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Textbook of Urogenital Prosthetic Surgery
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Textbook of Urogenital Prosthetic Surgery (eBook online)

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Descripción

This textbook gives comprehensive coverage to the surgical management of erectile dysfunction with penile prostheses (PP) and the management of stress urinary incontinence using bladder outflow resistance created by the artificial urinary sphincter (AUS). Its intended audience are urologists who are interested in one or both topics.



The text is divided into 3 sections.



The first one deals with the history of the development of PP and the AUS, the surgical anatomy related to male erectile function and male and female urinary incontinence, operating room logistics for PP surgery, and the steps in setting up a dedicated urologic prosthetic practice.



The second part is devoted to restoring erectile function using PP. It includes chapters dealing with the appropriate evaluation of the surgical candidate, techniques of implant placement by various incisions, management of the patient postoperatively including addressing complications, and the use of PP in special circumstances including priapism, Peyronie’s Disease, fibrotic corporal bodies and the neophallus. The section concludes with a chapter on building a prosthetic urology practice, periprocedural counseling, and optimizing patient and partner satisfaction. The third segment compromises with the AUS including evaluating patient candidates, basic scrotal and perineal placement techniques, intraoperative and postoperative management of the patient and any complications which may develop.



A final chapter deals with the use of the AUS in women.

Autores

Coordinadores
  • John Mulcahy Clinical Professor of Urology. University of Alabama. Consultant in Urology-Tucson Veterans Administration Hospital, Tucson. Clinical Professor of Surgery (Urology).University of Arizona. Emeritus Professor of Urology at Indiana University. Society of Urologic Prosthetic Surgeons – Living Legends Award – 2019. Gold Cane Award from the American Urological Association for outstanding teaching and innovation in prosthetic urology – 2017. Elected to Honorary Membership in the American Urological Association – 2016.
  • Ignacio Moncada Iribarren Jefe de servicio de Urología. Hospital de La Zarzuela (Madrid). Miembro del staff del servicio de Urología, responsable de la unidad de Andrología. Hospital Ruber Internacional (Madrid). Director del Instituto de Cirugía Robótica de Madrid. Presidente de la Asociación Española para la Salud Sexual (AESS). Profesor asociado de Urología en la Universidad Francisco de Vitoria. Miembro del Comité de Guidelines de la Asociación Europea de Urologia (EAU). Miembro del Faculty de la European School of Urology (ESU). Secretario General de la Asociación Española de Andrología (ASESA). Asesor Científico de la Agencia Europea y Española del Medicamento (EMA).
  • Foto del autor Enrique Lledó García
  • Juan Ignacio Martínez Salamanca Facultativo especialista de área de urología. Hospital Universitario Puerta de Hierro (Madrid). Doctorado en Medicina y Cirugía con Mención Europea y Premio Extraordinario, Universidad Autónoma de Madrid. Coordinador Nacional del Grupo Uro-Andrológico de la Asociación Española de Urología (AEU). Profesor colaborador docente en la Universidad Autónoma de Madrid.

Índice de Contenidos

<strong>SECTION I General Contents</strong>

<strong>CHAPTER 1 The History of the Penile Prostheses</strong>
<ul><li>First descriptions and management of erectile dysfunction</li>
<li>Initial attempts at penile prosthesis for the treatment of ED</li>
<li>1974 to Today</li>
<li>Current considerations and new directions</li></ul>

<strong>CHAPTER 2 Historical Aspects of the Artificial Urinary Sphincter</strong>
<ul><li>Early Devices</li>
<li>Evolution of the American Medical Systems (AMS) devices</li>
<li>AMS 800</li></ul>

<strong>CHAPTER 3 Functional and Surgical Anatomy in Erectile Dysfunction Restoration Surgery</strong>
<ul><li>Smooth Muscle Anatomy</li>
<li>Tunical anatomy</li>
<li>Neuroanatomy</li>
<li>Vascular anatomy</li>
<li>Space of Retzius Anatomy</li>
<li>Extraperitoneal anatomy</li>
<li>Glans</li>
<li>Other Anatomical Considerations</li></ul>

<strong>CHAPTER 4 Functional and Surgical Anatomy in Male and Female Incontinence Surgery</strong>
<ul><li>General concepts of stress urinary incontinence</li>
<li>Female anatomy</li>
<li>Male anatomy</li></ul>

<strong>CHAPTER 5 Logistics and operating room material for penile prosthesis implant</strong>
<ul><li>Introduction</li>
<li>Patient selection</li>
<li>Surgical logistics</li></ul>

<strong>CHAPTER 6 How to set up a prosthetic urology centre</strong>
<ul><li>Introduction</li>
<li>The unconditional advantage of a dedicated team</li>
<li>Pre‑ and post‑operative involvement of dedicated nurses</li>
<li>The next step: growing and teaching</li>
<li>Conclusions</li></ul>

<strong>SECTION II Erectile Restoration (Inflatable Penil Prosthesis Placement-IPP Placement)</strong>

<strong>CHAPTER 7 Preoperative Assessment (Standard and Troubleshooting)</strong>
<ul><li>Penile Prostheses</li>
<li>Informed Consent</li>
<li>Medical Clearance</li>
<li>Patient Personal Preparation</li>
<li>Skin Preparation</li>
<li>Antibiotics</li>
<li>MRI, Metal Detectors</li></ul>

<strong>CHAPTER 8 Basic Scrotal/Infrapubic Techniques</strong>
<ul><li>Anaesthesia</li>
<li>Penoscrotal vs. Infrapubic Approach</li>
<li>The Penoscrotal (PS) Approach</li>
<li>The Infrapubic (IP) Approach</li>
<li>Salient Features of Each Approach</li></ul>

<strong>CHAPTER 9 Intraoperative Management I (Standard and Troubleshooting)</strong>
<ul><li>Antibiotic Use</li>
<li>Foley Catheter Placement</li>
<li>Incisions and Retractors</li>
<li>Corporal Dilation and Implant Placement</li>
<li>Cylinder Choice</li>
<li>Cylinder Sizing</li>
<li>Ambicor‑Rod Width Sizing</li>
<li>Cylinder Placement</li>
<li>Corporotomy Closure</li>
<li>PTFE Sleeve</li></ul>

<strong>CHAPTER 10 Intraoperative Management II (Standard and Troubleshooting)</strong>
<ul><li>Reservoir Placement</li>
<li>Iliac Vessel Injury</li>
<li>Bladder Injury</li>
<li>Pump Placement </li>
<li>Routing of Tubing</li>
<li>Tubing Length (Inadequate or Redundant)</li>
<li>se of Drains</li>
<li>Simultaneous Surgery</li>
<li>Skin Closure‑Wound Dressing</li>
<li>Semi‑inflation of an IPP</li>
<li>Special Considerations</li></ul>

<strong>CHAPTER 11 Postoperative Considerations I (Standard and Troubleshooting)</strong>
<ul><li>Antibiotics</li>
<li>Penile Positioning</li>
<li>Corporotomy Disruption</li>
<li>Cylinder Aneurysm</li>
<li>Impending Cylinder Erosion (Laterally or into the Urethra)</li>
<li>Cylinder Erosion (Laterally or into the Urethra)</li>
<li>Reservoir Erosion into the Bowel or Bladder</li>
<li>Impending Pump or Tubing Erosion</li>
<li>Disrupted Outer Silicone Layer</li>
<li>Presence of Calcified Matrix (Putty) or Calcified Biofilm</li>
<li>Scar Incased in PTFE Sleeve</li>
<li>Tubing Kink</li>
<li>Connector Failure</li>
<li>Approach to Repair of an Uninfected Implant</li></ul>

<strong>CHAPTER 12 Postoperative Considerations II (Standard and Troubleshooting)</strong>
<ul><li>Penile Necrosis</li>
<li>Infection</li>
<li>Bleeding </li>
<li>Pain</li></ul>

<strong>CHAPTER 13 IPP & Corporal Fibrosis</strong>
<ul><li>Introduction</li>
<li>Etiology of corporal fibrosis</li>
<li>Surgical strategies in fibrosis</li>
<li>Other strategies for fibrosis</li>
<li>Does length matter? Strategies to maximize it</li></ul>

<strong>CHAPTER 14 IPP and Peyronie's Disease 169</strong>
<ul><li>Introduction</li>
<li>Specific Features of Prosthetic Surgery in Peyronie's Disease</li>
<li>Surgical Algorithm</li>
<li>Residual Curvature Correction after Penile Prosthesis Implantation</li>
<li>Lengthening Procedures in Peyronie’s Disease</li>
<li>Complications Related to Penile Prosthesis in the Peyronie’s Population</li>
<li>Postoperative Rehabilitation</li>
<li>Satisfaction Outcomes after Penile Prosthesis in Peyronie’s Population</li></ul>

<strong>CHAPTER 15 Re‑do Penile Prosthesis Implantation for Mechanical Failure</strong>
<ul><li>Epidemiology</li>
<li>Causes of Penile Prosthesis Failure</li>
<li>Imaging</li>
<li>Tips and Tricks in Re‑do Penile Implant Surgery for Mechanical Failure</li></ul>

<strong>CHAPTER 16 Penile Implants and Priapism</strong>
<ul><li>Clinical Features of Priapism </li>
<li>Treatment</li>
<li>Immediate Penile Prosthesis Placement </li>
<li>Penile Prosthesis with Severe Corporal Fibrosis</li></ul>

<strong>CHAPTER 17 IPP in neophallus</strong>
<ul><li>Wai Gin Lee, Nim Christopher and David Ralph History</li>
<li>Use of Prosthetic Implants in the Neophallus</li>
<li>Principles of Penile Prosthesis Insertion in the Neophallus</li>
<li>Preoperative Considerations</li>
<li>Operative / Intra‑Op</li>
<li>Postoperative Care</li>
<li>Functional Outcomes</li>
<li>Complications</li>
<li>Device Survival</li>
<li>Explantation for Infection or Erosion</li>
<li>Revision Surgery</li></ul>

<strong>CHAPTER 18 Building an IPP Practice & Peri‑Procedural Counseling to Optimize Patient Satisfaction</strong>
<ul><li>Building an IPP Practice</li>
<li>Peri‑Procedural Counseling to Optimize Patient Satisfaction</li>
<li>Final Thoughts on Optimizing a High‑Volume IPP Clinic from Dr. Köhler</li>
<li>Final Thoughts on Optimizing a High‑Volume IPP Clinic from Dr. Wilson</li></ul>

<strong>SECTION III Urinary Incontinence: Artificial Urinary Sphincter (AUS) and Sling</strong>

<strong>CHAPTER 19 Urinary Incontinence (AUS). Preoperative Assessment (Standard and Troubleshooting)</strong>
<ul><li>Initial Evaluation</li>
<li>Challenging Situations</li>
<li>Revision Surgery</li></ul>

<strong>CHAPTER 20 Basic Perineal & Scrotal Techniques</strong>
<ul><li>Anatomy</li>
<li>Basics</li>
<li>Surgical Procedure</li>
<li>Comparison of the Different Approaches</li></ul>

<strong>CHAPTER 21 AMS 800 Prosthesis ‑ Intraoperative Management</strong>
<ul><li>Antibiotics</li>
<li>Foley Catheter</li>
<li>Incisions – Retractors</li>
<li>Double versus Single Cuff</li>
<li>Cuff Sites</li>
<li>Measuring for Cuff Sizing</li>
<li>Urethral Dissection</li>
<li>Urethral Injury</li>
<li>Transcorporal (TC) Cuff with or without Penile Implant</li>
<li>Urethral Wrap</li>
<li>Hydraulic Testing</li>
<li>Choice of Reservoir Pressure</li>
<li>Reservoir Placement – Inguinal, Midline, Ectopic</li>
<li>Reservoir Filling – Technique, Volume</li>
<li>Pump Placement</li>
<li>Routing of Tubing</li>
<li>Wound Closure – Dressing</li>
<li>Urethral Catheter Removal</li></ul>

<strong>CHAPTER 22 Artificial Urinary Sphincter (AUS) Postoperative Considerations (Standard and Troubleshooting)</strong>
<ul><li>Initial Deactivation (6 – 8 Weeks)</li>
<li>Antibiotics</li>
<li>Urinary Retention</li>
<li>Wound Separation</li>
<li>Early Device Infection</li>
<li>Subsequent Post‑Operative Period</li>
<li>Late Complications</li>
<li>Risk Factors</li>
<li>Device Information Card and Medic Alert</li>
<li>Management of Situations after Recovery is Complet</li>
<li>Other Conditions that Complicate Artificial Sphincter Use and Longevity </li>
<li>Concern about the Pressure‑Regulating Balloon Location</li></ul>

<strong>CHAPTER 23 Artificial Urinary Sphincters (AMS 800®, Boston Scientific, MA, USA) in Women</strong>
<ul><li>History of the Prosthesis and its Use in Women</li>
<li>Indication and Counterindications </li>
<li>The AMS 800® Device in Neurogenic Patients</li>
<li>Surgical Procedure</li>
<li>Results</li></ul>

Público al que va dirigido

Its intended audience are urologists who are interested in the surgical management of erectile dysfunction with penile prostheses (PP) and/or the management of stress urinary incontinence using bladder outflow resistance created by the artificial urinary sphincter (AUS).

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