Immediate sexual rehabilitation by simultaneous placement of penile prosthesis in patients undergoing radical prostatectomy: initial results in 50 patients.

OBJECTIVES: To evaluate the results of simultaneous placement of a penile prosthesis with radical prostatectomy. METHODS: From June 1993 to June 1996, 50 men underwent a combination procedure of non-nerve sparing radical retropubic prostatectomy and placement of a penile prosthesis. We performed a retrospective chart review of these patients, examining patient age, preoperative prostate-specific antigen level, Gleason score, operative time, estimated blood loss, analgesic use, length of hospital stay, time until intercourse, and complications. This group was compared with a group of 72 men undergoing radical prostatectomy alone during the same time interval. RESULTS: No significant differences were noted in preoperative patient variables. The mean operative time for prosthesis insertion was 82 minutes, and the mean time to sexual intercourse was 12.7 weeks. No prosthesis infections have occurred, with a mean follow-up of 1.7 years. Four men (8%) have required revision of their inflatable penile prosthesis. There were no significant differences between the combination procedure and radical prostatectomy alone with regard to estimated blood loss, length of hospital stay, or analgesic use. CONCLUSIONS: Simultaneous placement of a penile prosthesis during radical prostatectomy provides early return to sexual function, with no apparent increase in morbidity. Further study will be required to determine the impact of combination surgery on psychosocial adjustment and quality of life.

Impotência sexual: a terapêutica em busca da qualidade de vida em um relato de caso / Sexual impotence, the treatment looking for quality of life: one case report

Os autores apresentam o resultado da implantaçäo de prótese peniana para correçäo da impotência sexual, causada pelo uso prolongado de drogas beta bloqueadoras para tratamento da hipertensäo arterial e causada pela insegurança do paciente para o ato sexual.

Reconstrucción fálica total: informe de un caso. Comunicación preliminar / Total reconstruction of the phallus: report of a case. preliminary communication

La reconstrucción total del falo es ahora técnicamente factible. Es posible la restauración de la función sexual en el paciente con el neofalo utilizando el colgajo neurosensorial radial del antebrazo. El neofalo inervado desarrolla sensasión táctil y erógena en seis a ocho meses después del procedimiento. En esta comunicación preliminar se informa la experiancia quirúrgica de los autores con una neofaloplastia con colgajo radial del antebrazo de un solo tiempo en un paciente joven de 18 años de edad, quien sufrió un traumatismo genital mecánico. Seis meses después de la intervención el congajo se encuentra bien integrado y con aspecto aceptable, y cuenta con una uretra completa funcional. Su prótesis peneana semirrígida experimentó extrusión, y se planea colocarle una prótesis insuflable

Anestesia local no implante de protese peniana / Local anaesthesia in the implant of penile prosthesis

O implante da protese peniana e um procedimento relativamente simples e cujos resultados sao satisfatorios. A anestesia local tem se mostrado eficaz para tal tipo de cirurgia, onde a infiltracao local e intracavernosa permitem a realizacao da mesma. Relatamos aqui a tecnica empregada em 64 pacientes...