Placement of 3-piece inflatable prosthesis and urethral mesh for climacturia and erectile dysfunction

Laurence Levine, Matthew Ziegelmann, Ryan Farrell and Adam Wiggins

Mini-Sling, Mini-Jupette, MUMS, Prosthesis, Climacturia, Mesh

The male urethral mini-sling, in combination with placement of an inflatable penile prosthesis, is a surgical approach to treat patients experiencing post-radical prostatectomy erectile dysfunction with concurrent climacturia and/or mild stress urinary incontinence. The technique in this video represents a modification to the “mini-jupette,” as described by Robert Andrianne, MD, in 2005. Initial results are excellent, with >90% of men reporting complete resolution of climacturia and 85% reporting improvement in stress incontinence.

Laurence A. Levine is a speaker for- and member of the advisory board for Coloplast; a speaker for Boston Scientific, and on the advisory board of Gesiva medical. The remaining authors declare no relevant financial interests

• Valenzuela, R., Ziegelmann, M., Hillelsohn, J., Farrell, M., Kent, M. and Levine, L. Preliminary Outcomes of the Male Urethral “Mini-Sling”: A Modified Approach to the Andrianne Mini-Jupette Procedure With Penile Prosthesis Placement for Climacturia and Mild Stress Urinary Incontinence. The Journal of Sexual Medicine, (2019) 16(8), pp.1310-1317.
• Yafi, F., Andrianne, R., Brady, J., Butcher, M., Chevalier, D., Faix, A., Hatzichristodoulou, G., Hellstrom, W., Jenkins, L., Osmanov, D., Park, S., Schwalb, M., Valenzuela, R., van Renterghem, K. and Wilson, S. (2018). “Andrianne mini-jupette” graft at the time of inflatable penile prosthesis placement for the management of post-prostatectomy climacturia and minimal urinary incontinence. The Journal of Sexual Medicine, 15(7), p.S146.