UroToday - Combination Therapy for Male Erectile Dysfunction and Urinary Incontinence - Abstract

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Combination Therapy for Male Erectile Dysfunction and Urinary Incontinence -

Abstract

  

Wednesday, 23 January 2008

Division of Urology, The University of Texas Health Science Center at

Houston, MSB Suite 6.018, 6431 Fannin Street, Houston, TX 77030, USA. Tel:

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Urinary incontinence (UI) and erectile dysfunction (ED) are both very

prevalent conditions. Insertion of an artificial urinary sphincter (AUS) and

penile prosthesis (PP) is an effective and proven method of treatment for

both conditions. With advancing age, as well as with increasing populations

of patients radically treated for prostate cancer, the occurrence of both

conditions found in the same patient is increasing. The purpose of this

article was to analyze the available evidence for simultaneous surgical

management of male ED and UI using prosthetic devices. The existing

literature pertaining to dual implantation of AUS and PP was reviewed. The

concomitant insertion of the PP with the male perineal sling was also

considered. Concurrent ED and UI are increasingly seen in the post radical

prostatectomy population, who are often younger and less willing to suffer

with these conditions. Insertion of an AUS and PP, either simultaneously or

as a two-stage procedure, appears to be a safe, efficacious and long-lasting

method of treatment. The improvements in design of both the AUS and PP as

well as the development of the single transverse scrotal incision have made

simultaneous insertion of these prostheses possible. Dual implantation of

the PP and male sling looks promising in a selected population. In

conclusion, the insertion of the AUS and PP for the treatment of concurrent

UI and ED is safe and effective. Simultaneous insertion of these prostheses

in the same patient offers potential advantages in operative and recovery

time and is associated with high patient satisfaction. Combination therapy

should therefore be included in the arsenal of treatment of these

conditions.

Written by

Zafirakis H, Wang R, Westney OL.

Reference

Asian J Androl. 2008 Jan;10(1):149-54

PubMed Abstract

PMID:18087654