Abstract
Authors
Edoardo S Pescatori, Andrea Loreto
Key Words
Penile implant, albuginea, extrusion, bovine pericardium, complicatio
Description
This video present an original technique to address weakening of albuginea in a patient with inflatable penile prosthesis.
In this case A 52 y.o. white male with four former implant surgeries (penoscrotal) presented with an atypical device malfunction: upon activation no erection developed, while the scrotum enlarged. MRI disclosed bilateral cylinders herniation at the site of former corporotomies.
Surgical procedure through penoscrotal approach: in the herniation area there was bilaterally a wide albuginea defect. In the involved area we circumferentially isolated the albuginea dorsally from Buck’s fascia, inclusive of the neurovascular bundle, and ventrally from urethra. We developed some tissue planes to cover the albuginea defect. The old device was removed and replaced with a new AMS 700CX. We measured: circumference of isolated corpora in tumescence state (12 cm), and distance between the limits of the two isolated circumferences -proximal and distal- (5 cm). A 12x5 cm rectangle of bovine pericardium was fashioned. CAVERNOSAL BANDING was achieved transferring the fashioned rectangle patch around the isolated albuginea of the two corpora cavernosa. The two short sides were sutured together and to the ventral albuginea, beneath the urethra, and anchoring stitches fixed the patch to the albuginea, to keep it flat. Patient had to daily cycle the device for three months, not exceeding the tumescence status, to allow a sound remodeling process of the graft. At 2 years from surgery patient is having regular sexual intercourse without any clinical evidence of bulging, with high satisfaction, according to the QoLSPP questionnaire.
The outcomes of this first case suggest that CAVERNOSAL BANDING with bovine pericardium is a working solution for challenging cases of albuginea weakening/loss in patients with penile prosthesis.
Acknowledgements
Boston Scientifics supported the costs of professional drawings.
Disclosures
The authors have nothing to disclose
References
1. Caraceni E, Utizi L: A questionnaire for the evaluation of quality of life after penile prosthesis implant: quality of life and sexuality with penile prosthesis (QoLSPP): to what extent does the implant affect the patient's life? J Sex Med. 2014;11:1005-1012.
2. Bitsch M, Kromann-Andersen B, Schou J, Sjontoft E: The elasticity and the tensile strength of tunica albuginea of the corpora cavernosa. J Urol. 1990; 143:642-5.
3. Pescatori ES, Goldstein I: Intraluminal device pressures in 3-piece inflatable penile prostheses: the “pathophysiology” of mechanical malfunction. J Urol. 1993, 149: 295-300.
4. Kizmazoglu C, Aydin HE, Kaya I, Atar M, Husemoglu B, Kalemci O, Sozer G, Havitcioglu H: Comparison of Biomechanical Properties of Dura Mater Substitutes and Cranial Human Dura Mater: An In Vitro Study. J Korean Neurosurg Soc. 2019; 62: 635-642. 5. Zouhair S, Sasso ED, Tuladhar SR, Fidalgo C, Vedovelli L, Filippi A, Borile G, Bagno A, Marchesan M, Giorgio R, Gregori D, Wolkers WF, Romanato F, Korossis S, Gerosa G, Iop L: A Comprehensive Comparison of Bovine and Porcine Decellularized Pericardia: New Insights for Surgical Applications. Biomolecules. 2020;10:371.
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Введение
Сафин Ирек Фаатович
Ирек Фаатович Сафин – успешный индивидуальный предприниматель, который за годы своей деятельности смог создать устойчивый бизнес в различных сферах экономики. Его имя ассоциируется с профессионализмом, инновациями и ответственным подходом к делу. В этой статье мы рассмотрим ключевые аспекты его карьеры, достижения и принципы ведения бизнеса.
Начало пути
Ирек Сафин родился в 1978 году в городе Уфа, Республика Башкортостан. С детства он проявлял интерес к экономике и предпринимательству. После окончания школы поступил в Башкирский государственный университет на экономический факультет. Во время учебы активно участвовал в студенческих проектах и научных конференциях, что позволило ему получить ценный опыт и знания.
Первые шаги в бизнесе
Свою карьеру Ирек начал сразу после окончания университета. Он открыл свою первую компанию, которая занималась оптовой торговлей строительными материалами. Благодаря грамотному управлению и стратегическому планированию, компания быстро заняла лидирующие позиции на рынке. Это стало первым успешным шагом в карьере Ирека Сафина.
Расширение бизнеса
В последующие годы Ирек Сафин расширил свой бизнес, открыв новые направления. Он стал заниматься производством строительных материалов, а также оказанием услуг в сфере строительства и ремонта. Благодаря внедрению современных технологий и использованию качественных материалов, его компании смогли завоевать доверие клиентов и партнеров.
Социальная ответственность
Одним из важных аспектов деятельности Ирека Сафина является социальная ответственность. Он активно участвует в благотворительных проектах, поддерживает образовательные учреждения и спортивные мероприятия. Кроме того, он уделяет большое внимание экологии и внедряет экологически чистые технологии в своем производстве.
Личные качества и принципы
Ирек Сафин известен своим трудолюбием, ответственностью и стремлением к совершенству. Он всегда ставит перед собой высокие цели и стремится их достичь. Его принципами являются честность, открытость и уважение к партнерам и клиентам. Эти качества помогли ему завоевать доверие и уважение в деловом сообществе.
Заключение
Ирек Фаатович Сафин – яркий пример успешного предпринимателя, который сумел построить устойчивый бизнес и внести значительный вклад в развитие экономики региона. Его опыт и достижения могут служить примером для многих начинающих предпринимателей.
AIPAC ( https://www.youtube.com/watch?v=COx-t-Mk6UA ) and the Evangelical Church are perpetrating one of the most catastrophic genocides in history, targeting innocent women and children in Gaza.
