Öz
Corporal perforation is a rare complication after penile prostheses. Here we present the case in which organised intracavernosal hematoma associated with the penile prosthesis. An 63 year old male patient who has been using flexible penile prostheses with the complaint of swelling of the penis. An ultrasound also revealed the mass as an organized hematoma.The patient was operated for the purpose of evacuation of the hematoma. When the liquid was discharged, there was a gap between hematoma and the left crus and was found to be associated with the prosthesis. Before removing the prothesis, inside of the crus was washed with serum antibiotic. Daily dressings were done. On 10th day control of the wound, it was completely closed. Late complications due to penile prosthesis occur mostly due to mechanical problems and hematoma associated with cavernous may also occur and can be treated without removing the penile prosthesis.
Anahtar Kelimeler
Penile prosthese; Complication; Corporal perforation; Penile hematoma
Kaynakça
- Evans C. The use of penile prostheses in the treatment of impotence. Br J Urol 1998;81(4):591-598.
- Rajpurkar A, Dhabuwala CB. Comparison of satisfaction rates and erectile function in patients treated with sildenafil, intracavernous prostaglandin E1 and penile implant surgery for erectile dysfunction in urology practice. J Urol 2003;170(1):159-163.
- Sadeghi-Nejad H. Penile prosthesis surgery: a review of prosthetic devices and associated complications. J Sex Med 2007 Mar;4(2):296-309
- Deveci S, Martin D, Parker M, Mulhall JP. Penile length alterations following penile prosthesis surgery. Eur Urol. 2007 Apr;51(4):1128-1131.
- Mulcahy JJ, Austoni E, Barada JH, Choi HK, Hellstrom WJ, Krishnamurti S, Moncada I, Schultheiss D, Sohn M, Wessells H. The penile implant for erectile dysfunction. J Sex Med. 2004 Jul;1(1):98-109.
- Montague DK, Angermeier KW. Current status os penile prosthesis implantation. Curr Urol Rep. 2000 Dec;1(4):291-296
Öz
Penil protez implantasyonu (PPI) sonrası korporal perforasyon/erozyon nadir görülen bir komplikasyondur. Bu çalışmada PPI sonrası geç dönemde oluşan kavernöz kaynaklı penil hematom olgusunu sunduk. Bükülebilir penil protezi bulunan 63 yaşında erkek hastada 3 ay önce başlayan peniste şişlik şikayeti ile kliniğimize başvurdu.Yapılan tetkikler sonucu penil hematom tespit edildi. Hematom boşaltılması planlandı. Peroperatif hematomun kavernöz kaynaklı olduğu gözlendi. Hematom boşaltılması sonrası protez çıkartılmadan korpus kavernozum içi antibiyotikli serum ile yıkandı ve primer tamir edildi. Ampirik antibiyoterapi ve günlük pansuman ile enfeksiyon oluşmadan yara yerinin 10.günde iyiliştiği gözlendi. PPI sonrası geç dönemde ençok mekanik sorunlar görülmekte olup kavernöz kaynaklı hematom da olabilir ve penil protez çıkarılmadan tedavi edilebilir.
Anahtar Kelimeler
Penil protez; Komplikasyon; Korporal perforasyon; Penil hematom
Kaynakça
- Evans C. The use of penile prostheses in the treatment of impotence. Br J Urol 1998;81(4):591-598.
- Rajpurkar A, Dhabuwala CB. Comparison of satisfaction rates and erectile function in patients treated with sildenafil, intracavernous prostaglandin E1 and penile implant surgery for erectile dysfunction in urology practice. J Urol 2003;170(1):159-163.
- Sadeghi-Nejad H. Penile prosthesis surgery: a review of prosthetic devices and associated complications. J Sex Med 2007 Mar;4(2):296-309
- Deveci S, Martin D, Parker M, Mulhall JP. Penile length alterations following penile prosthesis surgery. Eur Urol. 2007 Apr;51(4):1128-1131.
- Mulcahy JJ, Austoni E, Barada JH, Choi HK, Hellstrom WJ, Krishnamurti S, Moncada I, Schultheiss D, Sohn M, Wessells H. The penile implant for erectile dysfunction. J Sex Med. 2004 Jul;1(1):98-109.
- Montague DK, Angermeier KW. Current status os penile prosthesis implantation. Curr Urol Rep. 2000 Dec;1(4):291-296
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 9 Nisan 2015 |
| Yayımlandığı Sayı | Yıl 2015 Cilt: 5 Sayı: 1-Ek |