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Simultaneous implant of inflatable penile prosthesis and artificial urinary sphincter: a single high-volume center experience


Erectile dysfunction and stress urinary incontinence are both an important sequel after local therapy for prostate cancer, such as radical prostatectomy and radiotherapy. The implant of an inflatable penile prosthesis or an artificial urinary sphincter is an option if other treatments fail in both cases. There is a lack of literature regarding a simultaneous dual implantation. The aim of this study is to describe per- and postoperative morbidity and functional results. We included 25 patients operated between January 2018 and August 2022. Data were collected retrospectively. Standardized questionnaires for evaluating satisfaction were administered. There was a median operative time of 45 min (IQR 41.25–58). No intra-operative complications were seen. Four patients needed revision surgery, all of them regarding the sphincter prosthesis. One of these patients had additional revision surgery due to leakage of the penile implant reservoir. There were no infectious complications. There was a median follow-up time of 29 months (IQR 9.5–43). There was a satisfaction rate of 88% with patients and 92% with partners. Postoperative pads per day were reduced to zero or one in 96% of patients. We conclude that the dual implantation of an inflatable penile prosthesis and an artificial urinary sphincter was a safe and effective treatment in our series for patients with conservative treatment-refractory stress urinary incontinence and erectile dysfunction.

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KVR was responsible for research conceptualization and supervision of the project. AVH was responsible for data collection, data analysis and interpretation, writing the original draft and creating graphical representations. AVH and KVR were responsible for final review and editing.

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Correspondence to Andries Van Huele.

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This study was approved by the local ethics committee (19.40/uro19.03). Patients gave their informed consent.

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The authors declare no competing interests.

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Van Huele, A., Van Renterghem, K. Simultaneous implant of inflatable penile prosthesis and artificial urinary sphincter: a single high-volume center experience. Int J Impot Res (2023).

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