Inflatable penile prosthesis placement after prior transcorporal artificial urinary sphincter placement: A case report

Abstract

Stress urinary incontinence and erectile dysfunction often coexist in men surgically treated for prostate cancer. Despite many men having both an artificial urinary sphincter and inflatable penile prosthesis to treat these conditions, there is limited information in the literature to guide surgeons when it comes to placing both devices.We recommend obtaining direct exposure of proximal crura to allow for complete dilation of corporal spaces for proper prosthetic placement. Further dissection via penoscrotal incision or perineal counter-incision can be utilized. Surgeons should consider dorsal lithotomy position at time of IPP placement to allow for perineal exposure.

Keywords

• Inflatable penile prosthesis
• Artificial urinary sphincter
• Transcorporal AUS
• Prostatectomy complications
• Case report