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Ces Urol 2016; 20(1): 48–56
ORIGINÁLNÍ PRÁCE
some kind
of medical condition impacting the ED
status, apart from PD. The duration of operation
ranged 85–129 min (median 98 min).
After a median follow-up period of 14 months
(range: 12–20 months), no rejection of the graft was
observed. Minor residual curvature (less than 15°)
that did not interfere with penetrative intercourse
was detected 3/6 months postoperatively in 2
patients. In almost all patients, the intraoperative
artificial erection showed a complete correction
of the penile curvature (except for one case, with
a minor 15° curvature persistence) (Fig. 2).
We have observed only one complication.
A late onset of hematoma in a patient that al‑
ready had a sufficient intercourse after the pri‑
mary procedure. He had noticed some small
hardening on the left lateral side of the penis
without any penile angulation (6 months post‑
operatively). Couple months thereafter, he came
with 45° unilateral deviation. A redo-surgery was
A
B*
B
C
Fig. 2.
Haematoma formationwith pseudomembrane (according to the final histology; red arrow) directly over
the pericard patch (A), what has led to the new plaque formation and uniplanar lateral deviation with hour glass
deformity. That is why, a new plaque incision with partial excision (because wider excision can potentially lead to
penile instability) (B/B* – urethra black arrow; incision line – white dashed arrow; lateral part of the neurovascular
bundle – blue dashed arrow; previously implanted bovine pericard patch – yellow arrow); followed by grafting
with pericard patch (C – white arrow, yellow arrow – previously implanted pericard graft)
Obr. 2.
Vzniknutý hematóm so pseudokapsulou (verifikovaný histologickýmvyšetrením; červená šípka) priamo
nad povrchom implatovaného perikardu (A), čo viedlo k novej formácii plaku a uniplanárnej laterálnej deviácii
s „hour-glass“ deformitou. Preto, bola vykonaná opätovná incízia a parciálna excízia plaku (nakoľko rozsiahlej-
šia, by mohla viesť k instabilite penisu) (B/B* – močová trubica- čierna šípka; miesto incízie – biela prerušovaná
šípka; laterálna časť neurovaskulárneho zväzku – modrá prerušovaná šípka; primárny implantát – žltá šípka);
s následnou implantáciou perikardu (C- biela šípka, žltá šípka – primárny implantát perikardu)