Penile Implant Considerations in the Bladder Cancer Survivor
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Purpose of Review
After radical cystoprostatectomy, patients often develop erectile dysfunction refractory to first- and second-line treatments. In this review, we summarize and analyze the literature describing the technical considerations and outcomes of penile implant surgery in bladder cancer patients with history of radical cystectomy and urinary diversion.
Penile prosthesis surgery in patients after radical cystectomy and urinary diversion has been infrequently described in the literature. Recent studies have shown that the three-piece inflatable penile prosthesis can be placed safely after significant prior intraabdominal surgery due to the development and refinement of several techniques to place the reservoir. Further studies are needed to objectively determine the impact of penile prosthetic surgery on functional outcomes in this historically undertreated yet increasingly significant patient population.
As health-related quality of life outcomes continue to gain increasing importance after radical cystectomy, urologists should offer motivated bladder cancer survivors the inflatable penile prosthesis as the treatment of choice for refractory erectile dysfunction due to its safety and unmatched ability to restore erectile function.
KeywordsCystectomy Erectile dysfunction Penile prosthesis Urinary diversion Bladder cancer Quality of life Survivorship
Compliance with Ethical Standards
Conflict of Interest
Jeffrey C. Loh-Doyle declares no potential conflicts of interest.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
- 17.•• Loh-Doyle J, Patil MB, Sawkar H, et al. 3-piece inflatable penile prosthesis placement following radical cystoprostatecomy and urinary diversion: technique and outcomes. J Sex Med. 2018;15:907–13 This study describes technique and long-term outcomes of the three-piece inflatable device in patients that have undergone radical cystectomy and urinary diversion. Its strengths include its large sample size and clear description of ectopic reservoir placement in patients with urinary diversion. CrossRefGoogle Scholar
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