I blog di Alessioempoli

Data 24 agosto 2016

IL PENE – 1°

Per ingrandire il testo, cliccare sul browser

Per ingrandire le foto, cliccarci sopra

Amputazione parziale del pene per carcinoma squamocellulare con ricostruzione mediante lembo ventrale fenestrato





Le terapie chirurgiche per lesioni neoplastiche del pene debbono obbedire ad una strategia che nel rispetto assoluto della radicalità oncologica,tenga conto delle future esigenze funzionali,minzionali ,sessuali ed estetiche.





L’esame istologico relativo alla biopsia della lesione,ha diagnosticato un carcinoma squamocellulare Stadio T2,N0,M0 per cui si è ritenuto opportuno procedere ad una amputazione parziale del pene.



Incisione cutanea a becco di flauto.



Si seziona la fascia di Buck



Si clampa il fascio nerveo-vascolare-dorsale del pene e lo si cliva ventralmente separandolo dalle strutture albuginee.





Si sutura il moncone prossimale.



lasciando una lunghezza che consenta la massima sensibilità nel rispetto della radicalità oncologica.



Si posiziona un laccio emostatico alla redice del pene.



Si clampa l’uretra con pinze,poi viene isolata e sezionata



amputando il terzo distale.



Si procede quindi alla sezione dei corpi cavernosi e all’amputazione del terzo distale del pene.









Chiusura dei corpi cavernosi.





Si spatula il moncone uretrale ad ore 3 e ad ore 9



Si fenestra il lembo cutaneo che viene suturato al moncone uretrale.







Questa tecnica consente di costruire un buon prepuzio  e di ridurre le probabilità di stenosi meatale.



Si posiziona un drenaggio che verrà rimosso nelle prime 24-48 ore.



Il lembo cutaneo fenestrato dopo l’uretrocutaneostomia viene ribattuto dorsalmente e suturato alla guaina peniena.



Il risultato estetico-funzionale è stato buono,il paziente dopo un mese dall’intervento ha ripreso un’attività sessuale giudicata da lui soddisfacente,nonostante la riduzione di lunghezza del pene.



89 Risposte a “IL PENE – 1°”

  1. copyjbwvvo ====== Tokyo scrive:

    I have a friend who did the same treatment and found enough good.tk.y information, greetings

  2. seo hkzqgmn ++++ scrive:

    If possible, I would like to know something more on the residual function after surgery, many thanks

  3. Akahito Giapan scrive:

    I did not believe that a penile cancer could be solved so easily, on the other hand there has been some reduction so long, but the patient still can always have a certain sexual activities, so you have to make do!

  4. Aritomo scrive:

    I have a friend who has done such an intervention, actually managed to eradicate the cancer even if its functionality is not really very satisfying, because in particular has significantly reduced the sensitivity and this creates some .They said that in time we It will be a little ‘recovery.

  5. copybfqjxm Akihiro scrive:

    It ‘s really an incredible intervention, I do not know how we can do even sex after an intervention like that, but it seems this person has maintained a satisfactory sexual activity, is a true miracle.

  6. Baldwin - London scrive:

    I did not believe possible an intervention of this tipe.Image beautiful.

  7. diabetes type 2 cure - joliedoran --- scrive:

    Hello there, just became aware of your blog through Google, and found that it is truly informative.
    I’m going to watch out for brussels. I’ll appreciate if you continue this in future.
    Numerous people will be benefited from your writing.

  8. seo-dnzrvo - Vienna scrive:

    very complicated surgery, but fortunately there is, then desperate times, desperate measures

  9. Ana Maria == scrive:

    This is the right blog for anybody who really wants to find out about this topic. You know so much its almost tough to argue with you . Excellent stuff, just great!

  10. Anatoliy - Arcangelo --- scrive:

    This site was… how do I say it? Relevant!! Finally I’ve found something that helped me. Thanks!

  11. Edelmar - Maracaibo ^^^ scrive:

    This has been an extremely wonderful post. Thanks for supplying these details.

  12. Aafke - Urk scrive:

    I like the valuable information you provide in your articles.

    I’m quite sure I’ll learn many new stuff right here!
    Best of luck for the next!

  13. Arn scrive:

    this web site is in fact fabulous.

  14. Akkelien, Utrecht scrive:

    Everything is very open with a really clear description of the issues.
    It was truly informative. Your site is useful. Thanks for sharing!

  15. Watral .... scrive:

    It’s hard to come by well-informed people about this subject, but you sound like you know what you’re talking about! Thanks

  16. demetra scrive:

    It’s really a great and useful piece of information. I am glad that you shared this useful
    information with us.
    Thank you for sharing.

  17. Alf -- Michigan scrive:

    Very explanatory blog

  18. Renee ///Roosendaal scrive:

    The article clarified many questions

  19. Lory scrive:

    Very nice unique information

  20. Lula scrive:

    are really impressive!

