MP59-18 SYNCHRONOUS IPSILATERAL HIGH SUBMUSCULAR PLACEMENT OF PROSTHETIC BALLOONS AND RESERVOIRS

Abstract

You have accessJournal of UrologyTrauma/Reconstruction/Diversion: External Genitalia Reconstruction and Urotrauma1 Apr 2016MP59-18 SYNCHRONOUS IPSILATERAL HIGH SUBMUSCULAR PLACEMENT OF PROSTHETIC BALLOONS AND RESERVOIRS Nicholas Kavoussi, Ryan Mooney, Jeremy Scott, Billy Cordon, Matthias Hofer, and Allen Morey Nicholas KavoussiNicholas Kavoussi More articles by this author , Ryan MooneyRyan Mooney More articles by this author , Jeremy ScottJeremy Scott More articles by this author , Billy CordonBilly Cordon More articles by this author , Matthias HoferMatthias Hofer More articles by this author , and Allen MoreyAllen Morey More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2016.02.837AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Synchronous ipsilateral placement of artificial urinary sphincter (AUS) pressure regulating balloons (PRB) and inflatable penile prosthesis (IPP) reservoirs in a single submuscular tunnel is a novel strategy which may be advantageous for prosthetic urology patients who have had previous major pelvic surgery. We report our initial experience with ipsilateral versus bilateral placement of the AUS PRBs and IPP reservoirs in men having synchronous implant surgery. METHODS We retrospectively reviewed all patients having synchronous AUS and IPP placement from 2007-2015 by the senior author at our tertiary center. Patients were grouped according to the whether they had ipsilateral versus contralateral placement of the AUS PRB and IPP reservoir. Among the 47 patients who underwent synchronous AUS/IPP implantation during the study period, we compared the reoperation rates due to infectious/erosive complications or mechanical failure in each group. The Fisher's exact test was used for all comparisons. RESULTS Among the 968 men who underwent implant surgery during the study period, we identified 47 who having synchronous device placement, 17 of whom (36%) underwent ipsilateral placement of the PRB/reservoir. With a median follow up of 24 months (range 3-73 months), reoperations were necessary in 12/47 (26%) and were similar between groups (ipsilateral: 5/17, 29%; bilateral: 7/30, 23%; p=0.73). Indications for reoperation included mechanical device failure in 5/47 (ipsilateral: 1/17, 6%; bilateral: 4/30, 13%; p=0.56) devices, cuff erosion in 4/47 (ipsilateral: 1/17, 6%; bilateral: 3/30, 10%; p=0.99), and infections in 3/47 (ipsilateral: 2/17, 12%; bilateral: 1/30, 3.3%; p=0.54). Nearly all reoperation patients (11/12, 92%) had compromised urethras, defined by prior implant or urethral surgery (7/12, 58%) or radiation (4/12, 33%). CONCLUSIONS Synchronous ipsilateral high submuscular placement of urologic prosthetic balloons and reservoirs can be done without an increase in infectious/erosive complications or device failure. © 2016FiguresReferencesRelatedDetails Volume 195Issue 4SApril 2016Page: e791-e792 Advertisement Copyright & Permissions© 2016MetricsAuthor Information Nicholas Kavoussi More articles by this author Ryan Mooney More articles by this author Jeremy Scott More articles by this author Billy Cordon More articles by this author Matthias Hofer More articles by this author Allen Morey More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...