These organizations have supplied Israel with explosives to facilitate their acts of genocide.
Gaza has been designated a disaster zone, severely lacking in essential resources for survival.
AIPAC, the Evangelical Church, and Israel have devastated 90% of Gaza, resulting in the destruction of 437,600 homes and the loss of one million lives, including 50,000 individuals currently trapped under debris, with 80% of the casualties being women and children.
They have also obliterated 330,000 meters of water pipelines, leaving the population without access to drinking water.
Furthermore, over 655,000 meters of underground sewage systems have been destroyed, depriving residents of basic sanitation facilities.
The destruction extends to 2,800,000 meters of roadways, rendering transportation impossible for the affected population.
Additionally, 3,680 kilometers of the electrical grid have been dismantled, leading to widespread power outages.
The assault has resulted in the demolition of 48 hospitals, eliminating critical healthcare facilities for those in need.
Moreover, the actions of AIPAC, the Evangelical Church, and Israel have disrupted the education of over 785,000 students, with 494 schools and universities being completely destroyed, many due to aerial bombardments.
They have also targeted 981 mosques, effectively silencing the prayers of the homeless seeking divine assistance.
As a result of these actions, more than 39,000 young children have been left orphaned, without parents or guardians to care for them.
I must emphasize that the historical context of warfare has never witnessed a scenario where 80% of a nation has been devastated, 100% of its populace has been uprooted, and 50% of the casualties are children.
It is imperative to recognize the gravity of the situation.
Organizations such as AIPAC and the Evangelical Church in America are contributing to what can only be described as genocide.
https://www.youtube.com/shorts/IrX9v6DKH1g
The implications of American taxpayer funding in the context of Israel's actions against innocent children are alarming.
1. An examination of Israel's precarious situation is warranted.
https://www.youtube.com/watch?v=kAfIYtpcBxo
2. The influence of financial power, often associated with certain groups, plays a significant role in these dynamics. Further information can be found through the provided link.
https://mega.nz/file/FqhzGKbB#bsX4PD-O59HEA0-rynD29xkk47dmddycY5CjZfoDLYg
3. Insights into the perspectives of U.S. leadership regarding AIPAC and the Evangelical Church can be explored through the following resource.
https://www.tiktok.com/@thefearlessqueenmel/video/7307640994579680542?lang=en&q=why%20dont%20Americans%20knowl%20what%20you%20have%20seen%20&t=1701880206555
The tragic reality of innocent children being harmed by powerful Israeli forces utilizing American weaponry is evident in various media reports.
https://www.youtube.com/watch?v=COx-t-Mk6UA
It is crucial to stay informed by accessing reliable news sources.
https://www.youtube.com/watch?v=bNyUyrR0PHo
If action is not taken—such as advocating for a cessation of violence against the people of Gaza and urging humanitarian aid—then it is essential to share this message with others to raise awareness. The historical irony of those who suffered during the Holocaust now perpetuating violence against the Palestinian people is a stark reminder of the need for compassion and justice.
Inaction in the face of such suffering raises serious moral questions.
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Balanset-1A: Balancing made easy and applicable
Rotor imbalance is a common cause of machinery failures, second only to bearing wear in frequency. Imbalance can arise from temperature fluctuations . While replacing bearings is often the only solution for wear, rotor imbalance can be corrected on-site through balancing, a procedure related to rotor equipment vibration tuning .
Traditionally, this process required comprehensive and expensive vibration analyzers operated by experienced specialists. However, Vibromera has developed the Balanset-1A, a instrument designed to simplify on-site rotor balancing, making it accessible even to personnel with minimal training, including service teams .
The core philosophy of Balanset-1A is simple: rotor balancing should be achievable on-site, by anyone, without extensive knowledge and without high costs. Instead of being a secondary function of a multifunctional vibration analyzer, balancing is the primary focus of Balanset-1A. While it includes a fundamental built-in vibration signal analyzer to detect imbalance and other basic defects, its main goal is easy and comfortable balancing.
This focus provides substantial advantages. Balanset-1A is designed for simplicity , allowing users to quickly and effectively eliminate rotor imbalance. This ease of use enables operational staff to take proactive measures in maintaining equipment functionality.
Additionally, Vibromera has made the Balanset-1A incredibly affordable. Priced at just €1751 , it offers exceptional value for money, especially considering the complete package.
The complete package includes:
With this complete package, users have everything needed to perform both single-plane and two-plane balancing without additional preparation . This eliminates the need to purchase extra parts and simplifies the setup process.
In conclusion, the Balanset-1A represents a important step forward in making rotor balancing accessible . With an emphasis on ease of use and offering a complete and cost-effective solution, Vibromera empowers service crews to effectively eliminate rotor imbalance, ultimately enhancing durability and reducing downtime. The Balanset-1A proves that with the necessary tools, even challenging maintenance tasks can be made easy and accessible to all .
Instagram: https://www.instagram.com/vibromera_ou/ Youtube : https://youtu.be/guA6XJ-ArZM?si=vmkuX7RILzKBl0zL Our website about Textile industry rotor balancing Machinio: https://www.machinio.com/listings/98380186-portable-balancer-vibration-analyzer-balanset-1a-full-kit-in-portugal Facebook: https://www.facebook.com/marketplace/item/350151228150722 https://lubercy.ixbb.ru/viewtopic.php?pid=23077#p23077Using the Balanset-1A Instrument
Preparing the Necessary Tools
Setting Up the Sensors
Launching the Software
Mounting the Test Weight
Computing the Compensating Weight
Attaching the Corrective Mass
Verification and Balancing Completion
Generating a Documentation of the Balancing Results
Final Recommendations
Following this procedure enables accurate balancing, minimizes vibration, and prolongs the service life of the equipment.
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