V1559 COMBINED THERAPY OF STRESS URINARY INCONTINENCE AND ERECTILE DYSFUNCTION WITH THE IMPLANTATION OF ADVANCE (XP) AND AMS 700 IN A SINGLE PROCEDURE
2012-04-01

You have accessJournal of UrologyInfertility, Sexual Dysfunction, Trauma & Teaching Technique1 Apr 2012V1559 COMBINED THERAPY OF STRESS URINARY INCONTINENCE AND ERECTILE DYSFUNCTION WITH THE IMPLANTATION OF ADVANCE (XP) AND AMS 700 IN A SINGLE PROCEDURE Bastian Amend, Stephan Kruck, Steven Wilson, Lawrence Hakim, Brian Christine, Jeffrey Brady, César Rojas-Cruz, Arnulf Stenzl, Jens Bedke, and Karl-Dietrich Sievert Bastian AmendBastian Amend Tuebingen, Germany More articles by this author , Stephan KruckStephan Kruck Tuebingen, Germany More articles by this author , Steven WilsonSteven Wilson Indio, CA More articles by this author , Lawrence HakimLawrence Hakim Weston, FL More articles by this author , Brian ChristineBrian Christine Homewood, AL More articles by this author , Jeffrey BradyJeffrey Brady Orlando, FL More articles by this author , César Rojas-CruzCésar Rojas-Cruz Barcelona, Spain More articles by this author , Arnulf StenzlArnulf Stenzl Tuebingen, Germany More articles by this author , Jens BedkeJens Bedke Tuebingen, Germany More articles by this author , and Karl-Dietrich SievertKarl-Dietrich Sievert Tuebingen, Germany More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.1330AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES After radical prostatectomy, urinary incontinence and erectile dysfunction (ED) may occur as post operative quality of life issues. Patients may wish that both problems can be resolved and treated with a single surgical procedure. We report a multi-center experience of synchronous placement of a transobturator bulbourethral male sling (AdVanceTM or AdVance XPTM) and an inflatable penile prosthesis (IPP, AMS 700TM). METHODS 24 patients with ED and mild-to-moderate post prostatectomy stress urinary incontinence underwent a combined 3-piece IPP and AdVance (XP) male sling implantation. Patient selection was strict: all had failed previous conservative therapy for ED and were using 3 pads per day. Urethras were naïve: no patient had received radiation, urethral injection or incision. The sling procedure was first performed and then the IPP without a change in the patient's position. Patients were followed from 2 months to 3 years. RESULTS No intraoperative complications occured. One patient died of pulmonary embolism prior to catheter removal. 7 patients (29%) had transient urinary retention requiring 3-5 days of indwelling catheter drainage. 21 of 24 patients (88%) were dry without pad usage. Within the follow up period, continual pad usage (1-2 pads/24hours) was reported by 2 patients (8%) and one patient (4%) later underwent single-cuff artificial urinary sphincter implantation. All patients are currently utilizing their penile prosthesis. CONCLUSIONS The transobturator bulbourethral sling and IPP implantation can be safely and effectively performed in a single surgical procedure with good results. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e632 Peer Review Report Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.Metrics Author Information Bastian Amend Tuebingen, Germany More articles by this author Stephan Kruck Tuebingen, Germany More articles by this author Steven Wilson Indio, CA More articles by this author Lawrence Hakim Weston, FL More articles by this author Brian Christine Homewood, AL More articles by this author Jeffrey Brady Orlando, FL More articles by this author César Rojas-Cruz Barcelona, Spain More articles by this author Arnulf Stenzl Tuebingen, Germany More articles by this author Jens Bedke Tuebingen, Germany More articles by this author Karl-Dietrich Sievert Tuebingen, Germany More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...