Enigma del manguito: cirugía de prótesis de pene inflable en hombres con esfínteres urinarios artificiales...

Área de la Ciencia:

• Urology; Medical Devices; Surgical Techniques

Sus antecedentes:

• Concerns exist regarding inflatable penile prosthesis (IPP) placement after transcorporal artificial urinary sphincter (TC-AUS) surgery.; Potential risk of damaging the AUS cuff during corporal dilation and device placement is a key concern.

Objetivo del estudio:

• To evaluate perioperative complications, infections, revision rates, and device longevity in patients undergoing IPP placement following prior TC-AUS surgery.; Assess the safety and efficacy of sequential IPP implantation after TC-AUS placement.

Principales métodos:

• Retrospective review of patients who underwent TC-AUS placement followed by IPP surgery at a single tertiary institution (2015-2025).; Standard IPP techniques were employed with precautions to protect the AUS, including electrocautery and contralateral reservoir placement.; Data collected included demographics, operative details, complications, infections, revisions, and device survival.

Principales resultados:

• Out of 757 TC-AUS placements, 17 patients subsequently received IPP surgery.; Proximal corporal dilation was challenging in 18% but completed without cuff injury.; Complications included one TC-AUS cuff erosion (6%), one device infection (6%), and four AUS mechanical failures due to cuff leak (24%) over a median follow-up of 31.5 months.

Conclusiones:

• Inflatable penile prosthesis implantation following TC-AUS can be performed safely with careful surgical technique.; Low infection and erosion rates were observed, but a higher incidence of AUS cuff leaks may occur post-IPP placement.