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• W4226037379 abstract "You have accessJournal of UrologyCME1 May 2022PD28-05 3-PIECE INFLATABLE PENILE IMPLANT PUMP MALFUNCTION: MANAGEMENT USING PUMP REPLACEMENT ALONE Hisanori Taniguchi, John Sullivan, Jose Flores, Carolyn Salter, Helen Bernie, Lawrence Jenkins, and John Mulhall Hisanori TaniguchiHisanori Taniguchi More articles by this author , John SullivanJohn Sullivan More articles by this author , Jose FloresJose Flores More articles by this author , Carolyn SalterCarolyn Salter More articles by this author , Helen BernieHelen Bernie More articles by this author , Lawrence JenkinsLawrence Jenkins More articles by this author , and John MulhallJohn Mulhall More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002576.05AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Expert opinion is that when an implant malfunctions after 2 years it should be replaced in its entirety, despite the fact that reservoir removal is associated with serious potential complications. Furthermore, modern reservoir construction is such that material fracture and leak is rare. This analysis reviewed our experience with replacing only the reservoir in patients with malfunctioning 3-piece inflatable implants resulting from pump breakdown. METHODS: The study population consisted of (i) men who had had 3-piece inflatable penile implant surgery (ii) with device malfunction (iii) resulting from pump malfunction (iv) who had all other components functional (v) who underwent pump replacement alone and (vi) had ≥5 years follow-up after device repair (clinic visit, telephone call, letter). Only patients who had undergone a single prior implant operation were included. At the time of the repair, the pump was removed and replaced with a new pump, making sure that both cylinders and reservoir were filled fully intraoperatively and retained all fluid that was instilled. At the postoperative appointment, all patients were retrained in the correct means of device inflation, specially focused on avoidance of pump torqueing. RESULTS: 88 patients had pump tubing blow-out upon delivery of the pump at a mean duration post-primary implant of 9 ± 11 (2-16) years. Mean age 62 ±14 years. All patients had either a Mentor Alpha-1 or a Coloplast Titan devices placed. Tubing disruption was present ≤1cm from pump itself in 66 (75%) or >1cm from the pump in 22 (20%) patients. 25% had a blow out of the pump-reservoir tubing, while 66 (75%) had a tear in the pump-cylinder tubing (46 frayed tubing, 20 compete transection), evenly distributed between right and left-sided tubing. With a mean follow-up of 7±2.5 years, none of the devices had failed again. CONCLUSIONS: In patients with a malfunctioning penile implant with proven pump-only failure, replacing the pump is a viable repair option, thus, circumventing the need for reservoir placement. Source of Funding: none © 2022 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 207Issue Supplement 5May 2022Page: e500 Advertisement Copyright & Permissions© 2022 by American Urological Association Education and Research, Inc.MetricsAuthor Information Hisanori Taniguchi More articles by this author John Sullivan More articles by this author Jose Flores More articles by this author Carolyn Salter More articles by this author Helen Bernie More articles by this author Lawrence Jenkins More articles by this author John Mulhall More articles by this author Expand All Advertisement PDF DownloadLoading ..." @default.
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• W4226037379 date "2022-05-01" @default.
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• W4226037379 title "PD28-05 3-PIECE INFLATABLE PENILE IMPLANT PUMP MALFUNCTION: MANAGEMENT USING PUMP REPLACEMENT ALONE" @default.
• W4226037379 doi "https://doi.org/10.1097/ju.0000000000002576.05" @default.
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