Synchronous Ipsilateral High Submuscular Placement of Prosthetic Balloons and Reservoirs

Nicholas L. Kavoussi, Matthias D. Hofer, Boyd R. Viers, Billy H. Cordon, Ryan P. Mooney, Travis J. Pagliara, Jeremy M. Scott, Allen F. Morey

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Introduction Synchronous ipsilateral high submuscular placement of artificial urinary sphincter (AUS) pressure-regulating balloons (PRBs) and inflatable penile prosthesis (IPP) reservoirs in a single submuscular tunnel is a novel strategy that could be advantageous for patients who have had major pelvic surgery. Aim To report our initial experience with synchronous ipsilateral vs bilateral placement of AUS PRBs and IPP reservoirs in men undergoing implant surgery. Methods We retrospectively reviewed all patients undergoing synchronous AUS and IPP placement from 2007 through 2015 by a single surgeon at our tertiary center. Patients were stratified according to ipsilateral vs bilateral placement of the AUS PRB and IPP reservoir. Main Outcome Measures Reoperation rates because of infectious or erosive complications and mechanical failure were assessed. Results Of the 968 implant surgeries during the study period, 47 men had synchronous device placement, of whom 17 (36%) underwent ipsilateral placement of the PRB and reservoir. During a median follow-up of 19 months (range = 1–84 months), reoperations were necessary in 12 of 47 (26%) and were similar between groups (ipsilateral, 5 of 17, 29%; bilateral, 7 of 30, 23%; P = .73). Most reoperations were due to AUS-related complications (10 of 12, 83%) and nearly all patients with reoperation (10 of 12, 83%) had compromised urethras (ie, prior urethral surgery, radiation, or prior AUS implantation). The most common indication for reintervention was cuff erosion (4 of 47, 9%), with no difference between groups (ipsilateral, 3 of 17, 18%; bilateral, 1 of 30, 3%; P = .13). Conclusion Synchronous ipsilateral high submuscular placement of urologic prosthetic balloons could safely facilitate prosthetic surgery in patients with a history of major pelvic and inguinal surgery.

Original languageEnglish (US)
Pages (from-to)264-268
Number of pages5
JournalJournal of Sexual Medicine
Volume14
Issue number2
DOIs
StatePublished - Feb 1 2017

Fingerprint

Artificial Urinary Sphincter
Penile Prosthesis
Reoperation
Pressure
Groin
Urethra
Outcome Assessment (Health Care)
Radiation
Equipment and Supplies

Keywords

  • Artificial Urinary Sphincter
  • High Submuscular
  • Penile Prosthesis

ASJC Scopus subject areas

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

Cite this

Kavoussi, N. L., Hofer, M. D., Viers, B. R., Cordon, B. H., Mooney, R. P., Pagliara, T. J., ... Morey, A. F. (2017). Synchronous Ipsilateral High Submuscular Placement of Prosthetic Balloons and Reservoirs. Journal of Sexual Medicine, 14(2), 264-268. https://doi.org/10.1016/j.jsxm.2016.12.001

Synchronous Ipsilateral High Submuscular Placement of Prosthetic Balloons and Reservoirs. / Kavoussi, Nicholas L.; Hofer, Matthias D.; Viers, Boyd R.; Cordon, Billy H.; Mooney, Ryan P.; Pagliara, Travis J.; Scott, Jeremy M.; Morey, Allen F.

In: Journal of Sexual Medicine, Vol. 14, No. 2, 01.02.2017, p. 264-268.

Research output: Contribution to journalArticle

Kavoussi, NL, Hofer, MD, Viers, BR, Cordon, BH, Mooney, RP, Pagliara, TJ, Scott, JM & Morey, AF 2017, 'Synchronous Ipsilateral High Submuscular Placement of Prosthetic Balloons and Reservoirs', Journal of Sexual Medicine, vol. 14, no. 2, pp. 264-268. https://doi.org/10.1016/j.jsxm.2016.12.001
Kavoussi NL, Hofer MD, Viers BR, Cordon BH, Mooney RP, Pagliara TJ et al. Synchronous Ipsilateral High Submuscular Placement of Prosthetic Balloons and Reservoirs. Journal of Sexual Medicine. 2017 Feb 1;14(2):264-268. https://doi.org/10.1016/j.jsxm.2016.12.001
Kavoussi, Nicholas L. ; Hofer, Matthias D. ; Viers, Boyd R. ; Cordon, Billy H. ; Mooney, Ryan P. ; Pagliara, Travis J. ; Scott, Jeremy M. ; Morey, Allen F. / Synchronous Ipsilateral High Submuscular Placement of Prosthetic Balloons and Reservoirs. In: Journal of Sexual Medicine. 2017 ; Vol. 14, No. 2. pp. 264-268.
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abstract = "Introduction Synchronous ipsilateral high submuscular placement of artificial urinary sphincter (AUS) pressure-regulating balloons (PRBs) and inflatable penile prosthesis (IPP) reservoirs in a single submuscular tunnel is a novel strategy that could be advantageous for patients who have had major pelvic surgery. Aim To report our initial experience with synchronous ipsilateral vs bilateral placement of AUS PRBs and IPP reservoirs in men undergoing implant surgery. Methods We retrospectively reviewed all patients undergoing synchronous AUS and IPP placement from 2007 through 2015 by a single surgeon at our tertiary center. Patients were stratified according to ipsilateral vs bilateral placement of the AUS PRB and IPP reservoir. Main Outcome Measures Reoperation rates because of infectious or erosive complications and mechanical failure were assessed. Results Of the 968 implant surgeries during the study period, 47 men had synchronous device placement, of whom 17 (36{\%}) underwent ipsilateral placement of the PRB and reservoir. During a median follow-up of 19 months (range = 1–84 months), reoperations were necessary in 12 of 47 (26{\%}) and were similar between groups (ipsilateral, 5 of 17, 29{\%}; bilateral, 7 of 30, 23{\%}; P = .73). Most reoperations were due to AUS-related complications (10 of 12, 83{\%}) and nearly all patients with reoperation (10 of 12, 83{\%}) had compromised urethras (ie, prior urethral surgery, radiation, or prior AUS implantation). The most common indication for reintervention was cuff erosion (4 of 47, 9{\%}), with no difference between groups (ipsilateral, 3 of 17, 18{\%}; bilateral, 1 of 30, 3{\%}; P = .13). Conclusion Synchronous ipsilateral high submuscular placement of urologic prosthetic balloons could safely facilitate prosthetic surgery in patients with a history of major pelvic and inguinal surgery.",
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AU - Cordon, Billy H.

