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A Modified Surgical Technique for Reservoir Placement During Inflatable Penile Prosthesis Implantation

INTRODUCTION: 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. AIM: In this light, we herein describe our mo...

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Autores principales: Mykoniatis, Ioannis, Osmonov, Daniar, van Renterghem, Koenraad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7471063/
https://www.ncbi.nlm.nih.gov/pubmed/32434668
http://dx.doi.org/10.1016/j.esxm.2020.04.004
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author Mykoniatis, Ioannis
Osmonov, Daniar
van Renterghem, Koenraad
author_facet Mykoniatis, Ioannis
Osmonov, Daniar
van Renterghem, Koenraad
author_sort Mykoniatis, Ioannis
collection PubMed
description INTRODUCTION: 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. AIM: 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. METHODS: 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 Then, the external oblique muscle fascia was incised medially to the spermatic cord which was retracted laterally.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. OUTCOMES: The main outcome measures were intraoperative or postoperative complications of our modified RP technique. RESULTS: 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. CONCLUSION: 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.
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spelling pubmed-74710632020-09-09 A Modified Surgical Technique for Reservoir Placement During Inflatable Penile Prosthesis Implantation Mykoniatis, Ioannis Osmonov, Daniar van Renterghem, Koenraad Sex Med Erectile Dysfunction INTRODUCTION: 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. AIM: 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. METHODS: 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. OUTCOMES: The main outcome measures were intraoperative or postoperative complications of our modified RP technique. RESULTS: 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. CONCLUSION: 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. Elsevier 2020-05-17 /pmc/articles/PMC7471063/ /pubmed/32434668 http://dx.doi.org/10.1016/j.esxm.2020.04.004 Text en © 2020 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Erectile Dysfunction
Mykoniatis, Ioannis
Osmonov, Daniar
van Renterghem, Koenraad
A Modified Surgical Technique for Reservoir Placement During Inflatable Penile Prosthesis Implantation
title A Modified Surgical Technique for Reservoir Placement During Inflatable Penile Prosthesis Implantation
title_full A Modified Surgical Technique for Reservoir Placement During Inflatable Penile Prosthesis Implantation
title_fullStr A Modified Surgical Technique for Reservoir Placement During Inflatable Penile Prosthesis Implantation
title_full_unstemmed A Modified Surgical Technique for Reservoir Placement During Inflatable Penile Prosthesis Implantation
title_short A Modified Surgical Technique for Reservoir Placement During Inflatable Penile Prosthesis Implantation
title_sort modified surgical technique for reservoir placement during inflatable penile prosthesis implantation
topic Erectile Dysfunction
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7471063/
https://www.ncbi.nlm.nih.gov/pubmed/32434668
http://dx.doi.org/10.1016/j.esxm.2020.04.004
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