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- W2000569051 abstract "You have accessJournal of UrologySexual Function/Dysfunction/Andrology: Peyronie's Disease/Surgical Therapy II1 Apr 20101270 MAGNETIC RESONANCE IMAGING; A GUIDE TO ITS CLINICAL APPLICATION FOR EVALUATION OF PROBLEMATIC INFLATABLE PENILE PROSTHESES E. Frederick McPhail, Ajay Nehra, Akira Kawashima, Bernard King, Bryan Bruner, and Bohyun Kim E. Frederick McPhailE. Frederick McPhail More articles by this author , Ajay NehraAjay Nehra More articles by this author , Akira KawashimaAkira Kawashima More articles by this author , Bernard KingBernard King More articles by this author , Bryan BrunerBryan Bruner More articles by this author , and Bohyun KimBohyun Kim More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2010.02.828AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Patient satisfaction is high among patients who undergo placement of inflatable penile prostheses (IPP). In some patients, however, the device may function inadequately, not at all, or may be associated with postoperative anatomic abnormalities. Some postoperative complications are clinically apparent, but others are more equivocal. We aim to describe the use of radiologic imaging, particularly MRI, for anatomic localization and detection of prosthesis malrotation, angulation, displacement, and erosion in IPPs with equivocal clinical examination. METHODS We prospectively performed MRI by a defined protocol using transaxial T1-weighted, and transaxial, sagittal, and coronal fat-saturated fast spin-echo T2-weighted imaging in deflated and inflated states to evaluate patients seen at our referral center for IPP-related complaints. This was used in all cases as a supplement to clinical evaluation. With IRB approval, we retrospectively reviewed 32 MRI studies performed by this protocol between 2000-2008. RESULTS Of 32 cases, 75% (24/32) underwent surgical intervention. Of these, 45% (11/24) underwent device salvage procedures including cylinder revision in 33% (8/24), cylinder replacement in 8% (2/24), and pump replacement in 4% (1/24). MRI was most useful for determination of type of surgical approach in those with abnormal physical exam, and for justification of either surgical or expectant management in those with indeterminate physical exam. CONCLUSIONS We found that MRI is a valuable adjunct for evaluation of postoperative IPP-related complaints when clinical examination is equivocal as it detected a variety of prosthetic and corporal abnormalities and impacted management decisions regarding observation, replacement, or device salvage procedures. We provide technique, results, and an algorithm which can be beneficial for clinicians in the management of this complex subset of patients. Rochester, MN© 2010 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 183Issue 4SApril 2010Page: e491-e492 Advertisement Copyright & Permissions© 2010 by American Urological Association Education and Research, Inc.MetricsAuthor Information E. Frederick McPhail More articles by this author Ajay Nehra More articles by this author Akira Kawashima More articles by this author Bernard King More articles by this author Bryan Bruner More articles by this author Bohyun Kim More articles by this author Expand All Advertisement Advertisement PDF DownloadLoading ..." @default.
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- W2000569051 title "1270 MAGNETIC RESONANCE IMAGING; A GUIDE TO ITS CLINICAL APPLICATION FOR EVALUATION OF PROBLEMATIC INFLATABLE PENILE PROSTHESES" @default.
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