RESUMEN
The procedure described here consists of a myocutaneous axial flap with lateral pedicle. It uses the transverse part of the nasal muscle that goes forward in rotation and the lateral and superior portions of the flap in the V-Y. The procedure is useful for repairing losses of nasal tip and the surrounding area. It is a simple method that can be used to reconstruct the brim near the tip of the nose, yielding an aesthetically and functionally efficient nose.
Asunto(s)
Músculos Faciales/cirugía , Nariz/cirugía , Colgajos Quirúrgicos , HumanosRESUMEN
A total of 20 patients underwent penile prosthesis implantation while under local regional anesthesia with a pudendal nerve blockade at the perineum. The method is safe, performed as an outpatient procedure and showed no complication. It avoids the need to inject a local anesthetic intracorporeally, which is risky in elderly patients.
Asunto(s)
Procedimientos Quirúrgicos Ambulatorios , Anestesia Local , Disfunción Eréctil/cirugía , Lidocaína , Bloqueo Nervioso , Prótesis de Pene , Humanos , Masculino , Persona de Mediana EdadRESUMEN
Twenty-three patients with corpora cavernosa incompetence responsive to perineal compression were submitted to surgical exclusion of the crural ending of the corpora cavernosa. There were two mild complications: perineal hematoma and incisional pain for 10 days. At the end of the first month, 65% of the patients claimed better erections, and the late good results were 47.7%, with an average follow-up period of 18.9 months. Three of the failed cases were later submitted to a penile prosthesis implantation.
Asunto(s)
Disfunción Eréctil/cirugía , Pene/cirugía , Disfunción Eréctil/fisiopatología , Estudios de Seguimiento , Humanos , Masculino , Persona de Mediana Edad , Erección Peniana/fisiología , Periodo Posoperatorio , Factores de TiempoRESUMEN
Owing to the vasoconstrictive effect of nicotine, smoking may potentially interfere in the results of the drug-induced erection test for papaverine hydrochloride. To investigate the effect of smoking on this test, 12 patients between 22 and 65 years old underwent the following protocol: phase 1--intracavernous injection of 100 mg. papaverine hydrochloride with measurement of intracavernous pressure by puncture with a 19 caliber butterfly needle attached to an aneroid manometer and phase 2--1 week after the initial test the procedure was repeated after the patient smoked 2 cigarettes. In phase 1 all men obtained a full erection, compared to only 4 in phase 2. The average intracavernous pressures were 85.83 and 53.50 mm. Hg, respectively, in phases 1 and 2 (p less than 0.01). We conclude that cigarette smoking, probably through nicotine, interferes with the drug-induced erection test, which might explain some false negative results.