Dual implantation of penile prosthesis and ATOMS® system for post-prostatectomy erectile dysfunction and urinary incontinence: a feasibility study

Erectile dysfunction and urinary incontinence secondary to sphincter dysfunction are common conditions affecting many men worldwide with a negative effect on quality of life. They are encountered in a number of etiologies most commonly following radical prostatectomy in which they coexist in the same patient. Implantations of an artificial urinary sphincter and inflatable penile prosthesis have proven to be effective in the treatment of both conditions should conservative and minimally invasive measures fail. The recent literature has shown that dual implantation of these devices is feasible and safe with a durable clinical outcome. Once indicated, this can be done in a synchronous or nonsynchronous manner; however, the emerging of the single transverse scrotal incision as well as advancement in the prostheses has made synchronous dual implantation more favourable and appealing option. It provides time and cost savings with an evidence of high patient satisfaction. Synchronous dual implantation should be offered initially when indicated. This paper discusses the surgical techniques of artificial urinary sphincter and inflatable penile prosthesis dual implantation in the management of concurrent moderate-to-severe urinary incontinence and medically refractive erectile dysfunction, in addition to highlighting the existing literature pertaining to this approach.

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Surgical Implantation of Artificial Urinary Device and Penile Prosthesis Through Trans-scrotal Incision for Postprostatectomy Urinary Incontinence and Erectile Dysfunction: Synchronous or Delayed Procedure?

Urology ◽

10.1016/j.urology.2012.08.003 ◽

2012 ◽

Vol 80 (5) ◽

pp. 1046-1050 ◽

Cited By ~ 15

Author(s):

Luigi Rolle ◽

Carlo Ceruti ◽

Omid Sedigh ◽

Massimiliano Timpano ◽

Paolo Destefanis ◽

...

Keyword(s):

Urinary Incontinence ◽

Erectile Dysfunction ◽

Penile Prosthesis ◽

Surgical Implantation

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Sexual satisfaction after penile prosthesis insertion for the treatment of erectile dysfunction

Sexual Dysfunction ◽

10.1046/j.1460-2679.1998.00038.x ◽

1998 ◽

Vol 1 (3) ◽

pp. 133-136 ◽

Cited By ~ 6

Author(s):

Bhojwani ◽

Jain ◽

Kockelbergh ◽

Terry

Keyword(s):

Erectile Dysfunction ◽

Sexual Satisfaction ◽

Penile Prosthesis

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Long-term outcomes after penile prosthesis placement for the Management of Erectile Dysfunction: a single-Centre experience

Basic and Clinical Andrology ◽

10.1186/s12610-021-00123-x ◽

2021 ◽

Vol 31 (1) ◽

Author(s):

Valentine Frydman ◽

Ugo Pinar ◽

Maher Abdessater ◽

William Akakpo ◽

Pietro Grande ◽

...

Keyword(s):

Patient Satisfaction ◽

Erectile Dysfunction ◽

Penile Prosthesis ◽

Perioperative Outcomes ◽

Single Centre ◽

Satisfactory Outcome ◽

Single Centre Experience ◽

Life Threatening ◽

Few Data

Abstract Background Penile prothesis (PP) is the gold-standard treatment of drug-refractory erectile dysfunction (ED). While postoperative outcomes have been widely described in the literature, there are few data about patient satisfaction and intraoperative events. We aimed to assess long-term patient satisfaction and perioperative outcomes after PP implantation in a single-centre cohort of unselected patients using validated scales. Results A total of 130 patients received a PP (median age: 62.5 years [IQR: 58–69]; median International Index of Erectile Function (IEEF-5) score: 6 [IQR: 5–7]). Median follow-up was 6.3 years [IQR: 4–9.4]. Thirty-two (24.6%) patients underwent surgical revision, of which 20 were PP removals (15.4%). Global PP survival rate was 84.6% and previous PP placement was a risk factor for PP removal (p = 0.02). There were six (4.6%) non-life-threatening intraoperative events including two which resulted in non-placement of a PP (1.5%). EAUiaic grade was 0 for 124 procedures (95.4%), 1 for four procedures (3.1%) and 2 for two procedures (1.5%). Of patients who still had their PP at the end of the study, 91 (80.5%) expressed satisfaction. Conclusions PP implantation is a last-resort treatment for ED with a satisfactory outcome. PPs are well accepted by patients.

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