“Stiction Syndrome”: Non-Operative Management of Patients With Difficult AMS 700 Series Inflation

Nicholas L. Kavoussi, Boyd R. Viers, Maia E. VanDyke, Travis J. Pagliara, Allen F. Morey

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Introduction Static friction (stiction) is a mechanical phenomenon in which a state of increased resistance exists across a control valve mechanism. Aim To present a strategy for non-operative management of inflatable penile prosthesis (IPP) cases with pump malfunction from pump valve stiction. Methods All patients had American Medical Systems (AMS; Minnetonka, MN, USA) 700 series Momentary Squeeze IPPs with transient pump malfunction owing to pump valve stiction after extended periods of device inactivity. Main Outcome Measures Our evolving non-operative management experience with the “forced deflation” maneuver is described. This technique has successfully prevented the need for surgical pump replacement. Of patients with IPP who were instructed to inflate and deflate daily to prevent stiction recurrence, none have re-presented with difficult inflation. Results Of 306 patients receiving the AMS 700 series IPP at our institution from 2007 through 2015, 6 (1.9%) presented with difficulty activating the Momentary Squeeze pump (from 2011 through 2015). Four additional patients were referred from outside institutions with the same complaint. All patients (10 of 10, 100%) presented after a prolonged period of inactivity (minimum = 6 weeks) during which the IPP was not cycled and remained stagnant. Although the initial four patients (40%) underwent surgical exploration with pump mobilization and replacement, the six most recent patients (60%) were successfully instructed in the forced deflation maneuver in the office, which enabled the device to cycle normally thereafter. Conclusion Device inactivity, for as little as 6 weeks, can predispose to Momentary Squeeze pump valve malfunction; and a regimen of daily IPP cycling could prevent stiction-related malfunction. Our findings should encourage practitioners to attempt conservative management of patients with “stiction syndrome” whenever possible, thereby avoiding unnecessary surgery. Kavoussi NL, Viers BR, VanDyke ME, et al. “Stiction Syndrome”: Non-Operative Management of Patients With Difficult AMS 700 Series Inflation. J Sex Med 2017;14:1079–1083.

Original languageEnglish (US)
Pages (from-to)1079-1083
Number of pages5
JournalJournal of Sexual Medicine
Volume14
Issue number9
DOIs
StatePublished - Sep 1 2017

Fingerprint

Economic Inflation
Penile Prosthesis
Friction
Equipment and Supplies
Mechanical Phenomena
Unnecessary Procedures
Outcome Assessment (Health Care)
Recurrence

Keywords

  • Inflatable Penile Prosthesis
  • Mechanical Failure
  • Momentary Squeeze Pump
  • Stiction

ASJC Scopus subject areas

  • Medicine(all)
  • Reproductive Medicine
  • Obstetrics and Gynecology
  • Urology

Cite this

“Stiction Syndrome” : Non-Operative Management of Patients With Difficult AMS 700 Series Inflation. / Kavoussi, Nicholas L.; Viers, Boyd R.; VanDyke, Maia E.; Pagliara, Travis J.; Morey, Allen F.

In: Journal of Sexual Medicine, Vol. 14, No. 9, 01.09.2017, p. 1079-1083.

