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Record Nr. |
UNINA9910522967103321 |
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Titolo |
Penile implant surgery : contemporary challenges and controversies / / edited by Eduardo P. Miranda and John P. Mulhall |
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Pubbl/distr/stampa |
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Cham, Switzerland : , : Springer, , [2022] |
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©2022 |
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ISBN |
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Descrizione fisica |
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1 online resource (269 pages) |
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Disciplina |
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Soggetti |
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Lingua di pubblicazione |
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Formato |
Materiale a stampa |
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Livello bibliografico |
Monografia |
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Note generali |
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Nota di contenuto |
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Intro -- Preface -- Contents -- Contributors -- Chapter 1: Patient and Device Selection -- Patient Selection -- Modifiable Risk Factors -- Smoking -- Diabetes Mellitus (DM) -- Obesity -- Pre-existing Basic Infection Screening -- Fungal Infection in the Groin -- Nasal Swab Testing for Staphylococcus aureus -- Urine Culture -- Age -- HIV Status -- Solid Organ Transplantation (SOT) -- Neurological Impairment -- Simultaneous Artificial Urinary Sphincter (AUS) Implantation -- Revision Surgery -- Counselling -- Patient and Partner Involvement -- Consent Form -- Device Selection -- The Following Are the List of Currently Available PP Models of Two Major Companies -- Approach -- Reservoirs -- The Following Are Some of the Tips in Choosing the Right Device (PP) in Specific Clinical Scenarios -- References -- Chapter 2: Critical Analysis of Maneuvers to Reduce Infection in Penile Implant Surgery -- Introduction -- Risk Factors Clearly Associated with Penile Prosthesis Infection -- Biofilm, Complete Implant Removal, and Culture Sensitivity -- Quick Preoperative Considerations -- Revision Washout -- Antibiotic-Coated Implant -- Prevention of Hematoma Formation -- Suction Drain -- Mummy Wrap -- Minimization of Device Skin Contact ("No Touch") -- Strict Operative Sterile Technique -- Future Research, Ideas, and Advancements -- References -- Chapter 3: Strategies for Optimal Pain Control in the Penile Implant Patient -- Introduction -- Literature Challenges -- |
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Preoperative Strategies -- Education and Patient History -- Pre-op Medication: Acetaminophen, NSAID/COX-2, and Gabapentin/Pregabalin -- Intraoperative Strategies -- Local Anesthesia -- Surgical Technique -- Alternative Approaches -- Postoperative Strategies -- Multimodal Analgesia -- Limitations -- Summary -- Conclusions -- References. |
Chapter 4: Perioperative Management of Antithrombotic Therapy in Penile Implant Surgery -- Introduction -- Periprocedural Evaluation -- Antiplatelet Therapy -- Aspirin -- Indications/Prevalence -- Mechanism of Action -- Perioperative Management of Aspirin -- ADP Receptor Inhibitors (Clopidogrel, Prasugrel, Ticagrelor) -- Indications/Prevalence -- Antithrombotic Mechanism of Action -- Perioperative Management of ADP Receptor Inhibitors -- Anticoagulation Therapy -- Warfarin -- Indications/Prevalence -- Mechanism of Action -- Perioperative Management of Warfarin -- Direct Thrombin Inhibitor (Dabigatran) -- Indications/Prevalence -- Mechanism of Action -- Perioperative Management of Dabigatran -- Direct Factor Xa Inhibitors (Apixaban, Rivaroxaban) -- Indications/Prevalence -- Mechanism of Action -- Perioperative Management of Direct Factor Xa Inhibitors -- Perioperative Management -- Conclusion -- References -- Chapter 5: Management of Residual Curvature in Men with Peyronie's Disease Following Penile Prosthesis Implantation -- Introduction -- Etiology of PD -- Anatomy and Pathophysiology -- Surgical Indications for Inflatable Penile Prosthesis (IPP) in PD -- Intraoperative Methods for Correction of Residual Curvature -- Manual Modeling -- Technique -- Complications -- Summary -- Plication -- Technique -- Complications and Considerations -- Plaque Incision or Partial Excision and Grafting (PIG/PEG) -- Technique -- Scratch Technique -- Technique -- Postoperative Management -- Length Restoration -- Sliding Technique -- Technique -- Complications and Considerations -- Modified Sliding Technique (MoST) -- Technique -- Postoperative Management -- Multiple-Slit Technique (MuST) -- Technique -- Postoperative Management -- Outcomes -- Postoperative Techniques for Straightening -- Home Manual Modeling -- Penile Traction Therapy and Vacuum Erection Devices. |
