The "Mini-Jupette" sling at the time of inflatable penile prosthesis implantation: Adequate treatment for erectile dysfunction with mild incontinence and/or climacturia after radical prostatectomy

• Published in: Progrès en urologie (Paris) Vol. 29; no. 8-9; p. 456
• Main Author: Andrianne, R
• Format: Journal Article
• Language: English
• Published: France 01-07-2019
• Subjects: Aged; Erectile Dysfunction - etiology; Erectile Dysfunction - surgery; Follow-Up Studies; Humans; Male; Middle Aged; Penile Implantation - methods; Penile Prosthesis; Prostatectomy - adverse effects; Prostatectomy - methods; Prostatic Neoplasms - surgery; Retrospective Studies; Sexual Dysfunction, Physiological - etiology; Sexual Dysfunction, Physiological - surgery; Suburethral Slings; Treatment Outcome; Urinary Incontinence - etiology; Urinary Incontinence - surgery; Penile prosthesis; Urinary incontinence; Dysfonction érectile post-prostatectomie; Incontinence urinaire; Post-radical prostatectomy erectile dysfunction; Climacturia; Bandelette masculine; Implant pénien; Male sling; Orgasmurie
• ISSN: 1166-7087
• DOI: 10.1016/j.purol.2019.05.003

The usual morbidity after radical prostatectomy (RP) implies, the possible need for inflatable penile prosthesis (IPP). This study aims to validate the efficacy and safety of a sling called "Mini-Jupette" concomitantly with the implantation of an IPP that will counteract mild UI (<2 pads/day) associated or not with climacturia for patients resistant to non-invasive therapeutic approach.
We provide a detailed description with robust illustration of an original surgical technique. The method the criteria analyzed in the study and the statistical method. Retrospective data from 15 patients from 2006 to 2016 are detailed.
Data about erectile function, continence before and after operation are documented for this cohort with mild incontinence (15pts - 100% - mean pad/day was 1.5, SD=0.6) and climacturia (6pts-40%). Mean age was 65.9 years (SD=6.3). There were no complications but 2 patients had dysuria and one patient present urinary retention requiring temporary bladder drainage. At 6 months, incontinence were objectively cured for 80% of patients and 2 patients (13%) improve their continence by a slight activation of the implant, the climacturia disappeared in 5 patients (82%). A telephone interview shows a good durability of the results. with a mean time of 107 months follow-up.
Concomitant insertion of the "Mini-Jupette" sling during implantation of an IPP contributes reliably, safely and durably to the treatment of post-radical prostatectomy mild incontinence and/or climacturia.
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