TY - JOUR T1 - [Initial experience combinating transobturator male sling and penile implant after radical prostatectomy]. AU - Cornu,J-N, AU - Chanu,T, AU - Beley,S, AU - Sèbe,P, AU - Peyrat,L, AU - Ciofu,C, AU - Haab,F, Y1 - 2010/09/28/ PY - 2010/06/11/received PY - 2010/07/21/revised PY - 2010/08/15/accepted PY - 2011/4/26/entrez PY - 2011/4/26/pubmed PY - 2011/9/16/medline SP - 349 EP - 53 JF - Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie JO - Prog Urol VL - 21 IS - 5 N2 - PURPOSE: Stress urinary incontinence (SUI) and erectile dysfunction (ED) are two major complications following radical prostatectomy (RP). In case of failure of medical treatment, Advance™ retrourethral male sling and penile implant are validated options to manage respectively SUI and ED. Our goal was to assess the feasibility and results of the combination of these two devices. PATIENTS AND METHODS: Four patients were treated for SUI and DE following RP in our institution by retrourethral sling and penile prosthesis, after failure of medical management. Each patient was preoperatively evaluated by age, complete medical history, ASA score, endoscopy, pad-test, and urodynamics. The first two patients were implanted with the two devices in a two-stage procedure: retrourethral sling then penile prosthesis for one, and penile prosthesis then retrourethral sling for the other. The two other patients underwent a one-stage procedure: one received the two devices, and the other had retrourethral sling implantation and replacement of a penile prosthesis. Post-operative follow-up was focused on complications and efficacy (evaluated by pad use and PGI-I questionnaire for continence, and patient auto-evaluation for sexual function). RESULTS: No perioperative complication occurred. After a minimum of 6 months follow-up, all the four patients were pad-free with no leakage reported, feeling very much better after the procedure according to the PGI-I. The four patients were fully satisfied of the penile implant device. CONCLUSIONS: According to our initial experience, surgery combining the transobturator Advance male sling and a penile prosthesis is feasible, successively or simultaneously, and leads to excellent functional results with no complications. SN - 1166-7087 UR - https://www.unboundmedicine.com/medline/citation/21514538/[Initial_experience_combinating_transobturator_male_sling_and_penile_implant_after_radical_prostatectomy]_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1166-7087(10)00267-8 DB - PRIME DP - Unbound Medicine ER -