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http://hdl.handle.net/1942/42422
Title: | Penile prosthesis in the medically complex patient: a narrative review | Authors: | Van Huele, Andries VAN RENTERGHEM, Koenraad |
Issue Date: | 2023 | Publisher: | AME PUBLISHING COMPANY | Source: | Translational Andrology and Urology, 12 (12) , p. 1885 -1892 | Abstract: | Background and Objective: Penile prosthesis surgery is considered a safe and effective treatment for patients with erectile dysfunction. Implantation in the medically complex patient can be a challenge. The benefits of treatment must outweigh the possible risks or complications. A description of possible problems and how to cope with them is given in this narrative review.Methods: Literature search was performed in January 2023 using different search prompts in PubMed. These articles, excluding non-English and non-full text articles, were listed by the two authors and afterwards, the most relevant ones were included.Key Content and Findings: This article is divided into five important topics. We evaluated different comorbidities such as spinal cord injury, diabetes mellitus and cardiovascular disease, in which preoperative work-up and counseling is of significant importance. A detailed description of these comorbidities and how to handle these can be found in each section. In addition to the preoperative aspect in organ transplant patients, problems during surgery can arise, e.g., with the reservoir placement. Similarly, in patients with previous pelvic surgery, an ectopic reservoir placement can prevent possible complications.Conclusions: Preoperative diagnostics are crucial and prosthetic surgery should be done by an experienced high-volume surgeon with a diverse range of surgical techniques at his disposal. | Notes: | Van Huele, A (corresponding author), Jessa Hosp, Dept Urol, Salvatorstr 20, B-3500 Hasselt, Belgium.; Van Huele, A (corresponding author), Ghent Univ Hosp, Dept Urol, Ghent, Belgium. andries.vanhuele@ugent.be |
Keywords: | Penile prosthesis;spinal cord injury (SCI);diabetes mellitus (DM);organ transplant;reservoir placement | Document URI: | http://hdl.handle.net/1942/42422 | ISSN: | 2223-4683 | e-ISSN: | 2223-4691 | DOI: | 10.21037/tau-23-71 | ISI #: | 001134912500009 | Rights: | Translational Andrology and Urology. All rights reserved. This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non- commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc- | Category: | A1 | Type: | Journal Contribution |
Appears in Collections: | Research publications |
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Penile prosthesis in the medically complex patient_ a narrative review - Van Huele- Translational Andrology and Urology.pdf | Published version | 210.99 kB | Adobe PDF | View/Open |
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