Residual Curvature Algorithm -- Conclusions -- References -- Chapter 6: Considerations on Inflatable Penile Prosthesis Reservoir Placement -- Introduction -- Preoperative Considerations -- Surgical Technique -- Intraoperative Complications -- Bladder Injury -- Bowel Injury -- Vascular Injury -- Postoperative Complications -- Infection -- Organ and Tissue Damage -- Herniation -- Mechanical Failure -- Leakage -- Auto-Inflation -- Tubing Torsion -- Palpability -- Explantation of IPP -- Conclusion -- References -- Chapter 7: The Hostile Penis: Managing the Patient with Corporal Fibrosis -- Introduction -- Prevention -- Preoperative Management -- History -- Physical Exam -- Imaging -- Patient Counseling -- Operative Management -- Surgical Instruments and Equipment -- Retraction -- Scissors -- Cavernotomes -- Narrow-Base Inflatable Penile Prosthesis -- Operative Technique -- Patient Positioning and Preparation -- Incision -- Penoscrotal Dissection and Corporotomy Creation -- Corporal Dilation +/− Excavation -- Selection of Cylinder Length -- Cylinder Insertion -- Corporotomy Closure -- Reservoir Insertion and Fill -- Tubing Passage and Connection -- Pump Insertion -- Drain Insertion -- Postoperative Care -- Management of Selected Complications -- Injury to the Ventral Corpus Spongiosum +/− Urethra -- Proximal (Crural) Perforation -- Distal Urethral Perforation -- Distal Crossover -- Infection -- Supersonic Transformer (SST) Deformity and Intrinsic Glanular Hypermobility (IGH) -- Distal or Lateral Extrusion -- Conclusions -- |
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References -- Chapter 8: Considerations in the Management of Visceral and Vascular Injury During Penile Implant Surgery -- Introduction -- Anatomy -- Normal Anatomy -- Altered Anatomy -- Post-prostatectomy -- Post-cystectomy -- Radiation -- Renal Transplant -- Inguinal Hernia Repair -- Reservoir Placement. |
Traditional Reservoir Placement -- Alternate Reservoir Placement -- Posterior to Transversalis Fascia (PTF) -- Anterior to the Transversalis Fascia (ATF) -- High Submuscular (HSM) -- Trans-Fascial Placement of HSM -- Intraperitoneal -- Epigastric -- Lateral Retroperitoneal -- Preperitoneal -- Scrotal -- Subcutaneous -- Reservoir Removal -- Traditional Reservoir Removal -- Alternative Reservoir Removal -- Intraoperative Injuries -- Bladder Injuries -- Vascular Injury -- Bowel Injuries -- Conclusion -- References -- Chapter 9: The Role of Penile Lengthening Procedures at the Time of Penile Implant Surgery -- Introduction -- PPI Procedures That Maximize Corporal Length -- Cavernosal Sparing PPI Insertion without Dilatation -- Subcoronal Incision with Circumferential Penile Degloving -- Surgical Techniques That Determine a Real Penile Shaft Lengthening -- Penile Prosthesis Implantation with Simultaneous Tunica Albuginea (TA) Incisions -- PPI and Circumferential Grafting or Sliding Technique -- Penile Prosthesis Implantation and MUST -- Egydio's Tunica Expansion Procedure (TEP): The Last Innovation in Lengthening Strategies -- Surgical Techniques That Improved Perceived Penile Length -- Prepubic V-Y Plasty -- Suspensory Ligament Division -- Apronectomy or Suprapubic Lipectomy -- Ventral Phalloplasty (VP) or Scrotoplasty -- Discussion and Conclusion -- References -- Chapter 10: Implant Surgery in Patient with a Neophallus -- Rationale for Prostheses in Phalloplasty -- Phalloplasty Techniques -- History of Prostheses in Phalloplasty -- Timing for Placement of Prostheses -- Penile Implant: Surgical Technique -- Approach: Cis-males -- Approach: Trans-males -- Pubis Dissection and Proximal Fixation: Trans-males -- Phallus Dilatation -- Choosing a Prosthesis and the Number of Cylinders -- Sock and Cap Formation -- Insertion of the Implant -- Post-operative Care. |
Future Outlook -- Testicular Prosthesis -- Patient Satisfaction -- Implant Survival -- Summary -- References -- Chapter 11: The Approach to Prevention and Management of Device Extrusion and Erosion -- Introduction -- Corporal Dilation -- Impending Cylinder Erosion -- Repairs with Distal Counter-incision -- Repairs Without Counter-incision -- Complete Cylinder Erosion -- Management of Complete Erosion -- Delayed Replacement After Complete Distal Erosion -- Erosion of Prosthetic Reservoir -- Pump-Related Erosion -- Conclusion -- References -- Chapter 12: Management of Long-Term Complications of Penile Implant Surgery -- The "Sticky" Pump -- History -- The Problem -- Differential Diagnosis -- Studies -- Management -- SST Deformity: What Is True, What Is a Myth? -- Definition and Cause -- Incidence -- The Problem -- Differential Diagnosis -- Management -- Delayed Urethral Injury or Erosion -- Definition and Cause -- Prevention -- Management -- Glans Denervation or Devascularization -- Definition and Cause of Glans Devascularization -- Management -- Penile Shortening -- Introduction -- Etiology -- Incidence -- Strategies to Preserve Length -- Chronic Pain Syndrome -- Definition and Cause -- Differential Diagnosis -- Management -- Complications Associated with IPP Reservoirs -- References -- Chapter 13: Intraoperative Complications of Penile Prosthesis Surgery -- Introduction -- Intraoperative Complications -- Urethral Injury -- How to Deal with the Complication -- Corporal Crossover -- How to Deal with the Complication -- Proximal or Crural Perforation -- How to Deal with the Complication -- Injuries Related |
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to Reservoir Insertion -- How to Deal with the Complication -- Complications During Closure of the Wound -- Conclusion -- References -- Chapter 14: Medicolegal Impacts of Penile Implant Surgery -- Introduction. |
Considerations in Pre- and Postoperative Counseling. |
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