{"id":11923,"date":"2025-08-07T10:54:44","date_gmt":"2025-08-07T14:54:44","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/device-autoinflation\/"},"modified":"2025-08-07T10:54:44","modified_gmt":"2025-08-07T14:54:44","slug":"spontanfullung-des-implantats","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/de\/glossary-term\/spontanfullung-des-implantats\/","title":{"rendered":"Spontanf\u00fcllung des Implantats"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[141],"glossary-product":[104,105,130,115],"class_list":["post-11923","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-erectile-dysfunction-treatments","glossary-product-infla10-pulse-ipp-series","glossary-product-rigi10-malleable-penile-prosthesis","glossary-product-rigicon-hl-levine-combo-prosthesis-tool","glossary-product-rigicon-hl-dilator"],"acf":{"gt-definition":"Unter Ger\u00e4te-Autoinflation versteht man das spontane Aufblasen einer Penisprothese ohne Aktivierung durch den Patienten.\u00a4\u00a40001\u00a4\u00a4<\/span> Dieses Ph\u00e4nomen tritt auf, wenn eine aufblasbare Penisprothese (IPP) nicht vollst\u00e4ndig entleert wird oder nach ordnungsgem\u00e4\u00dfer Entleerung durch den Patienten nicht entleert bleibt.\u00a4\u00a40002\u00a4\u00a4<\/span> Es ist durch eine unerw\u00fcnschte Schwellung des Penis mit einer H\u00e4rteskala von \u22654\/10 gekennzeichnet, obwohl der Pumpmechanismus nicht manuell aktiviert wird Patient.\u00a4\u00a40003\u00a4\u00a4<\/span> Das automatische Aufblasen des Ger\u00e4ts gilt als seltene, aber st\u00f6rende mechanische Komplikation bei Penisprothesenoperationen, die sich erheblich auf die Patientenzufriedenheit auswirken kann und bei schwerwiegenden Beschwerden eine Revisionsoperation erforderlich machen kann.\u00a4\u00a40004\u00a4\u00a4<\/span>","gt-synonyms":"Spontanes Aufblasen der Prothese, automatisches IPP-Aufblasen, unerw\u00fcnschtes Aufblasen der Prothese, Selbstaufblasen der Prothese, spontane Schwellung des Ger\u00e4ts, unbeabsichtigte Aktivierung der Prothese","gt-citation":"[1] Lee WG, Satchi M, Skrodzka M, et al. A Rare Cause of Autoinflation after Penile Prosthesis Insertion: Case Series and Systematic Review. J Sex Med. 2022;19(5):879-886. DOI: https:\/\/doi.org\/10.1016\/j.jsxm.2022.01.262\n\n[2] Miranda E, Ortega Y, Deveci S, et al. Device Autoinflation Following Penile Implant Surgery. J Sex Med. 2017;14(1 Suppl):S46. DOI: https:\/\/doi.org\/10.1016\/j.jsxm.2016.11.103\n\n[3] Rodriguez KM, Kohn TP, Davis AB, Hakky TS. Penile implants: a look into the future. Transl Androl Urol. 2017;6(Suppl 5):S860-S866. DOI: https:\/\/doi.org\/10.21037\/tau.2017.05.28\n\n[4] Narayan VM, Bodie J, Anderson JK. Robot-assisted reservoir capsulotomy and mobilization to treat auto-inflation of an inflatable penile prosthesis. AUA University. 2016. Verf\u00fcgbar unter: https:\/\/auau.auanet.org\/content\/v10-09-robot-assisted-reservoir-capsulotomy-and-mobilization-treat-auto-inflation-inflatable","gt-clinical-context":"Das automatische Aufblasen des Ger\u00e4ts wird haupts\u00e4chlich bei Patienten beobachtet, denen eine aufblasbare Penisprothese (IPP) zur Behandlung der erektilen Dysfunktion (ED) implantiert wurde.\u00a4\u00a40001\u00a4\u00a4<\/span> In der Literatur wird eine Inzidenzrate von etwa 3\u20135 % im letzten Jahrzehnt angegeben, wobei historische Berichte sogar Raten von bis zu 11 % vermuten lassen.\u00a4\u00a40002\u00a4\u00a4<\/span>\n \n

