Single Perineal Incision for Artificial Urinary Sphincter and Semi-Rigid Penile Prosthesis Placement

Carrion, R., Slongo, J., Loeb, A., Shah, B.B.

Single Incision, Semi Rigid, AUS, Malleable

There are multiple options for the surgical treatment of stress urinary incontinence in combination with erectile dysfunction. The most common approach is to perform an artificial urinary sphincter placement (with standard two incisions) in combination with a malleable or inflatable penile prosthesis – in the same setting or staged surgeries. This video describes in detail our single perineal incision for placement of a virgin malleable penile prosthesis with an artificial urinary sphincter. All the surgical steps are demonstrated in detail, allowing the viewer to have a very rich comprehension of the procedure. Special attention is given to the pressure regulating balloon insertion, which is performed through the same perineal incision.

1. Benson CR, Ayoub HI, Westney OL. Single perineal incision placement of artificial urinary sphincter with cadaveric correlation of sub-dartos pump placement. Int Braz J Urol. 2017 Nov 19;43.
2. Reznicek DG, Bryson R, Kramer AC. Review: Alternative Placement of Penile Prosthesis Reservoir and AUS Pressure Regulating Balloon. Sex Med Rev. 2015 Mar;3(1):48-55.