nach oben

Current Urology Reports

Erschienen in:

01.04.2019 | Surgery (J Simhan, Section Editor)

Inflatable Penile Prosthesis: Considerations in Revision Surgery

verfasst von: Anton Wintner, Aaron C. Lentz

Erschienen in: Current Urology Reports | Ausgabe 4/2019

Einloggen, um Zugang zu erhalten

Abstract

Purpose of Review

To provide an evidence based discussion of preoperative, intraoperative, and postoperative factors that lead to successful outcomes in penile prosthesis surgery.

Recent Findings

In the preoperative period, careful patient selection, appropriate counseling, thorough evaluation, and sufficient time for physical and emotional adaptation to an inflatable penile prosthesis are the key. During surgery, the entire device should be explanted whenever possible. A drain and retain strategy for the reservoir is a safe alternative in situation where the reservoir is not easily removable. The mechanical cleansing of lavage is more important than chemical sterilization. Postoperative instructions should be made clear and nursing phone calls may reduce the number of ER visits.

Summary

Careful preoperative counseling, attention to intraoperative details, and vigilance in the postoperative period are necessary for a successful outcome with penile prosthesis revision surgery.

Scott FB, Bradley WE, Timm GW. Management of erectile impotence. Use of implantable inflatable prosthesis. Urology. 1973;2(1):80–2.CrossRef

Gregory JG, Purcell MH, Standeven J. The inflatable penile prosthesis: failure of the rear tip extender in reducing the incidence of cylinder leakage. J Urol. 1984;131(4):668–9.CrossRef

Mulcahy JJ. The development of modern penile implants. Sex Med Rev. 2016;4(2):177–89.CrossRef

Lee DJ, Najari BB, Davison WL, al Awamlh BAH, Zhao F, Paduch DA, et al. Trends in the utilization of penile prostheses in the treatment of erectile dysfunction in the United States. J Sex Med. 2015;12(7):1638–45.CrossRef

Montorsi F, Rigatti P, Carmignani G, Corbu C, Campo B, Ordesi G, et al. AMS three–piece inflatable implants for erectile dysfunction: a long–term multi–institutional study in 200 consecutive patients. Eur Urol. 2000;37(1):50–5.CrossRef

McPhail EF, Nehra A, Bruner BC, Kawashima A, King BF, Kim B. MRI and its role in the evaluation and surgical decision making in patients with challenging IPP presentations: descriptions of MRI findings and algorithm for patient management: challenges with inflatable penile prostheses. BJU Int. 2012;109(12):1848–52.CrossRef

Outcomes O. AUA update series 2014.

Trost LW, Baum N, Hellstrom WJG. Managing the difficult penile prosthesis patient. J Sex Med. 2013;10(4):893–906 quiz 907.CrossRef

Caire AA, Boonjindasup A, Hellstrom WJG. Does a replacement or revision of an inflatable penile prosthesis lead to decreased patient satisfaction? Int J Impot Res. 2011;23(2):39–42.CrossRef

10.

Lotan Y, Roehrborn CG, McConnell JD, Hendin BN. Factors influencing the outcomes of penile prosthesis surgery at a teaching institution. Urology. 2003;62(5):918–21.CrossRef

11.

Rajpurkar A, Dhabuwala CB. Comparison of satisfaction rates and erectile function in patients treated with sildenafil, intracavernous prostaglandin E1 and penile implant surgery for erectile dysfunction in urology practice. J Urol. 2003;170(1):159–63.CrossRef

12.

Henry GD, Donatucci CF, Conners W, Greenfield JM, Carson CC, Wilson SK, et al. An outcomes analysis of over 200 revision surgeries for penile prosthesis implantation: a multicenter study. J Sex Med. 2012;9(1):309–15.CrossRef

13.

Hellings PW, Trenité GJN. Long-term patient satisfaction after revision rhinoplasty. Laryngoscope. 2007;117(6):985–9.CrossRef

14.

Mulhall JP, Ahmed A, Branch J, Parker M. Serial assessment of efficacy and satisfaction profiles following penile prosthesis surgery. J Urol. 2003;169(4):1429–33.CrossRef

15.

• Sexton SJ, Granieri MA, Lentz AC. Survey on the contemporary management of intraoperative urethral injuries during penile prosthesis implantation. J Sex Med. 2018;15(4):576–81 Management of intraoperative urethral injury during IPP placement by surgeons with specialized training in prosthetic urology. CrossRef

16.

