V1560 SIMULTANEOUS PLACEMENT OF TRANSOBTURATOR MALE SLING AND INSERTION OF INFLATABLE PENILE PROSTHESIS THROUGH A SINGLE PERINEAL INCISION

Abstract

You have accessJournal of UrologyInfertility, Sexual Dysfunction, Trauma & Teaching Technique1 Apr 2012V1560 SIMULTANEOUS PLACEMENT OF TRANSOBTURATOR MALE SLING AND INSERTION OF INFLATABLE PENILE PROSTHESIS THROUGH A SINGLE PERINEAL INCISION Claudio Romero, Frances Alba, O. Lenaine Westney, and Run Wang Claudio RomeroClaudio Romero Houston, TX More articles by this author , Frances AlbaFrances Alba Houston, TX More articles by this author , O. Lenaine WestneyO. Lenaine Westney Houston, TX More articles by this author , and Run WangRun Wang Houston, TX More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.1331AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES To describe our technique for the simultaneous placement of a transobturator male sling and an inflatable penile prosthesis through a single perineal incision METHODS Steps involved during the transobturator sling placement procedure are: 1) perineal incision; 2) dissection towards the bulbocavernosus muscle; 3) incision of bulbocavernosus muscle; 4) inner groin incisions for placement of transobturator tape; 5) needle passage through obturator foramen and sling placement; 6) sling fixation to the corpus spongiosum; 7) sling tensioning; 9) sling arms tunneling back to the perineum. The steps involved during the inflatable penile prosthesis placement included: 1) mobilization of the corpus spongiosum from the corpora cavernosa; 2) placement of sutures within corpora and corporotomy; 3) measurement of corpora length; 4) placement of reservoir within space of Retzius; 5) placement of penile prosthesis cylinders within corpora cavernosa and corporrhaphy; 6) tube connections between cylinders, pump and reservoir; 7) pump placement within the scrotum; 8) closure of scrotal fascia and perineum. RESULTS Successful placement of a transobturator male sling and an inflatable penile prosthesis through a single perineal incision. CONCLUSIONS The simultaneous placement of a transobturator male sling and insertion of an inflatable penile prosthesis through a single perineal incision is technically feasible, cost-effective and improves cosmetic results in patients with urinary incontinence and erectile dysfunction. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e632 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Claudio Romero Houston, TX More articles by this author Frances Alba Houston, TX More articles by this author O. Lenaine Westney Houston, TX More articles by this author Run Wang Houston, TX More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...