A Modified Surgical Technique for Reservoir Placement During Inflatable Penile Prosthesis Implantation.
Erectile Dysfunction
Penile Prosthesis
Reservoir Placement
Journal
Sexual medicine
ISSN: 2050-1161
Titre abrégé: Sex Med
Pays: England
ID NLM: 101631053
Informations de publication
Date de publication:
Sep 2020
Sep 2020
Historique:
received:
10
03
2020
revised:
03
04
2020
accepted:
05
04
2020
pubmed:
22
5
2020
medline:
22
5
2020
entrez:
22
5
2020
Statut:
ppublish
Résumé
At the moment, there is an ongoing debate regarding the controversial issue of the ideal reservoir placement (RP) surgical technique during implantation of a 3-piece inflatable penile prosthesis, but a definitive winner has not yet emerged. In this light, we herein describe our modified technique for RP into the space of Retzius through the external oblique muscle fascia and present its results. In total, 253 inflatable penile prosthesis procedures (110 AMS 700 and 143 Coloplast Titan) via a single transverse penoscrotal incision were retrospectively reviewed. 2 Kocher-Langenbeck retractors were placed over the right side of the penoscrotal incision and were used to retract the incision superior to the pubic bone. Then, the external oblique muscle fascia was incised medially to the spermatic cord which was retracted laterally. Next, a "W", Vicryl 1, stay suture was placed to the incision, and under direct visualization, external oblique muscle fibers were dissected and fascia transversalis was perforated using a Metzenbaum scissor. A Foerster lung grasping clamp was then used to dissect further into the extraperitoneal space and create the reservoir space. The reservoir was placed into the created space and fascia incision was closed using the prepositioned stay suture. The procedure was then completed in a standard fashion. The main outcome measures were intraoperative or postoperative complications of our modified RP technique. All 253 patients were available for short-term follow-up (average 9.1 months, range 3-22 months). No intraoperative or postoperative complications were reported. Reservoir-related prolonged pain (1 month) was reported by 1 patient, resolving completely after treatment with non-steroidal analgesics. We are, surely, not proposing that our modified RP technique should supplant all other methods; rather, it should be considered another useful option for RP in the implanter's armamentarium. Mykoniatis I, Osmonov D, van Renterghem K. A Modified Surgical Technique for Reservoir Placement During Inatable Penile Prosthesis Implantation. Sex Med 2020;8:378-382.
Identifiants
pubmed: 32434668
pii: S2050-1161(20)30048-9
doi: 10.1016/j.esxm.2020.04.004
pmc: PMC7471063
pii:
doi:
Types de publication
Journal Article
Langues
eng
Pagination
378-382Informations de copyright
Copyright © 2020 The Authors. Published by Elsevier Inc. All rights reserved.
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