Use of a prefabricated tunica vaginalis fascia flap to reconstruct the tunica albuginea after recurrent penile prosthesis extrusion

被引:16
作者
Alter, GJ
Greisman, J
Werthman, PE
Seid, AS
Joseph, BJ
机构
[1] Division of Plastic Surgery, UCLA School of Medicine, Los Angeles, CA
关键词
penile prosthesis; complications; impotence; surgery;
D O I
10.1016/S0022-5347(01)64034-5
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Purpose: Although a penile prosthesis usually perforates into the urethra, it can extrude through the glans or corporeal shaft. Various materials have been used to reconstruct tunica albuginea but no method of repair has been satisfactory in such difficult cases. Repair of the weakened tunica albuginea should ideally be performed with autogenous tissues. Inasmuch as the scarred tissue bed is inadequate to ensure graft survival and no local flaps are available for this purpose, prefabrication of a local flap has been designed. Materials and Methods: We present 2 cases in which the distal corpus was reconstructed with a prefabricated tunica vaginalis fascia flap. The first stage involves grafting rectus fascia onto the external tunica vaginalis of the testicle. At the second stage the prefabricated tunica vaginalis fascia flap is transposed to the distal corpus, placing it as a buttress between the cylinder and urethra medially or between the cylinder and thin lateral and distal tunica albuginea. The flap also replaces part of the tunica albuginea. Results: In both patients repair of the tunica albuginea was successful and each has a functioning inflatable penile prosthesis at 2 1/2 1 1/2 years postoperatively, respectively. Conclusions: Reconstruction of the weak tunica albuginea with a prefabricated tunica vaginalis fascia flap is an excellent procedure in these difficult cases.
引用
收藏
页码:128 / 132
页数:5
相关论文
共 12 条
[1]   PREFABRICATED FLAPS - EXPERIMENTAL AND CLINICAL REVIEW [J].
ABBASE, EA ;
SHENAQ, SM ;
SPIRA, M ;
ELFALAKY, MH .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1995, 96 (05) :1218-1225
[2]   Split-thickness skin graft urethroplasty and tunica vaginalis flaps for failed hypospadias repairs [J].
Ehrlich, RM ;
Alter, G .
JOURNAL OF UROLOGY, 1996, 155 (01) :131-134
[3]  
EHRLICH RM, 1994, USE TUNICA VAGINALIS
[4]  
FISHMAN IJ, 1987, UROL CLIN N AM, V14, P217
[5]   The prefabricated combined scapula flap for bony and soft-tissue reconstruction in maxillofacial defects - A new method [J].
Holle, J ;
Vinzenz, K ;
Wuringer, E ;
Kulenkampff, KJ ;
Saidi, M .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1996, 98 (03) :542-552
[6]   ANATOMY AND STRENGTH OF THE TUNICA ALBUGINEA - ITS RELEVANCE TO PENILE PROSTHESIS EXTRUSION [J].
HSU, GL ;
BROCK, G ;
MARTINEZPINEIRO, L ;
VONHEYDEN, B ;
LUE, TF ;
TANAGHO, EA .
JOURNAL OF UROLOGY, 1994, 151 (05) :1205-1208
[7]  
KELTON PL, 1990, PLAST SURG, V6, P2
[8]  
KNOLL LD, 1995, UROL CLIN N AM, V22, P857
[9]   CORRECTIVE PROCEDURES FOR PENILE SHORTENING DUE TO PEYRONIES-DISEASE [J].
RIGAUD, G ;
BERGER, RE .
JOURNAL OF UROLOGY, 1995, 153 (02) :368-370
[10]   USE OF A POLYTETRAFLUOROETHYLENE TUBE GRAFT AS A CIRCUMFERENTIAL NEOTUNICA DURING PLACEMENT OF A PENILE PROSTHESIS [J].
SEFTEL, AD ;
OATES, RD ;
GOLDSTEIN, I .
JOURNAL OF UROLOGY, 1992, 148 (05) :1531-1533