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Vol. 44. Issue 5.
Pages 357-366 (June 2020)
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Vol. 44. Issue 5.
Pages 357-366 (June 2020)
Review article
DOI: 10.1016/j.acuroe.2020.01.009
Intraoperative and postoperative complications of penile implant surgery. Diagnosis and treatment
Complicaciones intraoperatorias y postoperatorias de la cirugía de prótesis de pene. Diagnóstico y tratamiento
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I. Moncadaa,b,
Corresponding author
ignacio@moncada.name

Corresponding author.
, J. Ascensiosa,b, I. Lópeza, D. Subiráa, P. Krishnappac
a Servicio de Urología, Hospital Universitario La Zarzuela, Madrid, Spain
b Universidad Francisco de Vitoria, Madrid, Spain
c Nu Hospitals, Bangalore, India
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Table 1. Description of the use of the rear tip extender for the repair of crural perforation.
Table 2. Steps to correct the crossover of the prosthesis cylinders.
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Abstract

We describe the most frequent complications associated with penile implant surgery, paying special attention to their practical management. We have analyzed preoperative complications and postoperative complications separately. The intraoperative include perforation of the corpora cavernosa during dilation, cylinder cross-over or cross-placement and urethral injury during implantation. The most frequent postoperative complications are mechanical failure, cylinder erosion and prosthesis infection. We emphasize on rescue surgery and reimplantation techniques in cavernous tissue fibrosis.

Keywords:
Penile prosthesis
Intraoperative complications
Postoperative complications
Management of penile implant complications
Resumen

Describimos las complicaciones más frecuentes de la cirugía de implante de prótesis de pene haciendo hincapié en su manejo práctico. Hemos dividido las complicaciones en intraoperatorias y postoperatorias. Entre las complicaciones intraoperatorias destacan: La perforación de los cuerpos cavernosos durante la dilatación, el cross-over de los cilindros o colocación cruzada y la lesión uretral durante el implante. Las complicaciones más frecuentes postoperatorias son el fallo mecánico de la prótesis, la erosión de cilindros y la infección de las prótesis, haciendo énfasis en la cirugía de rescate y en las técnicas de re-implante en fibrosis de tejido cavernoso.

Palabras clave:
Prótesis de pene
Complicaciones intraoperatorias
Complicaciones postoperatorias
Manejo de las complicaciones de las protesis de pene

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