AU - Mooney, Ryan P.

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N2 - Introduction Synchronous ipsilateral high submuscular placement of artificial urinary sphincter (AUS) pressure-regulating balloons (PRBs) and inflatable penile prosthesis (IPP) reservoirs in a single submuscular tunnel is a novel strategy that could be advantageous for patients who have had major pelvic surgery. Aim To report our initial experience with synchronous ipsilateral vs bilateral placement of AUS PRBs and IPP reservoirs in men undergoing implant surgery. Methods We retrospectively reviewed all patients undergoing synchronous AUS and IPP placement from 2007 through 2015 by a single surgeon at our tertiary center. Patients were stratified according to ipsilateral vs bilateral placement of the AUS PRB and IPP reservoir. Main Outcome Measures Reoperation rates because of infectious or erosive complications and mechanical failure were assessed. Results Of the 968 implant surgeries during the study period, 47 men had synchronous device placement, of whom 17 (36%) underwent ipsilateral placement of the PRB and reservoir. During a median follow-up of 19 months (range = 1–84 months), reoperations were necessary in 12 of 47 (26%) and were similar between groups (ipsilateral, 5 of 17, 29%; bilateral, 7 of 30, 23%; P = .73). Most reoperations were due to AUS-related complications (10 of 12, 83%) and nearly all patients with reoperation (10 of 12, 83%) had compromised urethras (ie, prior urethral surgery, radiation, or prior AUS implantation). The most common indication for reintervention was cuff erosion (4 of 47, 9%), with no difference between groups (ipsilateral, 3 of 17, 18%; bilateral, 1 of 30, 3%; P = .13). Conclusion Synchronous ipsilateral high submuscular placement of urologic prosthetic balloons could safely facilitate prosthetic surgery in patients with a history of major pelvic and inguinal surgery.

AB - Introduction Synchronous ipsilateral high submuscular placement of artificial urinary sphincter (AUS) pressure-regulating balloons (PRBs) and inflatable penile prosthesis (IPP) reservoirs in a single submuscular tunnel is a novel strategy that could be advantageous for patients who have had major pelvic surgery. Aim To report our initial experience with synchronous ipsilateral vs bilateral placement of AUS PRBs and IPP reservoirs in men undergoing implant surgery. Methods We retrospectively reviewed all patients undergoing synchronous AUS and IPP placement from 2007 through 2015 by a single surgeon at our tertiary center. Patients were stratified according to ipsilateral vs bilateral placement of the AUS PRB and IPP reservoir. Main Outcome Measures Reoperation rates because of infectious or erosive complications and mechanical failure were assessed. Results Of the 968 implant surgeries during the study period, 47 men had synchronous device placement, of whom 17 (36%) underwent ipsilateral placement of the PRB and reservoir. During a median follow-up of 19 months (range = 1–84 months), reoperations were necessary in 12 of 47 (26%) and were similar between groups (ipsilateral, 5 of 17, 29%; bilateral, 7 of 30, 23%; P = .73). Most reoperations were due to AUS-related complications (10 of 12, 83%) and nearly all patients with reoperation (10 of 12, 83%) had compromised urethras (ie, prior urethral surgery, radiation, or prior AUS implantation). The most common indication for reintervention was cuff erosion (4 of 47, 9%), with no difference between groups (ipsilateral, 3 of 17, 18%; bilateral, 1 of 30, 3%; P = .13). Conclusion Synchronous ipsilateral high submuscular placement of urologic prosthetic balloons could safely facilitate prosthetic surgery in patients with a history of major pelvic and inguinal surgery.

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