RESUMO
Penile prosthesis surgery for erectile dysfunction has the highest satisfaction rates among all treatment options but is often associated with subjective and objective loss of penile length and girth following surgery. To present a novel technique using a subcutaneous soft silicone implant for reversal of penile shortening and narrowing after prosthesis surgery, with additional gains in overall penile length and girth. Nine patients were treated with the insertion of a subcutaneous soft silicone penile implant. All patients had previously reported a loss in penile length (0.5-2 cm), and seven of nine patients also reported a loss in penile girth (0.5-2.6 cm) after penile prosthesis surgery. During a follow-up period of 4-24 months, penile length and girth measurements showed a mean increase in length of 2.4 cm (±0.75 cm) and a mean increase in girth of 3.4 cm (±0.94 cm). The additional insertion of a subcutaneous soft silicone implant in patients with decreased penile length and girth after penile prosthesis surgery is an effective treatment option that provides reversal of lost penile length and girth.
Assuntos
Disfunção Erétil/cirurgia , Implante Peniano/efeitos adversos , Prótese de Pênis , Pênis/patologia , Silicones , Adulto , Idoso , Disfunção Erétil/patologia , Humanos , Masculino , Pessoa de Meia-Idade , Tamanho do Órgão , Satisfação do Paciente , Implante Peniano/métodos , Implante Peniano/psicologia , Prótese de Pênis/psicologia , Autoimagem , Comportamento Sexual/psicologia , Parceiros Sexuais/psicologia , Inquéritos e Questionários , Resultado do TratamentoRESUMO
The nocturnal penile tumescence study, bulbocavernosus reflex latency time, and ultrasonic blood flow studies have made possible a more objective determination of the success or failure of various means used to treat impotence. A group of 60 patients with a history of impotence and flat nocturnal penile tumescence readings were selected for evaluation. Thirty were diabetic and 30 had idiopathic impotence. These patients were treated with a vasodilator, told to stop smoking for six weeks, or both. The results indicate that greater than one third of the patients were able to have intercourse and show NPT activity after treatment. Our study indicates that there is a select group of diabetics, as well as patients with idiopathic impotence, who may respond to medical management.
Assuntos
Disfunção Erétil/tratamento farmacológico , Isoxsuprina/uso terapêutico , Idoso , Complicações do Diabetes , Disfunção Erétil/diagnóstico , Disfunção Erétil/etiologia , Humanos , Masculino , Pessoa de Meia-Idade , FumarRESUMO
An ectopic ureter ending in a seminal vesicle and associated with renal agenesis is a rare occurrence. There are no reports of this anomaly occurring with gross, total, painless hematuria as presenting symptom. Sonography and catheterization of the ejaculatory duct were the most helpful diagnostic studies used to demonstrate the abnormality. Surprisingly, on pathologic examination, the cystic area was not seminal vesicle but a dilated hemorrhagic ureter.
