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Published on: August 28, 2013
Subcutaneous reservoir placement during penile prosthesis implantation
M C Smaldone1, G M Cannon, R M Benoit
1Department of Urology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
The Canadian Journal of Urology
|December 26, 2006
Summary
Three-piece inflatable penile prostheses are standard, but prior pelvic surgery can complicate reservoir placement. This study details a novel reservoir location for patients with obliterated retropubic spaces after severe pelvic trauma.
Area of Science:
- Urology
- Surgical Innovation
- Medical Device Placement
Background:
- The three-piece inflatable penile prosthesis is the gold standard for penile prosthesis surgery due to superior function.
- Placement of the reservoir for this device typically requires an unobstructed retropubic space.
- Prior pelvic surgery or radiation can compromise the retropubic space, posing challenges for reservoir implantation.
Observation:
- A novel anatomical location for reservoir placement was identified.
- This location was utilized in a patient with a history of multiple pelvic surgeries and severe pelvic crush injury.
- The retropubic space was obliterated in the patient, precluding standard reservoir placement.
Findings:
- Successful implantation of the reservoir in an alternative, extraperitoneal location was achieved.
- The patient experienced optimal inflation and deflation of the penile prosthesis post-implantation.
- This demonstrates the feasibility of reservoir placement in challenging anatomical situations.
Implications:
- This novel reservoir placement technique may expand treatment options for patients requiring penile prostheses after complex pelvic interventions.
- It offers a solution for individuals with obliterated retropubic spaces, improving outcomes in reconstructive urology.
- Further research can explore the long-term efficacy and broader applicability of this surgical approach.
