uretra/cirurgia
Cateterismo Urinário/efeitos adversos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170902
[Lr] Data última revisão:
170902
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160825
[St] Status:MEDLINE



página 1 de 45 ir para página                         
   


Refinar a pesquisa
  Base de dados : MEDLINE Formulário avançado   

    Pesquisar no campo  
1  
2
3
 
           



Search engine: iAH v2.6 powered by WWWISIS

BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde