Mp39-17 ectopic Reservoir Placement in the Lateral Retroperitoneum During Inflatable Penile Prosthesis Placement

Abstract

mean time between RP and IPP was 72 months, with the mean ages of RP and IPP being 59 and 66 years respectively. Increased time between RP and IPP were correlated with lower shim scores. Additionally, each month that passed caused a decrease of 1.5% in SHIM scores (p< 0.05), as well as a greater likely hood of developing vasculogenic ED (p[ 0.036). Increased age at IPP was correlated with lower shim scores (p[ 0.049), while RALP was found to be a predictor of higher patient satisfaction (p[ 0.02).CONCLUSIONS: Our expedited algorithm proposes that patients who fail PDE-5 inhibitors following RP be evaluated by PDUS 3 months post-operatively. Those patients found to have venoocclusive etiology should have early surgical intervention limiting patient suffering and known penile atrophy regardless of rehabilitation protocol. If etiology is arterial insufficiency or unknown, then neuropraxia should be considered and patients can be informed to wait for definitive therapy. Early intervention can be fully endorsed for veno-occlusive patients once a prospective study is designed to determine whether they worsen or improve and addresses nerve-sparing status.