Tratamiento con sildenafilo del síndrome de glande frio tras implante de prótesis hidráulica de pene

García, E. Lledó; Iribarren, I. Moncada; Rascón, J. Jara; Puerta, Carlos; González-Chamorro, F.; Abarca, C. Llorente; Fernández, C. Hernández

doi:10.1016/s0210-4806(04)73107-1

Cited by 4 publications

(3 citation statements)

References 6 publications

(5 reference statements)

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“…[30] found that most patients responded to sildenafil and reported higher satisfaction than with an implant alone. Lledo et al [31] have also reported similar results.…”

Section: Surgical Pitfalls and Specific Considerationssupporting

confidence: 60%

“…When ED causes depression, it is postulated that the causes include anxiety regarding sexual function, poor self-image, and poor self-esteem. [3132] Seidman et al . reported that men with ED had high frequency of depressive, somatic, and anxiety symptoms and scored very high on measures of overall psychological distress.…”

Section: Psychological Aspects Of Penile Prosthesismentioning

confidence: 99%

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Three-piece inflatable penile prosthesis: Surgical techniques and pitfalls

Alenezi

Al-Khadhari²,

Al-Shaiji

2011

J Surg Tech Case Report

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Penile prosthesis surgery plays a vital role in the treatment of erectile dysfunction (ED). As far as outcome is concerned, it is one of the most rewarding procedures for both patients and surgeons. We describe our surgical technique for implantation of the three-piece inflatable penile prosthesis and point out the major surgical pitfalls accompanying this procedure and their specific management. The psychological outcome of penile prosthesis surgery is also discussed. Different surgical approaches are available when performing the procedure. A number of procedure-related problems can be encountered and a thorough knowledge of these is of paramount importance. Penile prosthesis surgery has a favorable psychological outcome. Surgery for implantation of an inflatable penile prosthesis is a rewarding procedure, with a high yield of patient satisfaction. Urologists should have thorough understanding of the surgical pitfalls peculiar to this procedure and their management.

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“…[30] found that most patients responded to sildenafil and reported higher satisfaction than with an implant alone. Lledo et al [31] have also reported similar results.…”

Section: Surgical Pitfalls and Specific Considerationssupporting

confidence: 60%

Section: Psychological Aspects Of Penile Prosthesismentioning

confidence: 99%

Three-piece inflatable penile prosthesis: Surgical techniques and pitfalls

Alenezi

Al-Khadhari²,

Al-Shaiji

2011

J Surg Tech Case Report

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“…Efforts have been made to preserve some postoperative residual erectile function in the form of spontaneous tumescence and increased penile girth during sexual activity, which may play an important role in inciting female arousal [ 7 , 8 ]. Therefore, PDE5i were prescribed after penile prosthesis implantations to increase patients' and partners' satisfaction by enhancing glans engorgement [ 9 , 10 ]. In that context, Mulhall et al [ 11 ] pointed out that patient satisfaction was indeed significantly increased with the implant-PDE5i combination compared to the implant alone.…”

Section: Introductionmentioning

confidence: 99%

Penile Hemodynamic Response to Phosphodiesterase Type V Inhibitors after Cavernosal Sparing Inflatable Penile Prosthesis Implantation: A Prospective Randomized Open-Blinded End-Point (PROBE) Study

Zaazaa

Bayerle-Eder

Elnabarawy

et al. 2021

Advances in Urology

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Forceful corporal dilatation amidst penile prosthesis implantation may injure cavernosal arteries compromising penile vasculature. In this study, we aimed to compare the conventional and cavernosal sparing techniques regarding cavernosal artery preservation. Overall, 33 patients underwent inflatable penile prosthesis implantation with Coloplast Titan Touch® three-piece inflatable penile implants. 16 patients had conventional implantations with serial vigorous dilatations, while 17 patients were implanted with the cavernosal sparing technique, consisting of a single minimal corporal dilatation after an intraoperative intracavernosal injection (ICI) of Alprostadil. Postoperatively, a penile duplex Doppler ultrasound study was performed. Whenever a cavernosal artery was spared and thus successfully probed, its hemodynamics were studied before and after an oral administration of a phosphodiesterase type 5 inhibitor (PDE5i). A cavernosal artery was successfully probed in 16/17 (94%) of patients in the cavernosal sparing group compared to 5/16 (31%) of patients in the conventional group with a significant statistical difference ( P = 0.001 ). This demonstrated that the cavernosal sparing technique was superior to the conventional approach in preserving the cavernosal artery (odds ratio 35.2, 95% IC 3.5–344.2; P = 0.0022 ). Whenever a cavernosal artery could be probed, its hemodynamic responsiveness was also preserved. This trial is registered with NCT03733860.

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Prospective and long-term evaluation of erect penile length obtained with inflatable penile prosthesis to that induced by intracavernosal injection

Wang¹,

Howard

Hoang

et al. 2009

Asian J Androl

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We compared erect penile length after inflatable penile prosthesis (IPP) implantation with that induced by intracavernosal injection (ICI) before surgery. A total of 11 patients with full erections induced by ICI of 0.25 mL of Trimix (papaverine, phentolamine and prostaglandin E1) at the time of penile color duplex Doppler ultrasonography were enrolled in this study. The patients subsequently underwent IPP implantation as the ultimate treatment for their erectile dysfunction (ED). Erect penile length consequent to IPP implantation was measured at 6 weeks, 6 months and at 1 year after surgery. The Sexual Health Inventory for Men (SHIM) was administered before, and at 6 months and 1 year after IPP implantation. Erect penile length (mean ± s.e.) as induced by ICI was 13.2 ± 0.4 cm, whereas the lengths attained with IPP were 12.4 ± 0.3, 12.5 ± 0.3 and 12.5 ± 0.4 cm at the sixth week, sixth month and 1-year follow-ups, respectively. There were 0.83 ± 0.25, 0.75 ± 0.20 and 0.74 ± 0.15 cm decreases in erect penile length at 6 weeks, 6 months and 1 year, respectively, after IPP implantation when compared with that after ICI (P < 0.05). The SHIM scores for patients reporting shorter penises were the same as those for patients without complaints at the 6-month and 1-year follow-ups (P > 0.05). To our knowledge, this is the first study to objectively show a significant decrease in erect penile length after IPP implantation when compared with that after ICI. However, this decrease did not affect the effectiveness of IPP in treating ED.

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Tratamiento con sildenafilo del síndrome de glande frio tras implante de prótesis hidráulica de pene

Abstract: Sildenafil could be used to improve functional results of the penile prosthesis in those patients with CGS and seems to increase satisfaction during SI.

Cited by 4 publications

References 6 publications

Three-piece inflatable penile prosthesis: Surgical techniques and pitfalls

Three-piece inflatable penile prosthesis: Surgical techniques and pitfalls

Penile Hemodynamic Response to Phosphodiesterase Type V Inhibitors after Cavernosal Sparing Inflatable Penile Prosthesis Implantation: A Prospective Randomized Open-Blinded End-Point (PROBE) Study

Prospective and long-term evaluation of erect penile length obtained with inflatable penile prosthesis to that induced by intracavernosal injection

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