Abstract: PD25-05
Sources of Funding: none

Introduction

Following radical prostatectomy (RP), erectile dysfunction may ensue, often necessitating the need for inflatable penile prosthesis (IPP) insertion. Other consequences of RP include urinary incontinence and climacturia. The &[Prime]mini-jupette&[Prime] is a mesh that is used to approximate the medial aspects of the bilateral corporotomies at the time of IPP insertion. We hypothesize that, as the cylinders expand on inflation, this may help limit climacturia, as well as leakage in patients with minimal incontinence.

Methods

We conducted a pilot multi-center study of patients with post-RP ED and climacturia and/or mild urinary incontinence (≤2pads/day) undergoing IPP insertion with concomitant placement of a &[Prime]mini-jupette&[Prime] graft.

Results

Seven patients underwent the &[Prime]mini-jupette&[Prime] procedure. The median age of the population was 61 years (53-70). Four patients had post-RP climacturia and 7 patients had post-RP incontinence (mean 1.9 pads/day [SD 0.4]). Four patients received a Coloplast Titan, 2 an AMS 700 LGX, and 1 an AMS 700 CX IPP. Mean corporotomy size was 3.2cm (1.3). Types of grafts used were Tutoplast pericardium in 4 patients, biomesh/polypropylene in 2, and Vypro-mesh in 1.Mean graft measurements were as follows: length 3.1cm (1.4), width 3.0cm (0.9), and surface area 9.6cm2 (7.6). No intra-operative or post-operative complications were reported at a mean follow-up of 2.7 months (1.5). Climacturia and incontinence were subjectively improved in 3 (75%) and 7 patients (100%), respectively. All patients were satisfied with the use of their IPP.

Conclusions

The &[Prime]mini-jupette&[Prime] procedure is an excellent, safe and easy technique that can be used for subsets of patients with post-RP climacturia and/or minimal incontinence. Longer follow-up and larger patient cohorts are needed to confirm the long term safety and benefits of this intervention.

Funding

none