Abstract：
BACKGROUND: First-line treatment options for patients with erectile dysfunction whose medical management has failed include the inflatable penile prosthesis (IPP). Many patients with an IPP require subsequent urologic surgery, during which the reservoir of the IPP can be injured.
OBJECTIVE: This review aims to present a summary of current literature related to iatrogenic injuries to the IPP sustained during urologic surgery.
METHODS: Two reviewers independently performed a systematic search on PubMed using standardized search terms to identify pertinent articles. After preliminary review, relevant studies were analyzed to identify the presence of perioperative complications resulting in IPP reservoir injury. Results were categorized by surgical procedures.
RESULTS: Among 13 articles included, all were based on urologic surgery. Four studies identified IPP reservoir injury as a result of surgical injury. Of these, injuries occurred during radical prostatectomy (n = 3) and prostatic urethral lift surgery (UroLift, n = 1). Most radical prostatectomy studies without IPP reservoir injuries also described intentional surgical techniques that were employed to prevent reservoir damage, including modulation of reservoir inflation-deflation (n = 3), temporary reservoir repositioning (n = 1), or reservoir capsule dissection to improve visualization (n = 1). Findings from an additional novel case report on IPP injury during a UroLift procedure are presented in this review.
CONCLUSIONS: Approximately one-third of studies identified intraoperative IPP reservoir injury as a significant complication of urologic surgery, particularly during radical prostatectomy. Novel case report findings also contribute the only other case of IPP reservoir damage sustained from delivery of UroLift implants. Findings are used to create a standardized surgical checklist that guides perioperative planning measures prior to pursuing surgery in adjacent spaces.
OBJECTIVE: This review aims to present a summary of current literature related to iatrogenic injuries to the IPP sustained during urologic surgery.
METHODS: Two reviewers independently performed a systematic search on PubMed using standardized search terms to identify pertinent articles. After preliminary review, relevant studies were analyzed to identify the presence of perioperative complications resulting in IPP reservoir injury. Results were categorized by surgical procedures.
RESULTS: Among 13 articles included, all were based on urologic surgery. Four studies identified IPP reservoir injury as a result of surgical injury. Of these, injuries occurred during radical prostatectomy (n = 3) and prostatic urethral lift surgery (UroLift, n = 1). Most radical prostatectomy studies without IPP reservoir injuries also described intentional surgical techniques that were employed to prevent reservoir damage, including modulation of reservoir inflation-deflation (n = 3), temporary reservoir repositioning (n = 1), or reservoir capsule dissection to improve visualization (n = 1). Findings from an additional novel case report on IPP injury during a UroLift procedure are presented in this review.
CONCLUSIONS: Approximately one-third of studies identified intraoperative IPP reservoir injury as a significant complication of urologic surgery, particularly during radical prostatectomy. Novel case report findings also contribute the only other case of IPP reservoir damage sustained from delivery of UroLift implants. Findings are used to create a standardized surgical checklist that guides perioperative planning measures prior to pursuing surgery in adjacent spaces.
摘要：
背景：医疗管理失败的勃起功能障碍患者的一线治疗选择包括充气阴茎假体（IPP）。许多IPP患者需要随后的泌尿外科手术，在此期间，IPP的水库可能会受伤。
目的：这篇综述旨在总结目前与泌尿外科手术中IPP的医源性损伤相关的文献。
方法：两名审稿人使用标准化的搜索词独立地对PubMed进行了系统的搜索，以识别相关文章。经过初步审查,对相关研究进行分析，以确定是否存在导致IPP储层损伤的围手术期并发症。结果按外科手术进行分类。
结果：在包括的13篇文章中，全部基于泌尿外科手术.四项研究确定了手术损伤导致的IPP储层损伤。其中,在根治性前列腺切除术（n=3）和前列腺尿道提升术（UroLift，n=1)。大多数没有IPP水库损伤的前列腺癌根治术研究也描述了用于防止水库损伤的有意手术技术。包括水库充气-放气的调制(n=3)，临时水库重新定位(n=1)，或水库胶囊解剖以提高可视化(n=1)。这篇综述介绍了另一例关于UroLift手术过程中IPP损伤的新病例报告的发现。
结论：大约三分之一的研究确定术中IPP储库损伤是泌尿外科手术的重要并发症，特别是在根治性前列腺切除术期间。新的病例报告发现也是唯一因UroLift植入物的输送而导致IPP储层受损的病例。研究结果用于创建标准化的手术清单，以指导在相邻空间进行手术之前的围手术期计划措施。
目的：这篇综述旨在总结目前与泌尿外科手术中IPP的医源性损伤相关的文献。
方法：两名审稿人使用标准化的搜索词独立地对PubMed进行了系统的搜索，以识别相关文章。经过初步审查,对相关研究进行分析，以确定是否存在导致IPP储层损伤的围手术期并发症。结果按外科手术进行分类。
结果：在包括的13篇文章中，全部基于泌尿外科手术.四项研究确定了手术损伤导致的IPP储层损伤。其中,在根治性前列腺切除术（n=3）和前列腺尿道提升术（UroLift，n=1)。大多数没有IPP水库损伤的前列腺癌根治术研究也描述了用于防止水库损伤的有意手术技术。包括水库充气-放气的调制(n=3)，临时水库重新定位(n=1)，或水库胶囊解剖以提高可视化(n=1)。这篇综述介绍了另一例关于UroLift手术过程中IPP损伤的新病例报告的发现。
结论：大约三分之一的研究确定术中IPP储库损伤是泌尿外科手术的重要并发症，特别是在根治性前列腺切除术期间。新的病例报告发现也是唯一因UroLift植入物的输送而导致IPP储层受损的病例。研究结果用于创建标准化的手术清单，以指导在相邻空间进行手术之前的围手术期计划措施。
