title: [Urethral injuries secondary to implantation of penile prosthesis. Analysis of the causes, prevention and treatment].
abstract: Urethral injuries due to penile prosthesis implant represent a rare complication of the intervention to position penile prosthesis, but unfortunately scientific literature about this is poor. This rare complication may occur during surgery and in the postoperative period, both early and late. It recognizes a variety of causes that may include anatomical or functional conditions, for example cavernosal fibrosis or outcomes of inflammations or previous urethral lesions and pathological sensibility due to diabetic neuropathy or other forms of neuropathy including those from spinal cord injury or myelopathy. This review evaluates the possible predisposing conditions, the clinical presentations, and the devices in the surgical procedures to use to minimize the risk of onset of this lesions and the measures to take if they occur.
authors.affiliation: 1 Urologia Universitaria II, Azienda Ospedaliera Policlinico, Bari - Italy.
authors.forename: Antonio
authors.initials: A
authors.lastname: Vitarelli
authors.forename: Lucia
authors.initials: L
authors.lastname: Divenuto
authors.forename: Enzo
authors.initials: E
authors.lastname: Palminteri
authors.forename: Giovanni
authors.initials: G
authors.lastname: Lorusso
authors.forename: Arcangelo
authors.initials: A
authors.lastname: Pagliarulo
mesh_terms: D048909:Diabetes Complications; D004106:Dilatation / Q000009:adverse effects / Q000295:instrumentation; D005402:Fistula / Q000209:etiology / Q000601:surgery; D017276:Friction; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology* / Q000517:prevention & control; D022125:Lacerations / Q000209:etiology; D008297:Male; D010409:Penile Diseases / Q000209:etiology / Q000601:surgery; D019935:Penile Implantation / Q000009:adverse effects*; D015917:Penile Prosthesis / Q000009:adverse effects*; D011183:Postoperative Complications / Q000209:etiology* / Q000517:prevention & control; D012307:Risk Factors; D013314:Stress, Mechanical; D014521:Urethra / Q000293:injuries* / Q000601:surgery; D014522:Urethral Diseases / Q000209:etiology / Q000601:surgery; D014547:Urinary Diversion; D014548:Urinary Fistula / Q000209:etiology / Q000601:surgery; D014947:Wounds and Injuries / Q000517:prevention & control / Q000601:surgery