• Kavoussi NL, Viers BR, VanDyke ME, Pagliara TJ, Morey AF. “Stiction syndrome”: non-operative management of patients with difficult AMS 700 series inflation. J Sex Med. 2017;14(9):1079–83 One of the few causes of IPP mechanical malfunction that can be repaired non-operatively. CrossRef

17.

Sadeghi-Nejad H, Ilbeigi P, Wilson SK, Delk JR, Siegel A, Seftel AD, et al. Multi-institutional outcome study on the efficacy of closed-suction drainage of the scrotum in three-piece inflatable penile prosthesis surgery. Int J Impot Res. 2005;17(6):535–8.CrossRef

18.

Henry GD, Wilson SK, Delk JR 2nd, et al. Revision washout decreases penile prosthesis infection in revision surgery: a multicenter study. J Urol. 2005;173(1):89–92.CrossRef

19.

Mulcahy JJ. Long-term experience with salvage of infected penile implants. J Urol. 2000;163(2):481–2.CrossRef

20.

Abouassaly R, Angermeier KW, Montague DK. Risk of infection with an antibiotic coated penile prosthesis at device replacement for mechanical failure. J Urol. 2006;176(6 Pt 1):2471–3.CrossRef

21.

Chung PH, Siegel JA, Tausch TJ, Klein AK, Scott JM, Morey AF. Inflatable penile prosthesis as tissue expander: what is the evidence? Int Braz J Urol. 2017;43(5):911–6.CrossRef

22.

Scovell JM, Ge L, Barrera EV, Wilson SK, Carrion RE, Hakky TS. Longitudinal and horizontal load testing of inflatable penile implant cylinders of two manufacturers: an ex vivo demonstration of inflated rigidity. J Sex Med. 2016;13(11):1750–7.CrossRef

23.

Cefalu CA, Deng X, Zhao LC, Scott JF, Mehta S, Morey AF. Safety of the “drain and retain” option for defunctionalized urologic prosthetic balloons and reservoirs during artificial urinary sphincter and inflatable penile prosthesis revision surgery: 5-year experience. Urology. 2013;82(6):1436–9.CrossRef

24.

Tackitt HM, Eaton SH, Lentz AC. Nurse-initiated telephone follow up after ureteroscopic stone surgery. Urol Nurs. 2016;36(6):283–8.CrossRef

Titel: Inflatable Penile Prosthesis: Considerations in Revision Surgery
verfasst von: Anton Wintner
Aaron C. Lentz
Publikationsdatum: 01.04.2019
Verlag: Springer US
Erschienen in: Current Urology Reports / Ausgabe 4/2019
Print ISSN: 1527-2737
Elektronische ISSN: 1534-6285
DOI: https://doi.org/10.1007/s11934-019-0881-9

Neu im Fachgebiet Urologie

Adjuvante Immuntherapie verlängert Leben bei RCC

25.04.2024 Nierenkarzinom Nachrichten

Nun gibt es auch Resultate zum Gesamtüberleben: Eine adjuvante Pembrolizumab-Therapie konnte in einer Phase-3-Studie das Leben von Menschen mit Nierenzellkarzinom deutlich verlängern. Die Sterberate war im Vergleich zu Placebo um 38% geringer.

Bei Senioren mit Prostatakarzinom auf Anämie achten!

24.04.2024 DGIM 2024 Nachrichten

Patienten, die zur Behandlung ihres Prostatakarzinoms eine Androgendeprivationstherapie erhalten, entwickeln nicht selten eine Anämie. Wer ältere Patienten internistisch mitbetreut, sollte auf diese Nebenwirkung achten.

Stufenschema weist Prostatakarzinom zuverlässig nach

22.04.2024 Prostatakarzinom Nachrichten

Erst PSA-Test, dann Kallikrein-Score, schließlich MRT und Biopsie – ein vierstufiges Screening-Schema kann die Zahl der unnötigen Prostatabiopsien erheblich reduzieren: Die Hälfte der Männer, die in einer finnischen Studie eine Biopsie benötigten, hatte einen hochgradigen Tumor.

Harnwegsinfektprophylaxe: Es geht auch ohne Antibiotika

20.04.2024 EAU 2024 Kongressbericht

Beim chronischen Harnwegsinfekt bei Frauen wird bisher meist eine Antibiotikaprophylaxe eingesetzt. Angesichts der zunehmenden Antibiotikaresistenz erweist sich das Antiseptikum Methenamin-Hippurat als vielversprechende Alternative, so die Auswertung einer randomisierten kontrollierten Studie.

Update Urologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen