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C. Jamaer, H. de Bruyn, A. van Renterghem, E. Baten, K. van Renterghem, PS-07-005 Penoscrotal Incision for Primary Implantation of AMS 800 Artificial Urinary Sphincter, The Journal of Sexual Medicine, Volume 16, Issue Supplement_2, May 2019, Page S22, https://doi.org/10.1016/j.jsxm.2019.03.093
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Extract
Objective
The artificial urinary sphincter (AUS) has become the gold standard to treat severe stress urinary incontinence in men. The traditional placement of an artificial urinary sphincter requires two incisions. The cuff is placed through a perineal incision and the reservoir and pump are placed via a separate suprapubic incision. The implantation of an AUS is also possible via a penocrotal approach which requires only one incision. The objective is to demonstrate that the penoscrotal approach is not inferior to the perineal approach and even has multiple advantages.
Methods
Retrospective review of a single surgeon database from 2014 to 2018 was performed. A total of 40 patients have undergone implantation of an artificial urinary sphincter via a penoscrotal single incision. The patients were followed for an average of 14 months for adverse outcomes.
Results
Between 1 October 2014 and 3 May 2018, a primary AMS 800 sphincter was placed in 40 patients at the Jessa Hospital in Hasselt via a single penoscrotal incision. The average age was 72 years, with the youngest patient 43 years old and the oldest patient 85 years old. The average operating time was 35 minutes. The average cuff size was 4 cm. There were no infections of the prothesis. 4 patients (10%) required a revision. After activation of the sphincter 32 patients (80%) were completely dry or using one pad per day for accidents. The remainder were improved.
