|کد مقاله||کد نشریه||سال انتشار||مقاله انگلیسی||ترجمه فارسی||نسخه تمام متن|
|5690359||1410035||2017||5 صفحه PDF||ندارد||دانلود کنید|
ObjectiveTo report our initial experience with oxidized regenerated cellulose (ORC; Surgicel Fibrillar) as a hemostatic adjunct during inflatable penile prosthesis (IPP) surgery.Materials and MethodsBeginning in April 2016, ORC pledgets were placed within the corporotomy closures of all men undergoing IPP insertion. Perioperative characteristics and outcomes including cumulative postoperative drain output were evaluated among consecutive cases with (April 2016 to October 2016) and without ORC (December 2015 to March 2016) using an identical surgical technique by a single surgeon.ResultsDuring the study period, 64 men underwent IPP implantation, of whom 32 (50%) received ORC. There was a significant reduction in median drain output relative to controls (33âmL vs 65âmL; Pâ=â.01). Postoperatively, ORC use was associated with a reduction in the number of patient phone calls for scrotal-related concerns in the immediate postoperative period (average 0.5 vs 1.1; Pâ=â.03). There were 3 IPP explantations in the non-ORC group (2/3 for infection)âone of which was directly related to an infected hematoma. After controlling for other clinical features, the use of ORC (Î² â32, 95% confidence interval: â61 to â5; Pâ=â.02) was independently associated with a reduction in drain output.ConclusionORC use during IPP corporotomy closure reduces postoperative drain output, a known risk factor for hematoma-related complications.
Journal: Urology - Volume 108, October 2017, Pages 190-194