V9-09: Robot-assisted Laparoscopic Management of Inflatable Penile Prosthesis Reservoir Migration into Bladder with Utilization of Cryopreserved Amniotic Membrane and Umbilical Tissue

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INTRODUCTION

At our institution robot assisted laparoscopy has been adopted for many types of exploratory and reconstructive procedures. We have also utilized cryopreserved amniotic membrane and umbilical cord matrix to facilitate healing in hostile tissue environments. Here we present a 70 year old male with a history of inflatable penile prosthesis placement after radiation and salvage prostatectomy who presented with lower urinary tract symptoms. He was discovered to have reservoir migration into the bladder and was offered a robot assisted laparoscopic exploration with prosthesis reservoir explant and reimplant.

METHODS

We performed a robot-assisted laparoscopic exploration and inflatable penile prosthesis reservoir removal and reimplant. We utilized a cryopreserved amniotic membrane and umbilical tissue graft along the suture line to assist in tissue healing.

RESULTS

Our patient tolerated procedure well and his lower urinary tract symptoms are improved. He has not experienced infection of his prosthesis and it remains functional.

CONCLUSION

Robot assisted laparoscopic management of migrated prosthesis reservoirs may be a safe and feasible approach in select patients. We will continue to explore the use of cryopreserved amniotic membrane and umbilical cord matrix in patients with tissue environments hostile to normal healing.

Funding: None