Diagnostics and treatment of reservoir-related complication that resulted in urinary retention and constipation
Authors:
R. Simon; T. S. Hakky; G. Henry; P. Perito; J. G. Pavlinec; D. Martinez; J. Parker; R. E. Carrion
Published in:
Urol List 2013; 11(4): 11-17
Overview
Introduction:
There have been many advances in the inflatable penile prosthesis (IPP) since the 1970’s. 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 IPP’s.
Aim:
The aim of this article is to present a unique reservoir-related complication as well as perform a literature review of reservoir related complications, and techniques for reservoir placement.
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 and reviewed the most recent surgical techniques involved in reservoir placement.
Main Outcome Measures:
A reservoir-related complication that resulted in urinary retention and constipation.
Results:
Although uncommon, reservoir complications do occur. The most common being 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 failure of IPP’s are exceedingly rare as most complications occur due to damage of the surrounding tissues. Prevention, diagnosis, and treatment of these complications is important for any surgeon that implants IPP’s.
Key words:
inflatable penile prosthesis, penile implant, perineum, reservoir, urinary retention
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Labels
Paediatric urologist UrologyArticle was published in
Urological Journal
2013 Issue 4
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