Implantation of the Penile implant AMS 700 and Artificial Urinary Sphincter AMS 800.
Clinical Background
1. 16 Ch catheter Foley
2. Penoscrotal transverse incision
3. Isolation urethra with Babcock
4. Dissection peri-bulbar urethra
5. Measurement cuff length: 4 cm
6. Reservoir placement preparation right inguinal region (high submuscular) for penile implant; stay suture fascia musculus obliquus externus; cloverleaf reservoir filled with 100 cc
7. Reservoir placement left paravessical space for AUS; PRB; 25 cc; stay suture fascia musculus obliquus externus
8. Bilateral corporotomies with "W" stay sutures
9. Furlow length measurement: bilateral 5 cm proximal and 13 cm distal
10. Implantation cylinders LGX 18 cm bilateral
11. Placement of pumps in separate scrotal pouches; connection of all tubing
12. Foley catheter 12 Ch after AUS de-activation
13. Closure
Technique Description
Well-trained team
Do both implants mixed and not the one after the other
A quick surgery is important
68 yr. old male patient
Erectile dysfunction > 15 yrs
Non-responder to PDE-5 inhibitors and intra cavernous injections.
Stress incontinence > 300 cc per day
2009 bilateral hernia repair (Stoppa)
2010 Nesbitt with circumcision
2017 Robot Assisted Radical Prostatectomy; pT3ac G3 N0 M0; iPSA 5,4 mcg/l; Gleason 7
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