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[Complications and management for penile augmentation with acellular dermal matrix].
Beijing Da Xue Xue Bao Yi Xue Ban 2019; 51(4):636-640BD

Abstract

OBJECTIVE

To investigate and analyze the complications of penile augmentation with acellular dermal matrix (ADM) and following management.

METHODS

This was a retrospective review of all patients who received penile augmentation with ADM between June 2016 and January 2019. The patients were evaluated with outpatient physical examination. Related complications and following management were summarized and analyzed.

RESULTS

Between June 2016 and January 2019, ADM was used as filling material on 78 patients (mean age: 31.14 years, range: 21-66 years), who were successfully received penile augmentation surgery. In the follow-up three months, the penile circumference was increased by 1.1 cm (0.5-2.1 cm) on average. The mean follow-up time was 12.20 months. In this study, there were 47 (60.26%, 47/78) patients with erectile discomfort, 91.49% (43/47) of whom manifested as erectile traction. There were 12 (15.38%, 12/78) patients with delayed healing, improved by daily regular dressing change. There were 10 (12.82%, 10/78) patients with unobvious augmentation effect. There were 9 (11.54%, 9/78) patients with stamp-like changes of ADM. There were 8 (10.26%, 8/78) patients with wound hematoma and 7 (8.97%, 7/78) patients with foreskin edema, relieved by compression with wrap. There were 4 (5.13%, 4/78) patients with wound infection and 3 (3.85%, 3/78) patients with skin necrosis of the dorsal side, which could be treated with ADM removal and repair surgery with bipedicle scrotal flap. And there were 2 (2.56%, 2/78) patients suffering psychological influence. Finally, most patients with various complications recovered successfully, however 7 patients (8.97%, 7/78) underwent ADM removal surgery.

CONCLUSION

Using ADM as filling material could achieve positive effect in penile augmentation but the complications are common and cannot be neglected. Standardized surgical methods, rigorous postoperative care, and adequate notification with patients can effectively reduce the complications of penile augmentation with ADM. To treat properly and timely for complications can obtain satisfactory results.

Authors+Show Affiliations

Department of Urology, Peking University People's Hospital, Beijing 100044, China.Department of Urology, Peking University People's Hospital, Beijing 100044, China.Department of Urology, Peking University People's Hospital, Beijing 100044, China.Department of Urology, Peking University People's Hospital, Beijing 100044, China.Department of Urology, Peking University People's Hospital, Beijing 100044, China.Department of Urology, Peking University People's Hospital, Beijing 100044, China.

Pub Type(s)

Journal Article

Language

chi

PubMed ID

31420614

Citation

Xu, T M., et al. "[Complications and Management for Penile Augmentation With Acellular Dermal Matrix]." Beijing Da Xue Xue Bao. Yi Xue Ban = Journal of Peking University. Health Sciences, vol. 51, no. 4, 2019, pp. 636-640.
Xu TM, Zhang XW, Zhang GX, et al. [Complications and management for penile augmentation with acellular dermal matrix]. Beijing Da Xue Xue Bao. 2019;51(4):636-640.
Xu, T. M., Zhang, X. W., Zhang, G. X., Bai, W. J., Li, Q., & Xu, T. (2019). [Complications and management for penile augmentation with acellular dermal matrix]. Beijing Da Xue Xue Bao. Yi Xue Ban = Journal of Peking University. Health Sciences, 51(4), pp. 636-640. doi:10.19723/j.issn.1671-167X.2019.04.007.
Xu TM, et al. [Complications and Management for Penile Augmentation With Acellular Dermal Matrix]. Beijing Da Xue Xue Bao. 2019 Aug 18;51(4):636-640. PubMed PMID: 31420614.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Complications and management for penile augmentation with acellular dermal matrix]. AU - Xu,T M, AU - Zhang,X W, AU - Zhang,G X, AU - Bai,W J, AU - Li,Q, AU - Xu,T, PY - 2019/8/18/entrez PY - 2019/8/20/pubmed PY - 2019/8/23/medline SP - 636 EP - 640 JF - Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences JO - Beijing Da Xue Xue Bao VL - 51 IS - 4 N2 - OBJECTIVE: To investigate and analyze the complications of penile augmentation with acellular dermal matrix (ADM) and following management. METHODS: This was a retrospective review of all patients who received penile augmentation with ADM between June 2016 and January 2019. The patients were evaluated with outpatient physical examination. Related complications and following management were summarized and analyzed. RESULTS: Between June 2016 and January 2019, ADM was used as filling material on 78 patients (mean age: 31.14 years, range: 21-66 years), who were successfully received penile augmentation surgery. In the follow-up three months, the penile circumference was increased by 1.1 cm (0.5-2.1 cm) on average. The mean follow-up time was 12.20 months. In this study, there were 47 (60.26%, 47/78) patients with erectile discomfort, 91.49% (43/47) of whom manifested as erectile traction. There were 12 (15.38%, 12/78) patients with delayed healing, improved by daily regular dressing change. There were 10 (12.82%, 10/78) patients with unobvious augmentation effect. There were 9 (11.54%, 9/78) patients with stamp-like changes of ADM. There were 8 (10.26%, 8/78) patients with wound hematoma and 7 (8.97%, 7/78) patients with foreskin edema, relieved by compression with wrap. There were 4 (5.13%, 4/78) patients with wound infection and 3 (3.85%, 3/78) patients with skin necrosis of the dorsal side, which could be treated with ADM removal and repair surgery with bipedicle scrotal flap. And there were 2 (2.56%, 2/78) patients suffering psychological influence. Finally, most patients with various complications recovered successfully, however 7 patients (8.97%, 7/78) underwent ADM removal surgery. CONCLUSION: Using ADM as filling material could achieve positive effect in penile augmentation but the complications are common and cannot be neglected. Standardized surgical methods, rigorous postoperative care, and adequate notification with patients can effectively reduce the complications of penile augmentation with ADM. To treat properly and timely for complications can obtain satisfactory results. SN - 1671-167X UR - https://www.unboundmedicine.com/medline/citation/31420614/[Complications_and_management_for_penile_augmentation_with_acellular_dermal_matrix] L2 - http://xuebao.bjmu.edu.cn/EN/Y2019/V51/I4/636 DB - PRIME DP - Unbound Medicine ER -