Title |
Single perineal incision placement of artificial urinary sphincter with cadaveric correlation of sub-dartos pump placement
|
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Published in |
International Brazilian Journal of Urology, April 2018
|
DOI | 10.1590/s1677-5538.ibju.2017.0097 |
Pubmed ID | |
Authors |
Cooper R. Benson, Hajar I. Ayoub, O. Lenaine Westney |
Abstract |
We present a novel AUS implantation technique using a single perineal incision for single device placement or in combination with an inflatable penile prosthesis (IPP). Urinary and sexual dysfunction following the management of prostate cancer has a significant impact on the quality of life of our patients. While there are marginal changes in the prosthetic devices, we strive to reduce post-operative morbidity while maximizing efficacy. We retrospectively reviewed the outcomes of 6 patients who underwent single perineal incision placement of a virgin AUS in 2014, 3 with simultaneous IPP placement. In all cases, the pressure regulating balloons (PRB) were placed in a high sub-muscular ectopic position and the pumps were placed into a sub-dartos pouch through the perineal incision, which was also validated using a cadaveric model. The mean patient age was 61 (SD, 7.5 years) with mean body mass index of 31 (SD, 5.9). The average pre-operative pad usage was 7.7 (SD 1.63) pads per day. The mean follow-up was 13.9 months (SD 9.45). Four out of the six patients reported utilizing ≤1 pad daily at follow-up. The one patient who was not initially dry required downsizing of his cuff to 3.5cm; the remaining patient was lost to follow-up. There were no identifiable perioperative or post-operative complications. We present our initial report of using a single perineal incision for AUS implantation with a validated sub-dartos pump location, which is safe and effective for implantation of an AUS as a single or double implantation in well-selected patients. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 20 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Other | 3 | 15% |
Student > Master | 3 | 15% |
Researcher | 3 | 15% |
Unspecified | 1 | 5% |
Student > Ph. D. Student | 1 | 5% |
Other | 3 | 15% |
Unknown | 6 | 30% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 4 | 20% |
Nursing and Health Professions | 2 | 10% |
Sports and Recreations | 2 | 10% |
Social Sciences | 2 | 10% |
Unspecified | 1 | 5% |
Other | 2 | 10% |
Unknown | 7 | 35% |