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Simultaneous penile prosthesis and male sling/artificial urinary sphincter
Dominic Lee1, Claudio Romero, Frances Alba
1Department of Urology, University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.
Asian Journal of Andrology
|December 4, 2012
Summary
Treating erectile dysfunction (ED) and stress urinary incontinence (SUI) simultaneously with combined prosthesis implantation offers a viable solution for men with both conditions, despite technical challenges.
Area of Science:
- Urology
- Andrology
- Reconstructive Surgery
Background:
- Erectile dysfunction (ED) and stress urinary incontinence (SUI) significantly impact quality of life after prostate cancer surgery.
- Current surgical techniques have not substantially reduced the incidence of ED and SUI.
- Artificial urinary sphincter (AUS) and penile prosthesis (PP) are effective for end-stage SUI and ED, respectively.
Purpose of the Study:
- To review the technical aspects of concurrent implantation of AUS and PP.
- To analyze the published outcomes of simultaneous prosthesis surgery for combined ED and SUI.
Main Methods:
- Review of existing literature on simultaneous AUS and PP implantation.
- Analysis of surgical techniques and outcomes reported in retrospective series.
Main Results:
- Simultaneous implantation is technically demanding but feasible.
- Published data, though limited, suggests good efficacy and patient satisfaction for combined procedures.
- Uptake of combination surgery is limited by technical complexity and concerns over complications.
Conclusions:
- Concurrent surgery for ED and SUI is a viable option for select patients.
- Further research and standardized techniques are needed to optimize outcomes and encourage wider adoption.
