Diagnostics and treatment of reservoir-related complication that resulted in urinary retention and constipation

Česká verzia

Authors: R. Simon; T. S. Hakky; G. Henry; P. Perito; J. G. Pavlinec; D. Martinez; J. Parker; R. E. Carrion
Published in the journal: Urol List 2013; 11(4): 11-17

Summary

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

Zdroje

1. Mulcahy JJ, Austoni E, Barada JH et al. The penile implant for erectile dysfunction.J Sex Med 2004; 1: 98–109.

2. Wilson SK, Delk JR. Historical Advances in Penile Prostheses. Int J Impotence Res 2000; 12: 101–107.

3. Beheri GE. Surgical treatment of impotence. PlastReconstrSurg 1966; 38: 92–97.

4. Pearman RO. Treatment of organic impotence by implantation of a penile prosthesis. J Urol 1967; 97: 716–719.

5. Simmons M, Montague DK. Penile Prosthesis Implantation: Past, Present and Future. Int J Impotence Res 2008; 20: 437–444.

6. Montague DK, Hewitt CB, Stewart BH. Treatment of impotence with an inflatable penile prosthesis. Ohio State Med J 1979; 1: 9–11.

7. Henry GD, Kansal NS, Callaway M et al. Centers of Excellence Concept and Penile Prostheses: An Outcome Analysis. J Urol 2009; 181: 1264–1268.

8. Dhar NB, Angermeier KW, Montague DK. Long-term mechanical reliability of AMS 700CX/CXM inflatable penile prosthesis.J Urol 2006; 6: 2599–2601.

9. Leach GE, Shapiro CE, Hadley R et al. Erosion of inflatable penile prosthesis reservoir into bladder and bowel. J Urol 1984; 131: 1177–1178.

10. O’Brien DP III, Walton KN, Amerson JR et al. Unusual complications of the inflatable penile prosthesis. J Urol 1984; 131: 234.

11. Fitch WP, Roddy T. Erosion of inflatable penile prosthesis reservoir into bladder. J Urol 1986; 36: 1080.

12. Godiwalla SY, Beres J, Jacobs SC. Erosion of an inflatable penile prosthesis reservoir into an ileal conduit. J Urol 1987; 137: 297–298.

13. Furlow WL, Goldwasser B. Salvage of the eroded inflatable penile prosthesis: A new concept. J Urol 1987; 138: 312–314.

14. Dupont MC, Hochman HI. Erosion of an inflatable penile prosthesis reservoir into the bladder, presenting as bladder calculi. J Urol 1988; 139: 367–368.

15. Nelson RP. Small bowel obstruction secondary to migration of an inflatable penile prosthesis reservoir: Recognition and prevention. J Urol 1988; 139: 1053–1054.

16. Luks FI, Huntley N, Tula JC et al. Small-bowel obstruction by an inflatable penile prosthesis reservoir. Surgery 1989; 106: 101–104.

17. Flanagan MJ, Krisch EB, Gerber WL. Complication of a penile prosthesis reservoir: Venous compression masquerading as a deep venous thrombosis. J Urol 1991; 146: 847–848.

18. Singh I, Godec CJ. Asynchronous erosion of inflatable penile prosthesis into small and large bowel. J Urol 1992; 147: 709–10.

19. Munoz JJ, Ellswort PI. The retained penile prosthesis reservoir: A risk. Urology 2000; 55: 949.

20. Levine LA, Hoeh MP. Review of Penile Prosthetic Reservoir: Complications and Presentation of a Modified Reservoir Placement Technique. J Sex Med 2012; 9: 2759–2769.

21. Da Justa DG, Bianco FJ Jr, Ogle A et al. Deep venous thrombosis due to compression of external iliac vein by the penile prosthesis reservoir. Urology 2003; 61: 462.

22. Park JK, Jang SW, Lee SW et al. Rare complication of multiple revision surgeries of penile prosthesis. J Sex Med 2005; 2: 735–736.

23. Brusky J, Dikranin A, Aboseif S. Retrieval of inflatable penile prosthesis reservoir from the bladder.Int J Impot Res 2005; 17: 302–303.

24. Jiang BP, Ou CW, Lin JT et al. Compression of ureter caused by a retained reservoir of penile prosthesis. Int J Impot Res 2006; 18: 316–7.

25. Agrawal V, Rickards D, Ralph DJ. Ejaculatory pain as a result of inflatable penile prosthesisreservoir compressing a seminal vesicle. Urology 2006; 68: 888.

26. Brison D, Ilbeigi P, Sadeghi-Nejad H. Reservoir repositioning and successful thrombectomy for deep venous thrombosis secondary to compression of pelvic veins by an inflatable penile prosthesis reservoir. J Sex Med 2007; 4: 1185–1187.

27. Deho F, Henry GD, Marone EM et al. Severe vascular complication after implantation of a three-piece inflatable penile prosthesis. J Sex Med 2008; 5: 2956–2959.

28. Hudak SJ, Mora RV. Unilateral ureteral obstruction due to a migrated inflatable penile prosthesis reservoir. J Urol 2008; 180: 336.

29. Kramer AC, Chason JK, Kusakabe A. Report of two cases of bladder perforation caused by reservoir of inflatable penile prosthesis. J Sex Med 2009; 6: 2064–2067.

30. Eldefrawy A, Kava BR. An unusual complication during inflatable penile prosthesis implantation. Urology 2010; 76: 847.

31. Garber BB, Morris A. Intravesical Penile Implant Reservoir: Case Report, Literature Review, and Strategies for Prevention. Int J Impot Res 2012; 25: 41–44.

32. Kelly MP, Franciose RJ, Lloyd GL. Successful salvage reimplantation of penile prosthesis after reservoir erosion into continent urinary reservoir. Urology 2012; 80: 63–64.

33. Tran CN, Boncher N, Montague DK et al. Erosion of Inflatable Penile ProsthesisReservoir into Neobladder. J Sex Med 2013; 10: 2343–2346.

34. Karpman E. Streamlined Approach for Infrapubic Placement of an Inflatable Penile Prosthesis. Adv Urol 2012; 2012:1–4.

35. Montague, Drogo K. Penile Prosthesis Implantation for End-Stage Erectile Dysfunction After Radical Prostatectomy. Rev Urol 2005; 7 (Suppl 2): 551–557.

36. Kramer A, Chason J. Residents at the University of Maryland Medical System Provide Insight to Learning Infrapubic Approach for IPP Surgery: Relative Benefits but Novel Challenges Exposed in First 15 Cases. J Sex Med 2010; 7: 1298–1305.

37. Perito PE. Minimally Invasive Infrapubic Inflatable Penile Implant. J Sex Med 2008; 5: 27–30.

38. Morey AF, Cefalu CA, Hudak SJ. High Submuscular Placement of Urologic Prosthetic Balloons and Reservoirs via Transscrotal Approach. J Sex Med 2013; 10: 603–610.

39. Sadeghi-Nejad H, Sharma A, Irwin RJ et al. Reservoir herniation as a complication of three-piece penile prosthesis insertion. Urology 2001; 57: 142–145.

40. Perito PE, Wilson SK. Traditional (retroperitoneal) and abdominal wall (ectopic) reservoir placement. J Sex Med 2011; 8: 656–659.

41. Perito PE. Ectopic reservoir placement – no longer in the space of Retzius. J Sex Med 2011; 8 :2395–2398.

42. Wilson SK, Delk JR. Ectopic Placement of AMS 800 Urinary Control System Pressure-regulating Balloon. Urology 2005: 65: 167–170.