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Streamlined approach for infrapubic placement of an inflatable penile prosthesis.

Karpman E - Adv Urol (2012)

Bottom Line: The streamlined approach for infrapubic placement of an inflatable penile prosthesis is a variation of the traditional infrapubic approach.A better understanding of operative techniques and recent clinical outcome studies have led to an evolution of the original infrapubic approach.Small incisions and efficient operative maneuvers can shorten operative times and expedite postoperative recovery.

View Article: PubMed Central - PubMed

Affiliation: El Camino Urology Medical Group, Mountain View, CA 94040, USA.

ABSTRACT
The streamlined approach for infrapubic placement of an inflatable penile prosthesis is a variation of the traditional infrapubic approach. A better understanding of operative techniques and recent clinical outcome studies have led to an evolution of the original infrapubic approach. Small incisions and efficient operative maneuvers can shorten operative times and expedite postoperative recovery.

No MeSH data available.


Related in: MedlinePlus

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Mentions: The Furlow instrument is passed once proximally and once distally with simultaneous measurement (Figure 6). Sequential dilation is not required during most first time penile implant surgeries unless there is a history of priapism [9]. A distal fluid challenge can be performed after dilation to exclude the possibility of a distal urethral perforation. This is accomplished by irrigating the distal corpora with a bulb syringe. Fluid exiting from the urethra confirms a distal perforation. Additionally, a field goal test is performed to exclude proximal urethral perforation by placing two Brooks dilators simultaneously in the proximal corpora. The level appearance of the dilators in the form of a “field goal” excludes a proximal perforation.


Streamlined approach for infrapubic placement of an inflatable penile prosthesis.

Karpman E - Adv Urol (2012)

© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3368174&req=5

Mentions: The Furlow instrument is passed once proximally and once distally with simultaneous measurement (Figure 6). Sequential dilation is not required during most first time penile implant surgeries unless there is a history of priapism [9]. A distal fluid challenge can be performed after dilation to exclude the possibility of a distal urethral perforation. This is accomplished by irrigating the distal corpora with a bulb syringe. Fluid exiting from the urethra confirms a distal perforation. Additionally, a field goal test is performed to exclude proximal urethral perforation by placing two Brooks dilators simultaneously in the proximal corpora. The level appearance of the dilators in the form of a “field goal” excludes a proximal perforation.

Bottom Line: The streamlined approach for infrapubic placement of an inflatable penile prosthesis is a variation of the traditional infrapubic approach.A better understanding of operative techniques and recent clinical outcome studies have led to an evolution of the original infrapubic approach.Small incisions and efficient operative maneuvers can shorten operative times and expedite postoperative recovery.

View Article: PubMed Central - PubMed

Affiliation: El Camino Urology Medical Group, Mountain View, CA 94040, USA.

ABSTRACT
The streamlined approach for infrapubic placement of an inflatable penile prosthesis is a variation of the traditional infrapubic approach. A better understanding of operative techniques and recent clinical outcome studies have led to an evolution of the original infrapubic approach. Small incisions and efficient operative maneuvers can shorten operative times and expedite postoperative recovery.

No MeSH data available.


Related in: MedlinePlus