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Inicio Actas Urológicas Españolas (English Edition) Surgical implant options in patients with penile fibrosis due to infection or pr...
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Vol. 44. Issue 5.
Pages 268-275 (June 2020)
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Vol. 44. Issue 5.
Pages 268-275 (June 2020)
Review article
DOI: 10.1016/j.acuroe.2020.05.005
Surgical implant options in patients with penile fibrosis due to infection or previous explants
Opciones quirúrgicas de implante en pacientes con fibrosis peneana por infección o explantes previos
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E. Lledó García
Corresponding author
enllga@icloud.com

Corresponding author.
, F.J. González García, E. Martínez Holguin, J. Hernandez Cavieres, L. Polanco Pujol, J. Jara Rascón, C. Hernández Fernández
Sección de Andrología y Cirugía Reconstructiva Uretro-Genital, Servicio de Urología, Hospital General Universitario Gregorio Marañón, Madrid, Spain
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Table 1. Evolution of patients undergoing different techniques for penile prosthesis implant surgery with concomitant corporeal fibrosis.
Table 2. Advantages and disadvantages of techniques for the treatment of corporeal fibrosis at the time of penile prosthesis implantation.
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Abstract

Penile fibrosis due to previous penile infection and/or prosthesis explants entails situations of high surgical complexity. In these cases, reimplantation should follow an alternative scheme, aimed at minimizing perioperative and postoperative complications, as well as achieving maximum efficiency of the procedure and greater postoperative satisfaction of the patient and his partner. This article reviews the main surgical alternatives for these cases.

Keywords:
Prosthesis
Penis
Implant
Penile fibrosis
Erectile disfunction
Resumen

La fibrosis peneana por infección y/o explantes de prótesis peneanas previas condiciona situaciones de alta dificultad quirúrgica. El reimplante en estos casos debe seguir un esquema alternativo dirigido a minimizar las complicaciones peri y postoperatorias, así como conseguir la máxima eficacia del procedimiento y la mayor satisfacción postoperatoria del paciente y la pareja. En este artículo se revisan las principales alternativas quirúrgicas en estos casos.

Palabras clave:
Prótesis
Pene
Implante
Fibrosis peneana
Disfunción eréctil

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