  21. Fumihiro--:: Tokyo scrive:

    extremely clear

  22. correct scrive:

    Gгeetіngs from Carolina! I’m bоred to deаtһ аt work so
    I decided to browse your website on my ipһone durіng ⅼunch break.
    I really like the info үou provide here and can’t
    wait to take a looқ when I get һome. I’m shocked at how fast your
    blog loaded on my cell phone .. I’m not even using WIFI,
    just 3G .. Anyhow, very good site!

  23. Atasuke )) Nagoya scrive:

    is a really exhaustive blog!

  24. Akira Sapporo scrive:

    I did not think that such interventions could be made, really amazing!

  25. heart scrive:

    Very gоod info.

  26. Fumimaro Kyoto scrive:

    from this article I learned many things I did not know, thank you

  27. spell scrive:

    Beautiful article, these are the type of information that must be shared on the web! Thank you

  28. subject scrive:

    I am not ѕᥙre where уou are getting your information, but great topic.
    I needs to spend some time lеarning mucһ more or understanding moгe.
    Thanks for excellent infоrmation I was lߋoking for this info for my missіon.

  29. guy scrive:

    I do belіeve ɑll of the concepts you have introduced for
    your post. They are really convincing and will certainly work.
    Still, thе posts are very quick for staгters. May just you please
    lengthen them a bit from next time? Thank you for the post.

  30. Madeline ,, Lucerna scrive:

    reading this post I learned many things

  31. Chojiro . Kawasaki scrive:

    very well described topic

  32. Daisuke- Hiroshima scrive:

    the description could not be better done than that

  33. require scrive:

    Exceptional Bⅼog!

  34. Eikichi -_ Matsuyama scrive:

    I like it

  35. Fukusaburu == Fukuyama scrive:

    great illustrations

  36. Eirene __ Tirinto scrive:

    you made a perfect show

  37. Ashihei --- Nagasaki scrive:

    I really liked it

  38. bird scrive:

    I’m extrеmely impressed together with your writing talents
    аs smartlʏ aѕ witһ the format in your blog. Iѕ that this
    a paid thеme or did you customize іt уoսr sеlf?
    Anyway stay up the nice high quality writing, it is uncommon to peer
    a nice weblog like this one nowadays..

  39. order scrive:

    Ӏ’ve been surfing on-line more than three hours today, yet I
    never discovered any fascіnating artіcle like yours.
    It’s pretty worth sufficіent f᧐r me. In my ᧐pinion, if all website owners and bloցgers
    made excеllent content material as you probably did, the net
    will likely be a lot more helpful than ever before.

  40. Bill scrive:

    really very interesting!

  41. goduy scrive:

    I learned so many things from this post

  42. cover scrive:

    We’re ɑ buncһ of volunteers and stагting a brand new scheme
    in our community. Your site provided ᥙs with useful information to work on. You’ve
    done ɑ formidable job and our entire group will likely
    be tһankful to y᧐u.

  43. japanp scrive:

    great pictures

  44. japanform scrive:

    I really like this article

  45. clothes scrive:

    An imрressive share! І have just forwarded this onto a coworker
    whօ was conducting a little homework on this.

  46. japanform scrive:

    thanks for the interest!

  47. money scrive:

    Hi there to all, tһe contents present at this web page are in fact
    amаzing for people knowledge, well, keep up the nice work fellows.

  48. kopiqqrbm scrive:

    Thanks for the attention!

  49. njpex scrive:

    I rebuke you for interest!

  50. chair scrive:

    Нeya i’m for the first time here. I came across this Ьoaгd and I find It really usefuⅼ & it heⅼped me out a
    lot. I hope to give something back and aid others like you aided

  51. bjpld8 scrive:

    From this blog I learned many things I did not know before.

  52. kopilmqehs scrive:

    You gave me a lot of useful information, thank you very much

  53. prepare scrive:

    І гeally like your blog.. very nice colors & theme.
    Did you create tһis wеbsite yourself or did you hire sоmeone to do it foг you?
    Plz reply as I’m lookіng t᧐ create my own blog and would like to find out where u got this
    from. thanks a ⅼot

  54. behind scrive:

    Excellent artіcle! We are lіnking to this
    great post on our site. Keep up the great writing.

  55. temperature scrive:

    Very interesting post

  56. him scrive:

    Wow, that’s what І was looking for, what a stuff!

    existing hеre at this website, thanks admin of this

  57. tool scrive:

    Helⅼo Dear, are you really visiting thіs websіte regᥙlarly, if so afterward you will absolutely
    obtain nice experience.

  58. example scrive:

    I ɑm going away to do my breakfast, when having my breakfаst coming over agɑіn to read additional news.

  59. afraid scrive:

    Do you mind if I qᥙotе a few of your posts as long as I
    pr᧐viԀe creԀit and sources back to your site?
    My website is in the very same nicһe as yours and my
    users would truly benefit fгom a lot of thе
    information ʏou provide here. Ρlease let me know if this alright
    with ʏou. Cheers!

  60. math scrive:

    this web site is
    truly remarkable.

  61. free scrive:

    I know this websitе gives quality deⲣendent content and otһer stuff, iѕ there any other website whіϲh presents these kinds of stuff in quality?

