Loss of the penile glans and/or corpora following primary repair of bladder exstrophy using the complete penile disassembly technique

The Journal of Urology
Douglas A Husmann, J P Gearhart

Abstract

The technique of penile disassembly is increasingly being used for the surgical repair of classical bladder exstrophy. We describe the complications and discuss the possible etiologies of genital injuries we have seen following this operation. A review of the records of patients evaluated for management of genital complications following complete repair of bladder exstrophy from 1996 to 2003 was performed. Nine patients were evaluated for genital injuries following complete repair of bladder exstrophy using the penile disassembly technique. Injuries included the loss of 1 hemiglans and penile urethra in 2 cases; loss of 1 hemiglans and distal corpora in 2; loss of bilateral glans, distal corpora and penile urethra in 2; loss of 1 hemiglans, 1 corporal body, urethral plate and penile shaft skin in 1; loss of 1 hemiglans, distal corporal body and a portion of the urethra in 1; and loss of 1 hemiglans in 1. The exact etiology of these complications is unknown, and possibilities include, a technical mishap, induction of venous congestion/arterial spasm or disruption of a congenitally abnormal blood supply. The finding that primary repair of bladder exstrophy using the penile disassembly technique is associated with the risk of part...Continue Reading

References

Jul 1, 1986·The Journal of Urology·R S HurwitzP Ransley
Aug 1, 1985·The Journal of Urology·J P Gearhart, R D Jeffs
Oct 1, 1971·Journal of Pediatric Surgery·J H Kelley, A J Eraklis
Dec 1, 1984·The Journal of Urology·C R Woodhouse, M J Kellett
Jan 1, 1996·The Journal of Urology·M E Mitchell, D J Bägli
Feb 1, 1993·British Journal of Urology·J P GearhartR D Jeffs
Mar 1, 1997·The Journal of Urology·R I SilverJ P Gearhart
Oct 6, 1997·British Journal of Urology·L Martínez-PiñeiroJ A Martínez-Piñeiro
Jan 1, 1997·Surgical and Radiologic Anatomy : SRA·S DroupyA Jardin
May 8, 1998·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·P Sylaidis, A Logan
Jun 17, 1998·The Journal of Urology·M R ZaontzS Tekgul
Jul 17, 1998·World Journal of Urology·R W Grady, M E Mitchell
Sep 24, 1999·The Journal of Urology·R W Grady, M E Mitchell
Feb 11, 2000·Current Opinion in Urology·J P Gearhart
Aug 25, 2000·The Journal of Urology·I SurerJ P Gearhart
Sep 23, 2003·The Journal of Urology·Samuel A AmukeleMoneer K Hanna

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Citations

Mar 19, 2004·Current Urology Reports·Arthur Mourtzinos, Joseph G Borer
Apr 19, 2008·Current Urology Reports·Kurt R Eeg, Antoine E Khoury
Mar 2, 2013·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Jai K Mahajan, Kattragadda L N Rao
Nov 7, 2014·Surgery Research and Practice·Brian M InouyeJohn P Gearhart
May 21, 2013·Current Urology Reports·Brian M InouyeJohn P Gearhart
Oct 27, 2010·Pediatric Surgery International·Antonio ZaccaraPietro Bagolan
Feb 18, 2014·Journal of Pediatric Surgery·Alan P Dickson
Jul 9, 2013·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·B BoillotS Droupy
Jan 22, 2013·The Journal of Urology·Miroslav L DjordjevicZoran Krstic
Dec 29, 2012·The Journal of Urology·Eric Z MassanyiRichard J Redett
Apr 2, 2011·Seminars in Pediatric Surgery·Dominic Frimberger
Apr 2, 2011·Seminars in Pediatric Surgery·Thomas E Novak
Jun 15, 2010·Journal of Pediatric Urology·Raimondo M CervellioneJohn P Gearhart
May 12, 2009·Journal of Pediatric Urology·John Lazarus
Mar 31, 2009·Journal of Pediatric Urology·Yusuf KibarBradley P Kropp
Nov 18, 2008·Journal of Pediatric Urology·David J HernandezJohn P Gearhart
Dec 18, 2007·The Journal of Urology·Sava V Perovic, Rados P Djinovic
Jul 18, 2008·Journal of Pediatric Urology·J Todd Purves, John P Gearhart
May 24, 2006·Pediatric Clinics of North America·Dawn L MacLellan, David A Diamond
Apr 17, 2014·International Journal of Urology : Official Journal of the Japanese Urological Association·Ahmed Zaki Mohamed AnwarAlaa Mohammed Shaaban
Oct 25, 2008·Journal of Pediatric Urology·Mohamed YoussifIbrahim Mokhless
Aug 22, 2008·The Journal of Urology·Anthony J SchaefferJohn P Gearhart
Jun 4, 2008·Current Opinion in Urology·Sumit Dave, Joao L Pippi Salle

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