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Success of Penile Replantation Using Combination of Cialis, Hyperbaric Oxygen, and SPY Technology

Objective: There are very few studies reporting the techniques utilized in penile replantation. Of those in literature, many agree that the use of microvascular technique results in better outcomes. The most common complications are skin necrosis and venous congestion, which are even higher in repla...

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Autores principales: Lu, Karen B., Sanneic, Kyle, Stone, Jeffrey A., Morey, Allen, Amirlak, Bardia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Open Science Company, LLC 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6394109/
https://www.ncbi.nlm.nih.gov/pubmed/30842802
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author Lu, Karen B.
Sanneic, Kyle
Stone, Jeffrey A.
Morey, Allen
Amirlak, Bardia
author_facet Lu, Karen B.
Sanneic, Kyle
Stone, Jeffrey A.
Morey, Allen
Amirlak, Bardia
author_sort Lu, Karen B.
collection PubMed
description Objective: There are very few studies reporting the techniques utilized in penile replantation. Of those in literature, many agree that the use of microvascular technique results in better outcomes. The most common complications are skin necrosis and venous congestion, which are even higher in replants without arterial supply. Methods: This study describes a case of self-inflicted penile amputation treated with microsurgical replantation and managed postoperatively with hyperbaric oxygen therapy and Cialis (tadalafil), and SPY angiography. The penile replant had extensive skin necrosis, which prevented a sufficient clinical evaluation of the replanted penis. Serial SPY angiography was performed to assess tissue viability, following hyperbaric oxygen therapy and Cialis treatment. Results: SPY angiography was critical to the decision making of the operating team in the management of this case of penile replantation. Conclusions: The use of SPY angiography prevented the patient from undergoing revision amputation and allowed for a safe and successful penile replantation.
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spelling pubmed-63941092019-03-06 Success of Penile Replantation Using Combination of Cialis, Hyperbaric Oxygen, and SPY Technology Lu, Karen B. Sanneic, Kyle Stone, Jeffrey A. Morey, Allen Amirlak, Bardia Eplasty Case Report Objective: There are very few studies reporting the techniques utilized in penile replantation. Of those in literature, many agree that the use of microvascular technique results in better outcomes. The most common complications are skin necrosis and venous congestion, which are even higher in replants without arterial supply. Methods: This study describes a case of self-inflicted penile amputation treated with microsurgical replantation and managed postoperatively with hyperbaric oxygen therapy and Cialis (tadalafil), and SPY angiography. The penile replant had extensive skin necrosis, which prevented a sufficient clinical evaluation of the replanted penis. Serial SPY angiography was performed to assess tissue viability, following hyperbaric oxygen therapy and Cialis treatment. Results: SPY angiography was critical to the decision making of the operating team in the management of this case of penile replantation. Conclusions: The use of SPY angiography prevented the patient from undergoing revision amputation and allowed for a safe and successful penile replantation. Open Science Company, LLC 2019-02-05 /pmc/articles/PMC6394109/ /pubmed/30842802 Text en Copyright © 2019 The Author(s) http://creativecommons.org/licenses/by/2.0/ This is an open-access article whereby the authors retain copyright of the work. The article is distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Lu, Karen B.
Sanneic, Kyle
Stone, Jeffrey A.
Morey, Allen
Amirlak, Bardia
Success of Penile Replantation Using Combination of Cialis, Hyperbaric Oxygen, and SPY Technology
title Success of Penile Replantation Using Combination of Cialis, Hyperbaric Oxygen, and SPY Technology
title_full Success of Penile Replantation Using Combination of Cialis, Hyperbaric Oxygen, and SPY Technology
title_fullStr Success of Penile Replantation Using Combination of Cialis, Hyperbaric Oxygen, and SPY Technology
title_full_unstemmed Success of Penile Replantation Using Combination of Cialis, Hyperbaric Oxygen, and SPY Technology
title_short Success of Penile Replantation Using Combination of Cialis, Hyperbaric Oxygen, and SPY Technology
title_sort success of penile replantation using combination of cialis, hyperbaric oxygen, and spy technology
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6394109/
https://www.ncbi.nlm.nih.gov/pubmed/30842802
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