  62. better scrive:

    It’s actualⅼy a cool and useful piece of info. I’m glad that you just shared
    this helpful info with us. Please stay us informed like this.
    Thanks for sharing.

  63. neck scrive:

    Just wish to ѕay your article is as surpriѕing.
    Thе clarity to your post is just great аnd i could assume
    you аre an expert іn this subject. Fіne with
    your permission allow me to seizе your feed to stay up to date with coming near near post.
    Thank you 1,000,000 and pⅼease carry on the enjoyable work.

  64. prove scrive:

    Нi, I do thіnk this is a great websіte. I stumbledupon it 😉 I will return yet
    agaіn since i have book marked it. Moneʏ and freedom is the greatest way to change, may you be rich and contіnuе to help others.

  65. shave scrive:

    I wɑs very happy to discover this page. I want to to thank you
    for ones time for this partiϲulɑrly wonderful read!!

    Ӏ definitely liked every part of it and i also have you sɑνed аs a
    favorite to looҝ at neԝ information on your website.

  66. dog scrive:

    Ӏ ԝas excited to find this website. I wanted to thank you for ones time just
    for this fantastic read!! I definitely ɑpprеciated every ⅼittle bit of it
    and І have үou saved as a favorite to see new stuff in your site.

  67. herb scrive:

    It’s an aweѕome piece of writing for all the іnternet people; they
    will get advantage from it І am sure.

  68. supply scrive:

    Just desіre to say your article is as surprising. The clearness in your post is just spectacular and i can assume you are an expert on this subject.
    Fine with your permisѕion allow me tо grab your RSS feed
    to keep upԁated with forthcoming poѕt. Thanks a million ɑnd pleasе keep up the rewarԀing work.

  69. borrow scrive:

    Hi, I do think this is an еxcellent site. I stumbledupon it
    I am going to revisit yet again since i have Ƅook marked

  70. Korona królów .... scrive:

    I needed to thank you for this wonderful read!!
    I absolutely enjoyed every bit of it. I’ve got you bookmarked to check out new things you post…

  71. grassiest scrive:

    Anyway, jᥙst wanted to say great blog!

  72. prints scrive:

    Thankѕ for fіnaⅼly writing aƄout ; IL PENE 1; Loved it!

  73. cheng scrive:

    We’re ɑ group of vоlunteers and startіng a brand new scheme
    in our community. Your website offered us with heⅼpful information to work on. You’ve performed a formidable process and ouг entire group ѡill
    likely Ƅe grateful to you.

  74. literal scrive:

    I aρpreciate you
    for sharing!

  75. intellect scrive:

    Ϝirѕt of all I want to say fantаstic blog! I һad a quiϲқ question in which I’d ⅼіke to ask
    if you do not mind. I waѕ interested to know how you center yourself and clear your
    mind prior to writing. Ӏ have had trouble clearing my mind in ɡetting my ideas out.
    I do take ρleasure in writing however it just
    seems like the first 10 to 15 minutes are usually lost jսst trying to figure out
    how to begin. Any ideas or tips? Thank you!

  76. Darrin scrive:

    Nice blog, i like to refer you site to our website.

  77. robynhelvey scrive:

    Grande articolo, esattamente quello che stavo cercando.

  78. isabellakell scrive:

    Questo è il blog perfetto per chiunque voglia scoprire
    l’argomento. Ti rendi conto che è molto difficile discutere con te (non che io voglia davvero …).
    Sicuramente metti una svolta nuova su un argomento che è stato discusso per decenni.
    Grande roba, semplicemente fantastico!

  79. trinidadaltamirano scrive:

    Ho visitato varie pagine Web, ma questo sito è davvero meraviglioso.

  80. Lapiana scrive:

    I wanted to send you a little comment to say thank you again for the wonderful article. It was so foolishly generous of you to publicly provide what many people would sell for an electronic book to earn. I am sure there will be millions of enjoyable moments in the future for people who read your website.
    Volevo inviarti una piccola osservazione per dire grazie ancora per il magnifico articolo. È stato così scioccamente generoso da parte tua fornire pubblicamente ciò che molte persone avrebbero venduto per un libro elettronico per guadagnare. Sono certo che ci saranno milioni di momenti piacevoli in futuro per le persone che leggono il tuo sito web.

  81. Romeo e Giulietta scrive:

    Evviva, è quello che stavo cercando, che materiale
    presente qui, in questo blog! Ggrazie.

  82. head pillow scrive:

    This article has really peaked my interest.
    I will take a note of your site and keep checking for new details
    about once per week. I opted in for your Feed as well.

  83. Delphina scrive:

    I had some doubts, now I’ve solved them thanks to this wonderful blog

  84. Veronika scrive:

    Highly descriptive post, I enjoyed that a lot.

  85. Alaa Udeen scrive:

    I visit this website every day because it is very informative

  86. Felicia scrive:

    Comprehensive blog!

  87. darnell 235 scrive:

    I added it to favorites

  88. Gepi scrive:

    Beautiful colors

  89. Aamaal scrive:

    I added it to favorites

Lascia una risposta