Synchronous Prosthetic Implantation Through a Transscrotal Incision: An Outcome Analysis

Muammer Kendirci, Sanjeev Gupta, Koushik Shaw, Allen Morey, LeRoy Jones, Larry Hakim, Wayne J G Hellstrom

Research output: Contribution to journalArticlepeer-review

39 Scopus citations

Abstract

Purpose: The ease of the transscrotal approach for penile prosthesis implantation and the proximity of the urethra has allowed the evolution of a new strategy for dual implantation of an AUS and IPP at a single setting. Concerns regarding increased infection rates and poor outcomes have prevented widespread acceptance of this simultaneous implantation technique. A multi-institutional evaluation of dual prosthesis implantation was performed to determine the overall efficacy, safety and long-term success of this innovative approach. Materials and Methods: We performed a multi-institutional, retrospective analysis in patients with 2 urological prostheses (AUS and IPP). Only patients undergoing dual implantation via a single transscrotal technique were included for evaluation. Comorbidities, infection rates, and intraoperative and postoperative complications were recorded. Results: A total of 22 men underwent AUS and IPP device implantation between 2000 and 2003 in a synchronous manner. Mean followup was 17 months. Complications were urethral erosion in 2 patients (9%) and reservoir migration in 2 (9%), of whom 1 underwent revision. Importantly no patient experienced a prosthetic infection postoperatively. The overall revision rate was 14%, due to urethral erosion of the AUS in 2 patients and reservoir migration in 1. All patients reported urinary leakage requiring 1 pad daily or less. Conclusions: Our initial intermediate followup in patients who underwent synchronous dual prosthetic implantation was favorable. The inherent advantage of a single anesthetic event and a single transscrotal incision should encourage widespread acceptance of this technique.

Original languageEnglish (US)
Pages (from-to)2218-2222
Number of pages5
JournalJournal of Urology
Volume175
Issue number6
DOIs
StatePublished - Jun 1 2006

Keywords

  • impotence
  • penis
  • prostheses and implants
  • urinary incontinence

ASJC Scopus subject areas

  • Urology

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