Research output: Contribution to journalArticle

Kavoussi, Nicholas L. ; Viers, Boyd R. ; VanDyke, Maia E. ; Pagliara, Travis J. ; Morey, Allen F. / “Stiction Syndrome” : Non-Operative Management of Patients With Difficult AMS 700 Series Inflation. In: Journal of Sexual Medicine. 2017 ; Vol. 14, No. 9. pp. 1079-1083.
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abstract = "Introduction Static friction (stiction) is a mechanical phenomenon in which a state of increased resistance exists across a control valve mechanism. Aim To present a strategy for non-operative management of inflatable penile prosthesis (IPP) cases with pump malfunction from pump valve stiction. Methods All patients had American Medical Systems (AMS; Minnetonka, MN, USA) 700 series Momentary Squeeze IPPs with transient pump malfunction owing to pump valve stiction after extended periods of device inactivity. Main Outcome Measures Our evolving non-operative management experience with the “forced deflation” maneuver is described. This technique has successfully prevented the need for surgical pump replacement. Of patients with IPP who were instructed to inflate and deflate daily to prevent stiction recurrence, none have re-presented with difficult inflation. Results Of 306 patients receiving the AMS 700 series IPP at our institution from 2007 through 2015, 6 (1.9{\%}) presented with difficulty activating the Momentary Squeeze pump (from 2011 through 2015). Four additional patients were referred from outside institutions with the same complaint. All patients (10 of 10, 100{\%}) presented after a prolonged period of inactivity (minimum = 6 weeks) during which the IPP was not cycled and remained stagnant. Although the initial four patients (40{\%}) underwent surgical exploration with pump mobilization and replacement, the six most recent patients (60{\%}) were successfully instructed in the forced deflation maneuver in the office, which enabled the device to cycle normally thereafter. Conclusion Device inactivity, for as little as 6 weeks, can predispose to Momentary Squeeze pump valve malfunction; and a regimen of daily IPP cycling could prevent stiction-related malfunction. Our findings should encourage practitioners to attempt conservative management of patients with “stiction syndrome” whenever possible, thereby avoiding unnecessary surgery. Kavoussi NL, Viers BR, VanDyke ME, et al. “Stiction Syndrome”: Non-Operative Management of Patients With Difficult AMS 700 Series Inflation. J Sex Med 2017;14:1079–1083.",
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N2 - Introduction Static friction (stiction) is a mechanical phenomenon in which a state of increased resistance exists across a control valve mechanism. Aim To present a strategy for non-operative management of inflatable penile prosthesis (IPP) cases with pump malfunction from pump valve stiction. Methods All patients had American Medical Systems (AMS; Minnetonka, MN, USA) 700 series Momentary Squeeze IPPs with transient pump malfunction owing to pump valve stiction after extended periods of device inactivity. Main Outcome Measures Our evolving non-operative management experience with the “forced deflation” maneuver is described. This technique has successfully prevented the need for surgical pump replacement. Of patients with IPP who were instructed to inflate and deflate daily to prevent stiction recurrence, none have re-presented with difficult inflation. Results Of 306 patients receiving the AMS 700 series IPP at our institution from 2007 through 2015, 6 (1.9%) presented with difficulty activating the Momentary Squeeze pump (from 2011 through 2015). Four additional patients were referred from outside institutions with the same complaint. All patients (10 of 10, 100%) presented after a prolonged period of inactivity (minimum = 6 weeks) during which the IPP was not cycled and remained stagnant. Although the initial four patients (40%) underwent surgical exploration with pump mobilization and replacement, the six most recent patients (60%) were successfully instructed in the forced deflation maneuver in the office, which enabled the device to cycle normally thereafter. Conclusion Device inactivity, for as little as 6 weeks, can predispose to Momentary Squeeze pump valve malfunction; and a regimen of daily IPP cycling could prevent stiction-related malfunction. Our findings should encourage practitioners to attempt conservative management of patients with “stiction syndrome” whenever possible, thereby avoiding unnecessary surgery. Kavoussi NL, Viers BR, VanDyke ME, et al. “Stiction Syndrome”: Non-Operative Management of Patients With Difficult AMS 700 Series Inflation. J Sex Med 2017;14:1079–1083.

AB - Introduction Static friction (stiction) is a mechanical phenomenon in which a state of increased resistance exists across a control valve mechanism. Aim To present a strategy for non-operative management of inflatable penile prosthesis (IPP) cases with pump malfunction from pump valve stiction. Methods All patients had American Medical Systems (AMS; Minnetonka, MN, USA) 700 series Momentary Squeeze IPPs with transient pump malfunction owing to pump valve stiction after extended periods of device inactivity. Main Outcome Measures Our evolving non-operative management experience with the “forced deflation” maneuver is described. This technique has successfully prevented the need for surgical pump replacement. Of patients with IPP who were instructed to inflate and deflate daily to prevent stiction recurrence, none have re-presented with difficult inflation. Results Of 306 patients receiving the AMS 700 series IPP at our institution from 2007 through 2015, 6 (1.9%) presented with difficulty activating the Momentary Squeeze pump (from 2011 through 2015). Four additional patients were referred from outside institutions with the same complaint. All patients (10 of 10, 100%) presented after a prolonged period of inactivity (minimum = 6 weeks) during which the IPP was not cycled and remained stagnant. Although the initial four patients (40%) underwent surgical exploration with pump mobilization and replacement, the six most recent patients (60%) were successfully instructed in the forced deflation maneuver in the office, which enabled the device to cycle normally thereafter. Conclusion Device inactivity, for as little as 6 weeks, can predispose to Momentary Squeeze pump valve malfunction; and a regimen of daily IPP cycling could prevent stiction-related malfunction. Our findings should encourage practitioners to attempt conservative management of patients with “stiction syndrome” whenever possible, thereby avoiding unnecessary surgery. Kavoussi NL, Viers BR, VanDyke ME, et al. “Stiction Syndrome”: Non-Operative Management of Patients With Difficult AMS 700 Series Inflation. J Sex Med 2017;14:1079–1083.

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