RESUMO
We present 9 consecutive patients who underwent insertion of the Mentor inflatable penile prosthesis. Of these patients 3 had successful results after repeated problems with the Scott inflatable penile prosthesis. Complications included spontaneous inflation of the prosthesis, a tubing kink, aneurysmal cylinder ballooning and cylinder disruption. Slow deflation seems to be an inherent problem with the Mentor system. Although penile squeezing may be used to help deflation, traumatic urethritis may occur. However, concealment may not be possible without such squeezing. Interim use of a noninflatable prosthesis to treat a damaged corpus cavernosum is recommended. Although ingenious technology has enabled successful implant surgery, no penile prosthesis yet devised has proven to be ideal. Further refinements are being made. Ultimate evaluation will require years of followup in the spirit of the pre-700 series of Scott inflatable penile prostheses.
Assuntos
Disfunção Erétil/cirurgia , Pênis , Poliuretanos , Próteses e Implantes/normas , Idoso , Falha de Equipamento , Humanos , Masculino , Pessoa de Meia-Idade , Desenho de Prótese/normas , ReoperaçãoAssuntos
Pênis/cirurgia , Próteses e Implantes/efeitos adversos , Humanos , Masculino , Reoperação , EscrotoRESUMO
We report a case of 2 large calculi encased within a 15 gm. tumor of cystitis cystica and cystitis glandularis. The patient presented with acute right epididymitis. An excretory urogram showed 2 bladder calculi. Cystoscopy revealed a mass around the stones resembling adenocarcinoma of the bladder base. Transurethral resection of the tumor and cystolitholapaxy were performed. The final diagnosis was bladder calculi within a mass of cystitis cystica and cystitis glandularis. A review of the literature failed to reveal a similar case.
