PMID: 6537821Jan 1, 1984Paper

Indication and results of semirigid penile prostheses in spinal cord injury patients: long-term followup

The Journal of Urology
A B Rossier, B A Fam

Abstract

During the last 7 years semirigid intracorporeal penile prostheses were inserted in 36 spinal cord injury patients between 21 and 58 years old (average age 38.5 years). An operation was done 1 to 32 years after the initial injury (average 10 years). Surgical intervention was intended to provide an adequate body to the penile shaft so as to hold an external urinary drainage device in 11 patients, for treatment of sexual dysfunction only in 17 and for an external urinary drainage device plus treatment of sexual inadequacy in 8. Although a number of complications causing extrusion or removal of the prosthesis occurred in 6 patients (16.5 per cent), as well as an aborted operation in 1 (19.5 per cent), there were no permanent sequelae. Because of loss of sensation and vasomotor control, and pressure produced by the penile prosthesis spinal cord injury patients represent a higher operative risk than other patients without neurological or vascular impairments. In addition, urinary tract infection should not be overlooked as another major risk factor. Penile prostheses were most successful in maintenance of external urinary appliances in patients with a short or retractile penis. Whenever the prosthesis was intended for sexual interco...Continue Reading

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Citations

Dec 1, 1989·The Journal of Urology·J E Oesterling
Sep 1, 1989·The Journal of Urology·C P Steidle, J J Mulcahy
Nov 1, 1988·The Journal of Urology·K P Collins, R H Hackler
Nov 2, 2002·International Journal of Urology : Official Journal of the Japanese Urological Association·Shin-ichi HisasueTaiji Tsukamoto
Jul 1, 1987·The Journal of Urology·D K Montague
Feb 1, 1992·The Journal of Urology·S B Radomski, S Herschorn
Jan 1, 1996·International Urology and Nephrology·B SeckinC Harmankaya
Oct 1, 1993·The Journal of the American Paraplegia Society·J E BinardK O'Kelly
Jul 25, 2008·International Journal of Urology : Official Journal of the Japanese Urological Association·Young Dong KimHong Bang Shim
May 1, 1988·The Journal of Urology·J N Kabalin, R Kessler
Sep 26, 2001·Spinal Cord·F Biering-Sørensen, J Sønksen
Apr 1, 1991·The Journal of the American Paraplegia Society·T A Linsenmeyer

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