Retrieval of inflatable penile prosthesis reservoir from the bladder

Brusky, John P.; Dikranin, A; Aboseif, Sherif R.

doi:10.1038/sj.ijir.3901303

Cited by 30 publications

(17 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This seems to be an unusual combination of two typical reactions to foreign objects in the body: first, an aseptic fibrinous response to isolate and encapsulate the object, followed by erosion of the object into a hollow organ [2]. There have also been reports of penile prostheses appearing in the bladder of humans [17,18]; however, these appear to be cases of erosion into the bladder or surgical misplacement, rather than a pathway for expulsion.…”

Section: Discussionmentioning

confidence: 99%

Removing the rubbish: frogs eliminate foreign objects from the body cavity through the bladder

et al. 2010

View full text Add to dashboard Cite

During the course of a telemetry study on three species of Australian frogs ( Litoria caerulea, Litoria dahlii and Cyclorana australis ), we found that many of the surgically implanted transmitters had migrated into the bladder. We subsequently implanted small beads into L. caerulea and they were expelled from the body in 10–23 days. Beads implanted into cane toads ( Rhinella marina ) to document the process were either expelled or were enveloped into the bladder. This appears to be a unique pathway for expulsion of foreign objects from the body, and suggests that caution should be employed in telemetry studies when interpreting the separation of some animals from their transmitters as a mortality event.

show abstract

Section: Discussionmentioning

confidence: 99%

Removing the rubbish: frogs eliminate foreign objects from the body cavity through the bladder

et al. 2010

View full text Add to dashboard Cite

show abstract

“…In our recent literature review conducted in July of 2013 utilizing PubMed and Medline, we identified 37 cases of nonmechanical reservoir-related complications dating back to 1984. The most common complication was erosion of the reservoir into the bladder; which comprised 15/37 (41%) of the cases [9][10][11][12][13][14][15][16][17][18]. The most common symptom of bladder erosion was hematuria; which was found in 100% of cases.…”

Section: Resultsmentioning

confidence: 99%

“…In patients with prior pelvic surgery, it has been well demonstrated that reservoir placement in the space of Retzius has an increased complication rate. Complications such as bladder erosion, however, exist even in low-risk patients and is the most common of all reservoir complications as demonstrated in Table 1 [9][10][11][12][13][14][15][16][17][18]39,44]. For this reason, ectopic reservoir placement has gained popularity in recent years [25,39].…”

Section: Reservoir Placement Techniquesmentioning

confidence: 99%

Tips and Tricks of Inflatable Penile Prosthesis Reservoir Placement: A Case Presentation and Discussion

Simon¹,

Hakky²,

Henry

et al. 2014

The Journal of Sexual Medicine

View full text Add to dashboard Cite

Introduction There have been many advances in the inflatable penile prosthesis (IPP) since the 1970s. While these devices were initially fraught with mechanical malfunction, the most recent models prove to be much more reliable. Although reservoir complications are not common, when they do occur, it typically involves damage to the surrounding tissues. The ability to recognize and treat these complications is paramount for any surgeon that routinely places IPPs. Aim The aim of this article was to present a unique reservoir-related complication as well as perform a literature review of reservoir-related complications and techniques for reservoir placement, and provide a summary of dimensions and technical aspects of commonly used reservoirs. Methods We reviewed a unique reservoir-related complication that presented to our institution with urinary retention and constipation. We also reviewed reservoir-related complications since 1984, reviewed the most recent surgical techniques involved in reservoir placement, and summarized the dimensions and technical characteristics of both the American Medical System® and Coloplast® reservoirs. Main Outcome Measure A reservoir-related complication that resulted in urinary retention and constipation is the main outcome measure. Results Although uncommon, reservoir complications do occur. The most common case report complication in the published literature is bladder erosion followed by external iliac compression, ileal conduit erosion, and small bowel obstruction. The case that presented at our institution was the result of a reservoir that was improperly placed in the perineum, causing urinary retention and constipation due to the compression of the bulbar urethra and rectum. Conclusions In this era, mechanical failures of IPP reservoirs are rare as most complications occur due to damage of the surrounding tissues. Prevention, diagnosis, and treatment of these complications are important for any surgeon that implants IPPs.

show abstract

“…All experienced implanters have performed cystoscopy on IPP patients and seen the imprint of the reservoir of the superior bladder wall as the bladder fills with irrigation fluid. The literature is replete with case reports of bladder laceration or erosion related to reservoir placement [13–18]. Erosion seems more likely in men with a history of RRP [13,14].…”

Section: Discussionmentioning

confidence: 99%

Outcomes of Abdominal Wall Reservoir Placement in Inflatable Penile Prosthesis Implantation: A Safe and Efficacious Alternative to the Space of Retzius

Stember

Garber

Perito³

2014

The Journal of Sexual Medicine

View full text Add to dashboard Cite

Introduction Inflatable penile prosthesis (IPP) surgery is a successful therapeutic option for men with erectile dysfunction. Traditional placement of the reservoir in the retropubic space of Retzius is associated with the rare occurrence of significant complications including bladder, bowel, and vascular injury. An alternative site, posterior to the abdominal wall musculature, has been identified as a potentially safer location for reservoir placement. Aims The aim of this study was to describe our technique of abdominal reservoir placement during infrapubic IPP surgery and present our outcomes data. Methods We retrospectively reviewed our experience with abdominal reservoir placement during virgin IPP cases. Reservoirs placed anterior and posterior to transversalis fascia were analyzed separately. Main Outcome Measure The main outcome measures was assessment of reservoir-related complications including palpable reservoir, reservoir herniation, and injuries to bowel, bladder, or major blood vessels. Results There were no injuries to bowel or major blood vessels with abdominal reservoir placement posterior or anterior to the transversalis fascia in properly segregated patients. Conclusion Abdominal reservoir placement is a safe and simple surgical method that can be recommended for most men undergoing IPP placement. Men with a history of pelvic surgery can have the reservoir placed between the rectus abdominis musculature and transversalis fascia, while other men can have the reservoir placed between transversalis fascia and peritoneum in order to avoid a palpable reservoir. By applying this protocol, the catastrophic injuries that occur rarely with retropubic reservoir placement can be reliably avoided.

show abstract

Retrieval of inflatable penile prosthesis reservoir from the bladder

Abstract: We report a rare complication of a penile prosthesis reservoir removed from the urinary bladder in a patient with a history of radiation therapy and previous abdominal surgery. The reservoir was retrieved by open cystotomy 13 years after original placement.

Cited by 30 publications

References 8 publications

Removing the rubbish: frogs eliminate foreign objects from the body cavity through the bladder

Removing the rubbish: frogs eliminate foreign objects from the body cavity through the bladder

Tips and Tricks of Inflatable Penile Prosthesis Reservoir Placement: A Case Presentation and Discussion

Outcomes of Abdominal Wall Reservoir Placement in Inflatable Penile Prosthesis Implantation: A Safe and Efficacious Alternative to the Space of Retzius

Contact Info

Product

Resources

About