EFFECT OF EYE PROSTHESIS IMPLANTATION ON QUALITY OF LIFE AND PSYCHIATRIC ASPECTS IN PATIENTS WITH EVISCERATION

Abstract Background Mastoscopic surgery is proven to have lower incidence of postoperative complications and better postoperative recovery than traditional breast cancer surgery. This study aimed to examine the feasibility of mastoscopic modified radical mastectomy (MRM) with skin nipple-areola preservation under air cavity-free suspension hook and stage I silicone prosthesis implantation (SMALND) compared with routine MRM. Methods This was a retrospective study of patients who underwent MRM for breast cancer at the Shengjing Hospital Affiliated to China Medical University between January 1, 2019, and June 30, 2019. Surgical outcomes, complications, satisfaction, and quality of life (Functional Assessment of Cancer Therapy-Breast [FACT-B] [Chinese version]) were compared between the two groups. Results A total of 87 patients were enrolled, with 30 underwent SMALND and 57 underwent routine MRM. The intraoperative blood loss in the SMALND group was lower than in the control group (165.3±44.1 vs. 201.4±52.7 ml, P=0.001), the operation time was longer (220.5±23.9 vs. 155.6±9.2 min, P<0.001), daily axillary drainage volume was smaller (20.2±3.6 vs. 24.1±3.0 ml, P<0.001), daily subcutaneous drainage volume was smaller (15.5±2.3 vs. 19.3±3.5 ml, P<0.001), the discharge time was shorter (7.5±1.6 vs. 9.0±1.8 days, P<0.001), and FACT-B scores were higher (83.8±5.6 vs. 72.1±4.6, P<0.001). The overall satisfaction was higher in the SMALND group than in the controls (76.7% vs. 54.4%, P=0.041). Compared with the controls, the occurrence rates of nipple and flap necrosis, upper limb edema, and paraesthesia in the SMALND group were lower within 6 months (all P<0.05). Conclusions Compared with traditional MRM, SMALND had better surgical outcomes, higher satisfaction, higher quality of life, and lower complication rates.

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Long term patient satisfaction and quality of life with AMS700CX inflatable penile prosthesis

Archivio Italiano di Urologia e Andrologia ◽

10.4081/aiua.2013.3.133 ◽

2013 ◽

Vol 85 (3) ◽

pp. 133 ◽

Cited By ~ 23

Author(s):

Antonio Vitarelli ◽

Lucia Divenuto ◽

Francesca Fortunato ◽

Antonio Falco ◽

Vincenzo Pagliarulo ◽

...

Keyword(s):

Quality Of Life ◽

Erectile Dysfunction ◽

Penile Prosthesis ◽

Standard Reference Materials ◽

Prosthesis Implantation ◽

Satisfaction Rate ◽

Inflatable Penile Prosthesis ◽

Satisfaction Rates

Objective: Penile prosthesis implantation is the solution of choice in patients who have failed or present contraindication to the use of all conservative treatment for erectile dysfunction (ED). Overall, satisfaction rates are high, with more than 80% of patients and partners fully satisfied with cosmetic and functional result of surgery. Chronic postoperative pain, penile shortening, soft or hyposensitive glans, pencil like penis syndrome and difficulty to cycle the device represent the most common causes of patient’s dissatisfaction. Satisfaction rates are better assessed with the use of validated questionnaires such as the International Index of Erectile Function (IIEF) and the Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) The aim of our study was to analyze the long-term mechanical reliability of the AMS 700CX/CXM inflatable penile prosthesis and the patient’s satisfaction rate using IIEF and EDITS questionaire as standard reference. Materials and methods: A retrospective case notes review of all patients who have undergone implantation of a three pieces inflatable penile prosthesis AMS 700 CX and CXR between October 1997 and December 2010. Overall, 80 patients have undergone implantation of 3 pieces inflatable penile prosthesis AMS 700 CX InhibiZone. Patients have been administered the IIEF-5 and EDITS questionnaires in combination with a non validated 9 domain questionnaire that assesses penile rigidity, sensation, orgasmic function, frequency of intercourse, impact of surgery on the quality of life, satisfaction rate. Results: Overall 10 years survival estimate according to the Kaplan Meier method of AMS 700 CX touch pump and AMS 700 CX momentary squeeze pump are respectively 77.6% and 82.5%. The median postoperative IIEF5 and EDITS score were respectively 21.46 and 73.11, which show a high level of satisfaction. 59 patients (90.8%) were able to cycle the device and were engaging in penetrative sexual intercourse. Conclusions: Penile prosthesis implantation yields excellent results in terms of cosmetic and functional outcome and therefore has a significant impact on patients’ satisfaction, sex life and overall quality of life. Overall, long term reliability has been significantly improved and complication rates are low in the hands of experienced surgeons.

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Finite Element Investigation of Acetabular Cups Used During Revisionist Surgery

Key Engineering Materials ◽

10.4028/www.scientific.net/kem.581.431 ◽

2013 ◽

Vol 581 ◽

pp. 431-436

Author(s):

Renáta Monostori

Keyword(s):

Quality Of Life ◽

Finite Element ◽

Prosthesis Implantation ◽

Life Period

Serious coxarthosis which significantly impaires the quality of life; can be diagnosed in young ages of the patient too. Therefore, nowadays the prosthesis implantation is performed in the activest life period of the patient. Besides it is known that the replacement of the prosthesis will be necessary later. When acetabular cups were measured, the results were analyzed and the differences were determined, I made a simulation to observe the differences referring to the wear. Thereafter I compared the measured and calculated results introduced in the paper.

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