V11-05 LOW TRANSFASCIAL FIXATION OF THE IPP RESERVOIR

Abstract

You have accessJournal of UrologyCME1 Apr 2023V11-05 LOW TRANSFASCIAL FIXATION OF THE IPP RESERVOIR Jayson Kemble, Lexiaochuan Wen, Eileen Byrne, Mohit Khera, Jonathan Warner, Sevann Helo, Matthew Ziegelmann, and Tobias Kohler Jayson KembleJayson Kemble More articles by this author , Lexiaochuan WenLexiaochuan Wen More articles by this author , Eileen ByrneEileen Byrne More articles by this author , Mohit KheraMohit Khera More articles by this author , Jonathan WarnerJonathan Warner More articles by this author , Sevann HeloSevann Helo More articles by this author , Matthew ZiegelmannMatthew Ziegelmann More articles by this author , and Tobias KohlerTobias Kohler More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003337.05AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Inflatable penile prosthesis reservoir herniation or migration may occur with space of Retzius or submuscular placement. The dangers of high submuscular placement include bowel or bladder perforation (from blind instrument passage) and or bowel herniation (from unintentional peritoneal placement and stretching of small opening with reservoir filling). Even under direct vision submuscular placement, reservoirs can ultimately reside into the scrotum, retroperitoneum, and lateral abdominal wall. The Transfascial Fixation (TFF) technique was recently developed to prevent reservoir migration with placement either submuscularly or in the space of Retzius, but video of this technique has not been previously published. The aim of this video is to demonstrate the proper surgical technique of TFF during IPP reservoir placement. METHODS: An IPP surgical candidate at high risk of complications should reservoir migration occur was identified. Video of TFF technique performed during IPP surgery was recorded using an in-light overhead camera and a GoPro aseptically positioned on the lead surgeon. RESULTS: Successful demonstration of TFF technique during IPP placement. CONCLUSIONS: TFF technique is a feasible option to aid prevention of penile implant reservoir herniation. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e1000 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Jayson Kemble More articles by this author Lexiaochuan Wen More articles by this author Eileen Byrne More articles by this author Mohit Khera More articles by this author Jonathan Warner More articles by this author Sevann Helo More articles by this author Matthew Ziegelmann More articles by this author Tobias Kohler More articles by this author Expand All Advertisement PDF downloadLoading ...