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Simultaneous surgical correction of stress urinary incontinence and erectile dysfunction after surgical treatment of prostate cancer DOI: 10.29188/2222-8543-2023-16-1-55-59
- Kyzlasov P.S. – Dr. Sc., professor of the Department of Urology and Andrology of the Biomedical University of Innovation and Sustainable Education, Head of the Center for Urology and Andrology, Federal State Budgetary Institution State Research Center of the Federal Medical and Biological Center named after A.I. Burnazyan FMBA of Russia; Moscow, Russia; RSCI Author ID 615093; https://orcid.org/0000-0003-1050-6198
- Filimonov V.B. – Dr.Sc., Head of department of urology with a course of surgical diseases Ryazan state medical university named after acad. I.P. Pavlov, Ryazan, Russia, chief physician of the Ryazan Emergency Hospital; Ryazan, Russia; RSCI Author ID 695390; https://orcid.org/0000-0002-2199-0715
- Vasin R.V. – PhD, assistant professor of department of urology with a course of surgical diseases Ryazan state medical university named after acad. I.P. Pavlov, Ryazan, Russia, chief physician of the Ryazan clinical Hospital № 11; Ryazan, Russia; RSCI Author ID 763346; https://orcid.org/0000-0002-0216-2375
- Sobennikov I.S. – PhD, assistant of department of urology with a course of surgical diseases Ryazan state medical university named after acad. I.P. Pavlov; Ryazan, Russia; RSCI Author ID 1018162; https://orcid.org/0000-0002-5967-6289
- Petryaev A.V. – Head of department of urology Tula regional clinical hospital; Tula, Russia; RSCI Author ID 1018033; https://orcid.org/0000-0002-3108-1312
474 Introduction. Urinary incontinence and erectile dysfunction are common consequences of radical prostatectomy, which may require surgical correction. The article presents the results of simultaneous implantation of a suburethral sling and a penile prosthesis from one access in a patient after radical prostatectomy.
Clinical case. A 63-year-old patient, 13 months after radical prostatectomy (without preservation of neurovascular bundles) for prostate cancer pT2cN0M0 underwent simultaneous installation of a male sling and a semi-rigid phaloprosthesis from the perineal access.
Results and discussion. The duration of the surgery was 1 h 5 min. There were no complications during the surgery. The postoperative course was uneventful. The patient was discharged on the 6th day after the surgery. During the control examination 2 months after the operation, good cosmetic and functional results were noted.
Conclusions. Simultaneous implantation of a suburethral sling and a phaloprosthesis may be an effective way to eliminate the functional consequences of urinary incontinence and erectile dysfunction after radical prostatectomy, not accompanied by an increase in the risk of complications.
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