PD20-09 THE MINIMALLY INVASIVE, NO-TOUCH (“MINT”) TECHNIQUE FOR PENILE IMPLANT SURGERY

Abstract

You have accessJournal of UrologySexual Function/Dysfunction/Andrology: Surgical Therapy1 Apr 2014PD20-09 THE MINIMALLY INVASIVE, NO-TOUCH (“MINT”) TECHNIQUE FOR PENILE IMPLANT SURGERY Darren Katz and Chris Love Darren KatzDarren Katz More articles by this author and Chris LoveChris Love More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2014.02.1699AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail Introduction and Objectives The minimally invasive infrapubic penile implant procedure was developed by Dr. Perito with the aim of minimizing operative time and post-operative morbidity (Perito PE, J Sex Med. 5: 27-30 (2008)). Dr Eid has also demonstrated a significant reduction in post-operative infections with his No-Touch technique (Eid JF et al. Urology. 79: 1310-5 (2012)). Recently, we have developed a new technique that combines key aspects of these 2 approaches to create a minimally invasive, no-touch (“MINT”) technique for penile prosthesis insertion. We theorized that the MINT technique would take advantage of the benefits that each of these established approaches offered and therefore our aims were to assess feasibility, safety, post-operative hematoma and infection rate and percentage of patients cycling the prosthesis by 4 weeks. Methods The principles of the MINT technique involve a small infrapubic incision approach combined with a no-touch technique facilitated by using 2 standard surgical drapes (1 x clear non-adhesive drape and 1x Ioban® drape) and an Alexis® wound retractor (figure 1). We present results for our first 50 consecutive patients undergoing primary prosthesis implantation from May 2012 – July 2013 with at least 3 months follow-up. Patients having revision surgery, or with complex surgery necessitating >1 incision were excluded. Data was collected using a prospective database. Results Average age (±SD) was 59.8 (±11.3) years. Median follow-up was 11.7 months. Patients had one or more of the following etiologies for erectile dysfunction: vascular disease (n=22), post-radical prostatectomy (n=16), diabetes (n=8), Peyronies disease (n=8), venous leak (n=4) and priapism fibrosis (n=1). 70% had used intracavernosal injections. Implant used: Coloplast Titan (n=47), American Medical Systems (LGX; n =2), (CX; n =1). The average (±SD) cylinder and rear tip extender length was 18.7 (±1.6) and 0.9 (±0.8) cms respectively. All operations were completed successfully and there were no peri-operative complications necessitating intervention or re-operation. There were 2 post-operative hematomas (treated conservatively). 65% could cycle prosthesis by 4 weeks. There were no post-operative infections and no revision surgeries required. Conclusions The MINT technique for penile implant surgery is a safe and feasible procedure with a zero infection and revision rate in our first 50 patients. © 2014FiguresReferencesRelatedDetails Volume 191Issue 4SApril 2014Page: e614-e615 Advertisement Copyright & Permissions© 2014MetricsAuthor Information Darren Katz More articles by this author Chris Love More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...