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  • Home
  • Daily Tasks
    • Dictations >
      • Circumcision
      • Cystoscopy >
        • Cysto-OR
        • Cysto, +/- RPG +/- stent >
          • Cysto w/ b/l RPG
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          • Cysto, R RPG
          • Cysto, L stent w/o RPG
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        • L U-scope,semirigid laser, flex, RPG, stent removal, (F)
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IPP

COMPLICATIONS
One 2019 systemic review found most frequently reported infection rate for inflatable devices was 5% or less. (4) Case series of 21 IPP with glans necrosis showed most cases included a subcoronal incision for concomitant circumcision or degloving with symptoms presenting as early as 1 day. Those who underwent immediate implant removal healed well, those who had implant left in place had significant glans loss. (1)

In salvage, a study of 40 patients showed immediate reimplantation resulted in a mean 0.6cm corporal length reduction while delayed reimplantation resulted in a mean 3.7cm reduction. (2)

A 2020 study looked at following recommended antiboitics prophylaxis vs other. (5)

IPP AFTER RADIATION
A study of SEER patients who recieved RT alone vs. RP alone showed that RT did not impact revision or removal rates of IPP compared to RP w/o RT. (3)

  1. Wilson, Steven K., et al. "Glans necrosis following penile prosthesis implantation: prevention and treatment suggestions." Urology 107 (2017): 144-148.
  2. Lopategui, Diana M., et al. "The impact of immediate salvage surgery on corporeal length preservation in patients presenting with penile implant infections." The Journal of urology 200.1 (2018): 171-177.
  3. Golan, R., Patel, N. A., Sun, T., Barbieri, C. E., Sedrakyan, A., & Kashanian, J. A. (2018). Impact of Pelvic Radiation Therapy on Inflatable Penile Prosthesis Reoperation Rates. The Journal of Sexual Medicine, 15(11), 1653–1658.​
  4. Mahon, Joseph, et al. “Infectious Adverse Events Following the Placement of a Penile Prosthesis: A Systematic Review.” Sexual Medicine Reviews, 2019.
  5. Rezaee, Michael E., et al. "A Multicenter Investigation Examining American Urological Association Recommended Antibiotic Prophylaxis vs Nonstandard Prophylaxis in Preventing Device Infections in Penile Prosthesis Surgery in Diabetic Patients." The Journal of Urology 204.5 (2020): 969-975.
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  • Home
  • Daily Tasks
    • Dictations >
      • Circumcision
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        • Cysto-OR
        • Cysto, +/- RPG +/- stent >
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          • Cysto, R RPG
          • Cysto, L stent w/o RPG
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        • MRI Fusion TRUS Prostate Biopsy
      • Robot Left Radical Nephrectomy
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      • Robot Radical Prostatectomy w/ PLND
      • TURBT (M)
      • Ureteroscopy >
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        • R U-scope (flex), RPG, (M)
        • L U-scope,semirigid laser, flex, RPG, stent removal, (F)
      • ESWL >
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        • Ciprofloxacin
        • Macrobid
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      • Medications and Dialysis
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      • Neuromodulation
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      • Ureteral Stenting
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      • Interstim & PTNS
      • Midurethral Sling
      • Sacrocolpopexy
    • Nephrectomy
    • PCNL
    • Prostate Biopsy
    • Radical Prostatectomy
    • Suprapubic Tube (SPT)
    • Urethral Catheters
    • Urodynamics
    • Varicocelectomy
  • Videos
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