3-Piece inflatable penile prosthesis at the patient after radical cystprostatectomy and orthotopic neobladder with the synchronous primary-multiple bladder and prostate cancer

Gritskevich A.A., Teplov A.A., Stepanova Yu.A., Kondratyev E.V., Pyanikin S.S. Morozova M.V., Glotov A.V.

Purpose. Radical cystoprostatectomy (RCE) with the derivation of urine into the intestinal tract segment is now the standard treatment for muscle-invasive and some other forms of bladder cancer. In recent decades, postoperative lethality after RCE has been reduced to a minimum and is 0.5-2%, nevertheless, a number of postoperative complications can significantly wors-en the quality of life of the patient. Improvement of surgical technique in recent years has led to the fact that orthotopic replacement of the bladder while maintaining an arbitrary urina-tion can be performed to the most patients. In addition, complete sexual surgical rehabilita-tion is possible even in this complex category of the patients. Materials and methods. A clinical case of a 49-year-old patient who entered at A.V. Vishnevsky National Medical Research Center of Surgery with the bladder cancer is present-ed. Synchronous primary-multiple cancer of the bladder and prostate was diagnosed in the post-examination. Results. RCE with enlarged bilateral ileal obturator lymphadenectomy and the Studer orthotopic neobladder, which made it impossible to maintain sexual function was performed. Later, in the long-term postoperative period the patient underwent 3-piece inflatable penile prosthesis. The complications of surgery were not identified with the dynamic observation in the late period. Orthotopic neobladder and 3-piece inflatable penile prosthesis functioned nor-mally. Ultrasound and MSCT are effective methods of monitoring of the condition of the pa-tients who have undergone such complicated surgical interventions. Conclusion. 3-piece inflatable penile prosthesis with modern implantation systems after RCE with orthotopic plastic surgery of the bladder provides the best sexual rehabilita-tion for men.
A.V. Vishnevsky National Medical Research Center of Surgery, Moscow, Russia



 

Keywords: bladder cancer, prostate cancer, ultrasound, MSCT, MRI, cystoprostatec-tomy, neobladder, penile prosthesis.

 

Corresponding author:Gritskevich Alexander Anatolyevich, e-mail: Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript

 

For citation: Gritskevich A.A., Teplov A.A., Stepanova Yu.A., Kondratyev E.V., Pyanikin S.S. Morozova M.V., Glotov A.V. 3-piece inflatable penile prosthesis at the patient after radical cystprostatectomy and orthotopic neobladder with the synchronous primary-multiple bladder and prostate cancer. REJR 2018; 8 (3):305-317. DOI:10.21569/2222-7415-2018-8-3-305-317.

Received:20.07.18Accepted:09.08.18