Zu den Patientenauswahlfaktoren, die das Risiko einer Autoinflation erh\u00f6hen k\u00f6nnen, geh\u00f6ren fr\u00fchere Operationen im Beckenbereich, insbesondere eine radikale Prostatektomie, die den Retzius-Raum, in dem das Reservoir normalerweise platziert wird, zerst\u00f6ren k\u00f6nnen.\u00a4\u00a40003\u00a4\u00a4<\/span> Diese anatomische Ver\u00e4nderung kann dazu f\u00fchren, dass zum Zeitpunkt der Platzierung des Reservoirs nicht gen\u00fcgend Platz geschaffen wird, was zum Risiko einer Autoinflation beitr\u00e4gt.<\/p>\n \n

Zu den h\u00e4ufigsten Ursachen f\u00fcr das automatische Aufblasen von Ger\u00e4ten geh\u00f6ren:<\/p>\n

    \n
  • Mechanische Faktoren wie Ausfall des Sperrventils\u00a4\u00a40004\u00a4\u00a4<\/span><\/li>\n
  • \u00dcberf\u00fcllung des Reservoirs w\u00e4hrend der Ger\u00e4teimplantation\u00a4\u00a40005\u00a4\u00a4<\/span><\/li>\n
  • Unzureichende Platzschaffung f\u00fcr den Stausee\u00a4\u00a40006\u00a4\u00a4<\/span><\/li>\n
  • Kapselbildung um das Reservoir verursacht Kompression\u00a4\u00a40007\u00a4\u00a4<\/span><\/li>\n
  • In seltenen F\u00e4llen kommt es beim Einsetzen der Prothese zur Bildung einer arteriokavern\u00f6sen Fistel, die eine Autoinflation nachahmt\u00a4\u00a40008\u00a4\u00a4<\/span><\/li><\/ul>\n \n

    Zu den klinischen Managementoptionen geh\u00f6ren:<\/p>\n

      \n
    • Beobachtung bei leichten F\u00e4llen<\/li>\n
    • Ger\u00e4terevisionschirurgie zur Behebung mechanischer Probleme<\/li>\n
    • Neupositionierung oder Austausch des Reservoirs<\/li>\n
    • In seltenen F\u00e4llen einer arteriokavern\u00f6sen Fistel minimalinvasive perkutane Angioembolisation\u00a4\u00a40009\u00a4\u00a4<\/span><\/li>\n
    • Neuartige Ans\u00e4tze wie die robotergest\u00fctzte laparoskopische Reservoir-Kapsulotomie und -Mobilisierung\u00a4\u00a40010\u00a4\u00a4<\/span><\/li><\/ul>\n \n

      Die Bel\u00e4stigung des Patienten durch die Autoinflation reicht von leicht bis schwer, mit Symptomen wie Verlegenheit aufgrund unerw\u00fcnschter Erektionen, Schmerzen und Unbehagen.\u00a4\u00a40011\u00a4\u00a4<\/span> Bei starker Bel\u00e4stigung wurden Reoperationsraten von etwa 2 % gemeldet.\u00a4\u00a40012\u00a4\u00a4<\/span> Eine erfolgreiche Behandlung kann zur Beseitigung der Symptome und zur Wiederherstellung der normalen Ger\u00e4tefunktion f\u00fchren.\u00a4\u00a40013\u00a4\u00a4<\/span>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":46},"yoast_head":"\nSpontanf\u00fcllung des Implantats<\/title>\n<meta name=\"description\" content=\"Eine automatische Aufbl\u00e4hung des Ger\u00e4ts tritt auf, wenn sich eine Penisprothese ohne Aktivierung durch den Patienten spontan aufbl\u00e4st...\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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