Korean J Urol.  2010 Jan;51(1):70-72.

Robot-Assisted Radical Prostatectomy in a Patient with a Preexisting Three-Piece Inflatable Penile Prosthesis

• Choi KH
• Lee SH
• Jung WS
• Chung BH

Abstract

We report a rare case of robot-assisted laparoscopic radical prostatectomy (RARP) in a patient with a preexisting penile prosthesis. In this case, we completed RARP without removing the reservoir by using a deflation-inflation technique, and there were no complications related to the prosthesis. The patient had a negative surgical margin. The preserved three-piece inflatable penile prosthesis continued to function properly in 1 month. Reservoir-preserving RARP is technically feasible and safe. However, it is important to be aware of device-related complications. Long-term studies on the mechanical survival rate and patient satisfaction should be also performed.

Keyword

Robotics; Prostatectomy; Penile prosthesis; Prostatic neoplasms

MeSH Terms

Humans
Patient Satisfaction
Penile Prosthesis
Prostatectomy
Prostatic Neoplasms
Prostheses and Implants
Robotics
Survival Rate

Figure

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  FIG. 1 Magnetic resonance images showing the perivesical reservoir.

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  FIG. 2 After dissection of the encapsulated inflated reservoir, deflation of the reservoir (black arrows) on the right pelvic wall was performed.

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  FIG. 3 Reservoir inflation (black arrows) after urethrovesical anastomosis (white arrow) and drain insertion.

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