Patient satisfaction after dual implantation of inflatable penile and artificial urinary sphincter prostheses.

Objectives: Since description of the transverse scrotal approach for artificial urinary sphincter (AUS) placement, simultaneous implantation of an inflatable penile prosthesis (IPP) and AUS through a single incision has been shown to constitute safe, efficient, and cost-effective treatment for men plagued by both erectile dysfunction and urinary incontinence. We present patient satisfaction outcomes after simultaneous dual implantation (DI) of an IPP and AUS.

Methods: We compared outcomes of postprostatectomy patients who underwent DI to those receiving IPP or AUS alone from 2001 to 2006.

Simplified reconstruction of posterior urethral disruption defects: limited role of supracrural rerouting.

Purpose: We present our combined experience with a simplified posterior urethroplasty technique to determine the necessity and usefulness of ancillary reconstructive maneuvers.

Materials And Methods: We reviewed the records of 135 men and 7 boys who underwent reconstruction of traumatic posterior urethral defects with greater than 1 year of followup from 5 tertiary teaching hospitals. Prior treatments, surgical approach and ancillary techniques required during reconstruction were compiled.

Proximal bulbar urethroplasty via extended anastomotic approach--what are the limits?

Purpose: We report our initial experience with men who underwent EAU for strictures greater than 2.5 cm involving the proximal bulbar urethra.

Materials And Methods: Of the more than 250 men who underwent urethral reconstruction at our institution during 1997 to 2005 a select consecutive group of 22 in whom proximal bulbar urethral strictures were treated with primary bulbomembranous anastomosis were evaluated.

Balanitis xerotica obliterans: epidemiologic distribution in an equal access health care system.

Background: We analyzed the incidence of balanitis xerotica obliterans (BXO) by both age and ethnicity at an equal-access health care facility.

Methods: We retrospectively reviewed discharge records from 1997 to 1999 at Brooke Army Medical Center to determine ethnicity and age of patients with BXO.

Results: Of 153,432 male patients, 108 (0.

Drain-free simple retropubic prostatectomy with fibrin sealant.

Purpose: We present our preliminary experience with liquid fibrin sealant during simple retropubic prostatectomy.

Materials And Methods: We reviewed 18 consecutive simple retropubic prostatectomies performed for symptomatic advanced benign prostatic hyperplasia at our institution between 1997 and 2001. Adenoma enucleation was performed via transverse anterior prostatic capsulotomy.