All the tips and tricks are described in detail and the clearly drawn illustrations should aid the implanter (Figures 1,2).
In this video (Figure 3) we demonstrate our personal standard surgical technique of inflatable penile prosthesis implantation plus concomitant insertion of a polypropylene sling, named the “Mini-Jupette”. This innovation aims to cure severe and medical resistant erectile dysfunction and neutralize mild incontinence and climacturia, in a 53-year-old patient, 2 years after radical prostatectomy.
We highlight the uncommon anatomical landmarks of the penoscrotal plane of the bulbo-urethral and proximal cavernous bodies area where the graft will be inserted. All the tips and tricks are described in detail and the clearly drawn illustrations should aid the implanter. According to our personal experience and an American-European study that are referenced (2,3), the effectiveness of the procedure allows some prostate cancer survivors with functional morbidity after radical prostatectomy to regain a fulfilling sex life.
Conflicts of Interest: The authors have no conflicts of interest to declare.
Ethical Statement: The authors are accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. Written informed consent was obtained from the patient for publication of this manuscript and any accompanying images.
- Andrianne R, Sempels M. Penile prosthesis surgery. Asvide 2020;7:066. Available online: http://www.asvide.com/watch/33118
- Yafi FA, Andrianne R, Alzweri L, et al. Andrianne Mini-Jupette Graft at the Time of Inflatable Penile Prosthesis Placement for the Management of Post-Prostatectomy Climacturia and Minimal Urinary Incontinence. J Sex Med 2018;15:789-96. [Crossref] [PubMed]
- Andrianne R. The "Mini-Jupette" sling at the time of inflatable penile prosthesis implantation: Adequate treatment for erectile dysfunction with mild incontinence and/or climacturia after radical prostatectomy. Prog Urol 2019;29:456-63. [Crossref] [PubMed]
Cite this article as: Andrianne R, Sempels M. Inflatable penile prosthesis implantation and “Mini-Jupette” sling after radical prostatectomy for erectile dysfunction, climacturia and/or mild incontinence. J Vis Surg 2020;6:25.