V1560: Simultaneous Placement of Transobturator Male Sling and Insertion of Inflatable Penile Prosthesis Through a Single Perineal Incision

Video

Introduction and Objectives
To describe our technique for the simultaneous placement of a transobturator male sling and an inflatable penile prosthesis through a single perineal incision

Methods
Steps involved during the transobturator sling placement procedure are: 1) perineal incision; 2) dissection towards the bulbocavernosus muscle; 3) incision of bulbocavernosus muscle; 4) inner groin incisions for placement of transobturator tape; 5) needle passage through obturator foramen and sling placement; 6) sling fixation to the corpus spongiosum; 7) sling tensioning; 9) sling arms tunneling back to the perineum. _x000D_ The steps involved during the inflatable penile prosthesis placement included: 1) mobilization of the corpus spongiosum from the corpora cavernosa; 2) placement of sutures within corpora and corporotomy; 3) measurement of corpora length; 4) placement of reservoir within space of Retzius; 5) placement of penile prosthesis cylinders within corpora cavernosa and corporrhaphy; 6) tube connections between cylinders, pump and reservoir; 7) pump placement within the scrotum; 8) closure of scrotal fascia and perineum.

Results
Successful placement of a transobturator male sling and an inflatable penile prosthesis through a single perineal incision

Conclusions
The simultaneous placement of a transobturator male sling and insertion of an inflatable penile prosthesis through a single perineal incision is technically feasible, cost-effective and improves cosmetic results in patients with urinary incontinence and erectile dysfunction

Funding: None