Synchronous penoscrotal implantation of penile prosthesis and artificial urinary sphincter
after radical prostatectomy.Authors:
Deniz Bolat, Zafer Kozacioglu, Salih Polat, Omer Koras, Murat Arslan and Suleyman
Arch. Esp. Urol. 2017; 70 (3): 367-372
Vol. 70, Number. 3, April 2017
OBJECTIVES: To evaluate the results of synchronous
dual implantation of penile (PP) and artificial
urinary sphincter prosthesis (AUSP) in patients with severe
erectile dysfunction (ED) and urinary incontinence (UI)
after radical prostatectomy (RP).
METHODS: Between January 2006 and March 2015,
patients who underwent synchronous dual implantation
of PP for severe post-RP ED and AUSP for moderate to
severe post-RP UI in our clinic were screened retrospectively.
The erectile function and the continence status were evaluated by the questionnaires of IIEF-5 and ICIQ-SF.
Results for the preoperative period and for the 1st postoperative
year were revealed from patient charts. Long
term results were evaluated by telephone interviews.
Comorbidities, infection rates and complications were
RESULTS: A total of 14 patients underwent synchronous
dual implantation; out of which, 11 had a long enough
follow up period for a sufficient long term evaluation.
3/11 had MPP and 8/11 had two-piece IPP implantation
together with an AUSP. All of the implantations
were carried out through an upper transverse scrotal incision.
Mean follow up time was 61.3 ± 20 months. In
1 patient who had received adjuvant radiotherapy, both
of the devices were removed due to infection and cuff
erosion. Mean daily usage of pads diminished from 4
to 1 while ICIQ-SF score decreased from 19 to 2 and
IIEF-5 score increased from 3 to 23.
CONCLUSION: Synchronous implantation of PP and
AUSP is a safe and effective treatment option for patients
with severe ED and moderate to severe UI after RP.