PMID: 8583607Mar 1, 1996Paper

A guide to safe corporotomy incisions in the presence of underlying inflatable penile cylinders: results of in vitro and in vivo studies

The Journal of Urology
L S HakimI Goldstein

Abstract

Because iatrogenic injury to an underlying inflatable implant may be induced by electrocautery incision of the tunica during tunical release or cylinder reexploration, safe electrocautery guidelines are needed. For the in vitro model silicone and polyurethane elastomer lined inflatable penile prosthetic cylinders were used, and cutting and coagulation electrocautery was applied directly on the device, on a tissue-implant interface, and at minimal, partial or full inflation with saline. For the in vivo study 10 patients with underlying inflatable prosthetic cylinders underwent tunical releases for treatment of secondary penile curvature (7) and reexploration for a malpositioned device (3) with a minimum 1 year of followup. In the in vitro study electrocautery injuries either did not occur when applied directly to silicone and polyurethane elastomer lined devices, occurred in both devices in the presence of a tissue-implant interface, occurred in polyurethane elastomer lined devices at a far less thermal energy setting than with silicone, occurred in both implants at lower wattages with increasing saline inflation or did not occur in 100% of polyurethane elastomer lined devices when coagulation electrocautery was less than 65 wat...Continue Reading

References

Apr 1, 1992·Current Opinion in Radiology·A N Schwartz
Jun 1, 1992·Southern Medical Journal·J H McWhorter, S D Ward
Oct 1, 1991·Disease-a-month : DM·J B Kirsner
Nov 1, 1991·Disease-a-month : DM·J B Kirsner
Nov 1, 1991·Nursing Management·R L Simpson
Feb 1, 1989·The Annals of Thoracic Surgery·P A Ebert

❮ Previous
Next ❯

Citations

Nov 28, 2012·Asian Journal of Andrology·Laurence A Levine, Stephen M Larsen
Jan 21, 2006·The Journal of Sexual Medicine·John MulhallMathew Anderson
Dec 6, 2012·The Journal of Sexual Medicine·Laurence A Levine, Arthur L Burnett
May 1, 2007·European Urology·Ates KadiogluFirdovsi Mamadov
May 24, 2006·European Urology·Ates KadiogluMurat Celtik
Nov 18, 2005·Expert Review of Medical Devices·Bruce Garber
Feb 10, 2011·Nature Reviews. Urology·Ates KadiogluOner Sanli
Mar 12, 2008·Expert Review of Medical Devices·Bruce B Garber

❮ Previous
Next ❯

Related Concepts

Related Feeds

Blood Clotting Disorders

Thrombophilia includes conditions with increased tendency for excessive blood clotting. Blood clotting occurs when the body has insufficient amounts of specialized proteins that make blood clot and stop bleeding. Here is the latest research on blood clotting disorders.