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Korean Journal of Urology ; : 567-569, 1992.
Artículo en Coreano | WPRIM | ID: wpr-217045

RESUMEN

Penile prosthesis implantation has become an established and a very successful method for treatment of the erectile dysfunction. But complications still occur, and the most devastating is infection. There has been 3 therapeutic options for the infected prosthesis. One is the removal of all components of the prosthesis and the reinsertion of a new prosthesis after 4 months or more. Another one is to remove all parts of the prosthesis, irrigate the wound copiously with antibiotic irrigant and insert a new prosthesis before closure. This latter procedure has been termed a salvage operation. The purpose of the salvage procedure is to maintain penile length and enable easy insertion of the cylinders. But the placement of a foreign body in a potentially infected wound is not a standard surgical procedure. An alternative to immediate salvage of an infected prosthesis is "delayed salvage". We performed a salvage operation in a patient with prosthetic infection. There was a large defect in corpus cavernosum due to the infectious necrosis. So we closed the corpus cavernosum with the aid of Dacron patch. We have a satisfactory result with a follow-up of 12 months.


Asunto(s)
Humanos , Masculino , Disfunción Eréctil , Estudios de Seguimiento , Cuerpos Extraños , Necrosis , Implantación de Pene , Prótesis de Pene , Tereftalatos Polietilenos , Prótesis e Implantes , Heridas y Lesiones
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