Simultaneous penile prosthesis and male sling/artificial urinary sphincter

Dominic Lee, Claudio Romero, Frances Alba, O. Lenaine Westney, Run Wang

Research output: Contribution to journalReview article

10 Scopus citations

Abstract

Erectile dysfunction (ED) and stress urinary incontinence (SUI) from urethral sphincteric deficiency is not an uncommon problem. The commonest etiology is intervention for localized prostate cancer and/or radical cystoprostatectomy for muscle invasive bladder cancer. Despite advances in surgical technology with robotic assisted laparoscopic prostatectomy and nerve sparing techniques, the rates of ED and SUI remain relatively unchanged. They both impact greatly on quality of life domains and have been associated with poor performance outcomes. Both the artificial urinary sphincter and penile prosthesis are gold standard treatments with proven efficacy, satisfaction and durability for end-stage SUI and ED respectively. Simultaneous prosthesis implantation for concurrent conditions has been well described, mostly in small retrospective series. The uptake of combination surgery has been slow due in part to technical demands of the surgery and to an extent, a heightened anxiety over potential complications. This paper aims to discuss the technical aspect of concurrent surgery for both disease entity and the current published outcomes of the various surgical techniques with this approach.

Original languageEnglish (US)
Pages (from-to)10-15
Number of pages6
JournalAsian Journal of Andrology
Volume15
Issue number1
DOIs
StatePublished - Jan 2013

Keywords

  • artificial urinary sphincter
  • dual implants
  • erectile dysfunction
  • penile prosthesis
  • stress urinary incontinence

ASJC Scopus subject areas

  • Urology

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