Treatment outcome after radical prostatectomy is not adversely affected by a pre-existing penile prosthesis.
OBJECTIVE
To report on the safety of radical retropubic prostatectomy (RRP) in patients with a penile prosthesis presenting with clinically localized prostate cancer.


METHODS
From January 1990 to December 1997, 8 consecutive men with a penile prosthesis underwent RRP for clinically localized prostate cancer. Retrospective data regarding patient population, operating time, estimated blood loss, length of hospital stay, and clinical outcome were evaluated.


RESULTS
Mean patient age was 65.4 years (range 57 to 70) at the time of RRP, with a mean preoperative serum prostate-specific antigen level of 11.5 ng/mL. Mean duration of RRP surgery was 183.9 minutes, and the mean estimated blood loss was 1281.8 mL. No complication requiring penile prosthesis removal occurred. In 1 case, the reservoir tubing was punctured during closure of the abdominal fascia wall. This was immediately recognized and fixed. All patients had a functioning penile prosthesis after RRP.


CONCLUSIONS
RRP can be safely and expeditiously performed in patients with a pre-existing penile prosthesis. The risk of prosthesis malfunction after RRP is very low. Patients with a penile prosthesis and prostate cancer should not be denied the option of undergoing RRP.
Tiguert
R
R
Department of Urology, Wayne State University, Barbara Ann Karmanos Cancer Institute, Detroit, Michigan, USA.
Hurley
P M
PM
Gheiler
E L
EL
Tefilli
M V
MV
Gudziak
M R
MR
Dhabuwala
C B
CB
Pontes
J E
JE
Wood
D P
DP
D000368:Aged; D006801:Humans; D008297:Male; D008875:Middle Aged; D015917:Penile Prosthesis; D011468:Prostatectomy; D011471:Prostatic Neoplasms / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome