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R. Andrianne, K. van Renterghem, VS-01-007 In Patients with Climacturia and/or Mild Stress Incontinence after Radical Prostatectomy, Scheduled for Penile Implant, a Mini Sling Called “the Mini-Jupette” can be Incorporated in the Procedure, The Journal of Sexual Medicine, Volume 14, Issue Supplement_4a, April 2017, Page e137, https://doi.org/10.1016/j.jsxm.2017.03.011
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Extract
Objective
An often underreported complication of RP is climacturia or urinary incontinence in relation to sexual stimulation experienced by 20-93% of RP patients at least a few times after surgery. Available interventions for the management of this condition have, to date, been underwhelming. The “miniskirt” or “Mini-Jupette” is a concept developed by R. Andrianne, in which a “Polypropylene” mesh is used to permit a compression of the urethral bulbar area with an insertion to the medial aspects of the bilateral corporotomies at the time of IPP insertion. The belief is that, as the cylinders expand on inflation, this may help limit climacturia, as well as leakage in patients with minimal incontinence (1-2 pads/day) undergoing IPP insertion for ED.
Methods
After corporotomies are made, a measurement is made between the medial aspects of the bilateral corporotomies and a polypropylene graft is fashioned according to that width. The length of the graft should be the same length as the corporotomies. The graft is then sutured to the medial aspects of both corporotomies without being under tension. The corporotomies are then closed. The rest of the procedure is as per usual IPP insertion.