Abstract:
The extrusion of a penile prosthesis is an indicator of infection and implies its removal, causing fibrosis and shortening of the penis. We present a 62-year-old man, to whom we implanted a hydraulic prosthesis, and three weeks later we underwent salvage surgery by extrusion of the activation pump. After removing the prosthesis, we wash the cavities with four dilutions. The 1st to 50% of hydrogen peroxide; the 2nd to 50% of povidone iodine; the 3rd with 1 g of cefazolin and 40 mg of tobramycin, the 4th with 80 mg of gentamicin and 500 mg of vancomycin. In the act we implanted a malleable prosthesis bathed in antibiotic solutions. The postoperative period was satisfactory. A year later, the patient presents an adequate penile length and aesthetic appearance, maintaining satisfactory sexual relations. Surgical rescue by washing with antiseptic solutions and a malleable prosthesis implant, minimizes the risk of reinfection, preserving sexual function.
摘要:
阴茎假体的挤压是感染的指标,意味着它被移除,导致阴茎纤维化和缩短。我们介绍一个62岁的男人,我们给他植入了液压假体,三周后,我们通过挤压激活泵进行了抢救手术。取出假体后,我们用四种稀释液清洗牙洞。第一至50%的过氧化氢;第二至50%的聚维酮碘;第三,1克头孢唑林和40毫克的妥布霉素,第四用80毫克庆大霉素和500毫克万古霉素。在该法案中,我们植入了浸泡在抗生素溶液中的可延展假体。术后时间满意。一年后,患者表现出足够的阴茎长度和美观的外观,保持令人满意的性关系。通过用防腐剂溶液和可延展的假体植入物洗涤来进行外科抢救,将再感染的风险降至最低,保持性功能。