A Case of Combined Implantation of Artificial Sphincter and Penile Prosthesis / 대한비뇨기과학회지

ABSTRACT

Concurrent sphincteric incontinence and organic impotence are not uncommon. Simultaneous implantation of the artificial sphincter and penile prosthesis is an effective proposal technically and functionally in these situations. A 44-year-old man presented with total incontinence and impotence, which developed after pelvic bone fracture. Urodynamic study showed sphincter incompetence. Pharmacologic & penile duplex sonography, nocturnal penile tumescence test confirmed arteriogenic impotence. Simultaneous implantation of an artificial sphincter(AMS 800) and a multicomponent inflatable penile prosthesis(AMS 700CXM) was done. For 5 months of follow-up the penile implant was functional, without incontinence. and there are no evidences of infection.