Surgical Treatment of Erectile Dysfunction

Şişirilebilir Penil Protezler
Inflatable Penile Prostheses
İbrahim Erkut AVCIa , Kerem TEKEb
aİzmit Seka Devlet Hastanesi, Üroloji Kliniği, Kocaeli, Türkiye
bKocaeli Üniversitesi Tıp Fakültesi, Üroloji ABD, Kocaeli, Türkiye
Avcı İE, Teke K. Şişirilebilir penil protezler. Çulha MM, editör. Erektil Disfonksiyonun Cerrahi Tedavisi. 1. Baskı. Ankara: Türkiye Klinikleri; 2023. p.27-35.
Article Language: TR
ÖZET
Şişirilebilir penil protez (ŞPP) ilk implantasyonu üzerinden tam 50 yıl geçmiştir. 1973 yılında Brantley Scott tarafından gerçekleştirilen ilk ŞPP implantasyonu, erektil disfonksiyonun (ED) tedavisinde devrim yaratmış; protez uygulamaları için ise bir dönüm noktası olmuştur. Bununla birlikte günümüze kadar tasarım, yapı materyali, cerrahi teknik ve perioperatif yönetimdeki yenilikler ile daha az komplikasyon oranı ve yüksek hasta memnuniyetinin olduğu daha dayanıklı ve güvenilir cihazlar geliştirilmiştir. Günümüzde ŞPP, yüksek hasta memnuniyeti ve uzun vadeli mükemmel sonuçlarla medikal tedavilere yanıtsız ED için altın standart olmaya devam etmektedir. Amerikan Medikal Sistemleri (AMS), sırasıyla 2010 ve 2018'de gizlenebilirliği iyileştirilmiş düz bir rezervuar ve optimize edilmiş tüp uzunluğu özelliklerine sahip protezleri piyasaya sürmüştür. Yine Coloplast tarafından, sırasıyla 2013 ve 2017'de tek dokunuşla söndürülebilen ve dar tabanlı silindirleri satışa çıkarılmıştır. Ayrıca bu şirket 2012 yılında silindirlerin yerleştirilmesini kolaylaştırmak için silindir ve tüp arasında 0 derece açılı yeni bir tasarıma sahip bağlantı ile insan anatomisini daha iyi taklit eden yumuşak kalıplı silindirleri tanıtmışlardır. Diğer yandan Zephyr firması, transeksüel hastalarda neofallusa özel olarak tasarlanmış 3-parçalı ŞPP üretimini gerçekleştirmiştir.

Anahtar Kelimeler: Penil protez implantasyonu; sertleşme bozukluğu; protez; penis; cerrahi işlem
ABSTRACT
It has been precisely 50 years since the first implantation of inflatable penile prosthesis (IPP). Brantley Scott's implantation of the first IPP in 1973, which revolutionized the treatment of erectile dysfunction (ED), marked a watershed moment for prosthetic applications. In addition, due to advancements in design, construction materials, surgical technique, and perioperative management, more durable and reliable devices with fewer complications and greater patient satisfaction have been developed. With high patient satisfaction and excellent long-term outcomes, IPPs remain the gold standard for treating ED when pharmacotherapy fails. American Medical Systems (AMS) introduced IPPs featuring a flat reservoir with improved concealability and optimized tube length in 2010 and 2018, respectively. Coloplast released the one-touch release pump in 2013 and the narrow-base cylinders in 2017, respectively. Also, in 2012, this company introduced a new zero-degree angle connection between the cylinder and the tube to facilitate the insertion of the cylinders, and softly molded cylinders that better mimic the human anatomy. On the other hand, Zephyr company has produced a 3-piece IPP specially designed for neophallus in transgender patients.

Keywords: Penile prosthesis implantation; erectile dysfunction; prosthesis; penile; surgical procedure

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