{"id":3260,"date":"2017-11-08T09:53:33","date_gmt":"2017-11-08T08:53:33","guid":{"rendered":"https:\/\/www.zsimplants.ch\/blog\/?p=3260"},"modified":"2021-02-23T14:53:38","modified_gmt":"2021-02-23T13:53:38","slug":"premiere-implantation-du-zsi-475-ftm-en-espagne","status":"publish","type":"post","link":"https:\/\/www.zsimplants.ch\/blog\/fr\/premiere-implantation-du-zsi-475-ftm-en-espagne\/","title":{"rendered":"1\u00c8RE IMPLANTATION D\u2019UN ZSI 100 FTM EN ESPAGNE"},"content":{"rendered":"

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Apr\u00e8s la Belgique, l\u2019Allemagne, la France, l\u2019Islande et la Su\u00e8de, le Dr Ignacio Moncada de l\u2019h\u00f4pital Zarzuela de Madrid a implant\u00e9 le premier implant p\u00e9nien de la gamme\u202fZSI FTM<\/a>\u202fen\u00a0Espagne. Voici un nouveau pays qui s\u2019ouvre pour tous les patients de langue Espagnole.<\/p>\n

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Le patient op\u00e9r\u00e9 avait d\u00e9j\u00e0 un implant mall\u00e9able\u00a0Coloplast\u00a0d\u00e9sins\u00e9r\u00e9 de la branche ischio-pubienne gauche sur laquelle il avait \u00e9t\u00e9 fix\u00e9. L\u2019implant \u00e9tait mobile et occasionnait des douleurs p\u00e9rin\u00e9ales tout en mena\u00e7ant la peau devenue fine en regard. A droite, il avait eu un implant gonflable qui avait d\u00fb \u00eatre retir\u00e9 pour d\u00e9faillance m\u00e9canique. La fibrose \u00e9tait abondante aussi bien dans la zone p\u00e9rin\u00e9ale gauche que dans la zone pubienne droite.<\/p>\n

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L\u2019ablation de la proth\u00e8se mall\u00e9able gauche\u00a0Coloplast\u00a0a \u00e9t\u00e9 facile et rapide par une incision directe. L\u2019incision a \u00e9t\u00e9 bien d\u00e9sinfect\u00e9e puis referm\u00e9e car il y a toujours un risque de contamination de la nouvelle proth\u00e8se. Le Dr Moncada a ensuite r\u00e9alis\u00e9 la classique incision droite lat\u00e9rale \u00e0 la phalloplastie. Le Dr Moncada ma\u00eetrise parfaitement ce type de chirurgie et l\u2019abord de l\u2019os pubien a \u00e9t\u00e9 rapide et sans probl\u00e8me malgr\u00e9 les ant\u00e9c\u00e9dents de chirurgie du patient. Il a pu d\u00e9gager sans saignement notable une surface de 2 X 2.5 cm pour recevoir la base de la proth\u00e8se mall\u00e9able ZSI 100 FTM.<\/p>\n

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Il a ensuite dilat\u00e9 la phalloplastie pour pouvoir introduire la partie distale de la proth\u00e8se. La mesure de la phalloplastie et sa base d\u2019implantation a \u00e9t\u00e9 estim\u00e9e \u00e0 une longueur totale de 15 cm. La proth\u00e8se\u202fZSI 100 FTM<\/a>\u202fa\u00a0donc \u00e9t\u00e9 recoup\u00e9e en cons\u00e9quence et le gland mis en place. La proth\u00e8se ZSI 100 FTM a ensuite \u00e9t\u00e9 positionn\u00e9e dans la phalloplastie et sur l\u2019os pubien. 6 sutures ont pu \u00eatre mises en place pour assurer une bonne tenue de la proth\u00e8se mall\u00e9able. En effet, les efforts sur la fixation \u00e0 l\u2019os pubien sont plus importants avec la proth\u00e8se mall\u00e9able ZSI 100 FTM qu\u2019avec la proth\u00e8se gonflable ZSI 475 FTM, la partie gonflable amortissant une partie des efforts sur la fixation pubienne.<\/p>\n

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Apr\u00e8s un grand nettoyage par un m\u00e9lange de s\u00e9rum physiologique et d\u2019antibiotiques, le Dr Moncada a ferm\u00e9 l\u2019abord chirurgical en plusieurs plans.<\/p>\n

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Pour assurer une bonne cicatrisation, la verge devra \u00eatre maintenue sur le ventre pendant un mois en limitant au maximum les sollicitations de la fixation \u00e0 l\u2019os pubien. Une bonne fixation en six points, associ\u00e9e \u00e0 la fibrose cicatricielle, limite les risques de d\u00e9sinsertion li\u00e9s \u00e0 une utilisation intense.<\/p>\n

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ZSI est le seul\u00a0fabricant\u00a0europ\u00e9en de\u202fsphincter\u00a0urinaire\u00a0artificiel, d\u2019implants p\u00e9niens mall\u00e9ables\u00a0et hydrauliques\u00a0comme solutions \u00e0 des probl\u00e9matiques urologiques masculines (incontinence), sexuelles (dysfonction \u00e9rectile), et\u00a0des proc\u00e9dures de r\u00e9assignation de genre\u00a0(proth\u00e8ses pour\u00a0personnes transgenres).<\/em><\/p>\n

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Apr\u00e8s la Belgique, l\u2019Allemagne, la France, l\u2019Islande et la Su\u00e8de, le Dr Ignacio Moncada de l\u2019h\u00f4pital Zarzuela de Madrid a implant\u00e9 le premier implant p\u00e9nien de la gamme\u202fZSI FTM\u202fen\u00a0Espagne. Voici un nouveau pays […]<\/p>\n","protected":false},"author":1,"featured_media":2609,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[126,244,136],"tags":[1595,1415,1647,1559,1649,1539,1543],"yoast_head":"\n1\u00c8RE IMPLANTATION D\u2019UN ZSI 100 FTM EN ESPAGNE - Zephyr Surgical Implants<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.zsimplants.ch\/blog\/fr\/premiere-implantation-du-zsi-475-ftm-en-espagne\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"1\u00c8RE IMPLANTATION D\u2019UN ZSI 100 FTM EN ESPAGNE - Zephyr Surgical Implants\" \/>\n<meta property=\"og:description\" content=\"Apr\u00e8s la Belgique, l\u2019Allemagne, la France, l\u2019Islande et la Su\u00e8de, le Dr Ignacio Moncada de l\u2019h\u00f4pital Zarzuela de Madrid a implant\u00e9 le premier implant p\u00e9nien de la gamme\u202fZSI FTM\u202fen\u00a0Espagne. 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