MP39-01 SAFETY OF EXPLANTATION OF HIGH SUBMUSCULAR RESERVOIRS

Abstract

You have accessJournal of UrologySexual Function/Dysfunction: Surgical Therapy II (MP39)1 Apr 2020MP39-01 SAFETY OF EXPLANTATION OF HIGH SUBMUSCULAR RESERVOIRS Mehraban Kavoussi*, Adam Baumgarten, Nicolas Ortiz, Ellen Ward, and Allen Morey Mehraban Kavoussi*Mehraban Kavoussi* More articles by this author , Adam BaumgartenAdam Baumgarten More articles by this author , Nicolas OrtizNicolas Ortiz More articles by this author , Ellen WardEllen Ward More articles by this author , and Allen MoreyAllen Morey More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000888.01AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Data supports high submuscular (HSM) placement of inflatable penile prosthesis (IPP) reservoirs as an alternative to space of Retzius (SOR) reservoir placement. There is no data, however, comparing HSM vs SOR reservoir explants. Herein, we present our large single surgeon experience of HSM reservoir removal. METHODS: The SlicerDicer program was used to generate a list of patients who had undergone IPP reservoir removal between January of 2011 and September of 2019 using the Current Procedural Terminology (CPT) code for this procedure (54406). Data was retrospectively collected on this patient cohort. Operative times, intraoperative complications, and postoperative complications were compared between the HSM and SOR groups. Cases where the IPP was removed but the reservoir was retained were excluded. Categorical variables were compared with the Fisher Exact Test, while time variables were compared with a T-test. RESULTS: Between January of 2011 and September of 2019, 89 patients underwent IPP removal by a single surgeon at our institution. Reservoir removal at the time of explant was noted in 61 cases (46 HSM, 15 SOR), which are included in this analysis. Similar rates of complications were noted between the HSM and SOR groups (p=0.43). Among 46 HSM reservoirs removed, 1 (2.2%) had a complicated postoperative course (postoperative bleed). Among 15 SOR cases, 1 (6.7%) had a complicated operative course (intraperitoneal reservoir that required laparoscopic removal). There was no significant difference in need for counter-incision between the two groups (p=0.21). There was no significant different between average operative times between the two groups (HSM: 77 minutes, SOR: 69.9 minutes) (p=0.53). CONCLUSIONS: HSM reservoir removal has similar complication rates and operative times when compared to SOR reservoir removal. Our experience with HSM reservoirs supports the safety and ease of their removal. Source of Funding: None © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e577-e577 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Mehraban Kavoussi* More articles by this author Adam Baumgarten More articles by this author Nicolas Ortiz More articles by this author Ellen Ward More articles by this author Allen Morey More articles by this author Expand All Advertisement PDF downloadLoading ...