ArticleSexual medicine2014
Suprapubic cystostomy for the management of urethral injuries during penile prosthesis implantation.
Article in Sexual medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 25 citations in OpenAlex.
- Synchronous management of urethral stricture disease and penile prosthesis implantation: a case series.International journal of impotence research · 2025Article
- Postoperative complication severity prediction in penile prosthesis implantation: a machine learning-based predictive modeling study.International journal of impotence research · 2025Article
- Penile prosthesis implantation: a bibliometric-based visualization study.International journal of impotence research · 2025Article
- Bulbar urethrocavernous fistula in setting of inflatable penile prosthesis: a case report.BMC urology · 2021Article
- Current Status for Semirigid Penile Prosthetic Devices.Current urology reports · 2021Review
- Penile implant surgery-managing complications.Faculty reviews · 2021Review
- Damage Control Considerations During IPP Surgery.Current urology reports · 2019Review
- Preoperative counseling and expectation management for inflatable penile prosthesis implantation.Translational andrology and urology · 2017Review
- 30-day adverse event rates following penile prosthesis surgery: an American College of Surgeons National Surgical Quality Improvement Program based evaluation.Translational andrology and urology · 2017Article
- A practical overview of considerations for penile prosthesis placement.Nature reviews. Urology · 2016Review
- Management of residual penile curvature after penile prosthesis placement.Asian journal of andrologyReview
- An update on the best approaches to prevent complications in penile prosthesis recipients.Therapeutic advances in urologyReview
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionUrethral injury is an uncommon surgical complication of penile prosthesis (PP) surgery. Conventional dogma requires abortion of the procedure if the adjacent corporal body is involved or delayed implantation to avert device infection associated with urinary extravasation. Besides the setback of the aborted surgery, this management approach also presents the possible difficulty of encountering corporal fibrosis at the time of reoperation.
aimWe report an approach using primary urethral repair and temporary suprapubic cystostomy for the management of incidental urethral injuries in a cohort of patients allowing for successful completion of unaborted PP implantation. MATERIALS AND
methodsWe performed a retrospective analysis of all patients receiving PPs from 1990 to 2014 in which incidental urethral injuries were repaired and PP implantation was completed with suprapubic cystostomy (suprapubic tube [SPT] insertion). After allowing for urethral healing and urinary diversion via SPT for 4-8 weeks, the PP was activated.
main outcome measuresSuccessful management was determined by the absence of perioperative complications within 6 months of implantation.
resultsWe identified four cases, all receiving inflatable PPs, managed with temporary suprapubic cystostomy. These patients sustained urethral injuries during corporal dissection (one patient), corporal dilation (one patient), and penile straightening (two patients). All patients were managed safely and successfully.
conclusionPrimary urethral repair followed by temporary suprapubic cystostomy offers a surgical approach to complete PP implantation successfully in patients who sustain urethral injury complications, particularly for complex PP surgeries. Anele UA, Le BV, and Burnett AL. Suprapubic cystostomy for the management of urethral injuries during penile prosthesis implantation.
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