title: Anatomical radical retropubic prostatectomy in patients with a preexisting three-piece inflatable prosthesis: a series of case reports.
abstract: BACKGROUND
  Only few reports addressed the outcome of patients submitted to anatomical radical retropubic prostatectomy (RRP) with an indwelling inflatable penile prosthesis (IPP).
  
  
  OBJECTIVE
  To assess the feasibility and safety of RRP in patients with clinically localized prostate cancer and a previously implanted with an IPP.
  
  
  METHODS
  We evaluated the surgical parameters and the follow-up functional results in this particular patient population.
  
  
  METHODS
  Four patients previously submitted to IPP implant for severe erectile dysfunction underwent RRP for organ-confined prostate cancer. Patients' charts were carefully reviewed to investigate pre- and perioperative details. Patients were evaluated by the International Index of Erectile Function (IIEF) preoperatively and at 6 months postoperatively. Patients were then contacted to assess long-term functional and oncological outcome.
  
  
  RESULTS
  The outcome of the procedures was comparable to a normal population in terms of operating time, estimated blood loss, hospitalization time, and pathological outcome. No injury to the preexisting penile implant was reported. Continence was obtained in 3 (75%) patients at catheter removal, and in 1 (25%) patient at the 1-month follow-up. No major intra- and postoperative complications were reported. All patients were able to use their prosthesis after RRP. No statistical difference in pre- and post-RRP EF domain scores was found.
  
  
  CONCLUSIONS
  The presence of an IPP in patients with prostate cancer is not a contraindication to perform an anatomical RRP. Surgery can be performed safely without injuring the implant and the clinical outcome in these patients is satisfactory. Postoperative implant use is not affected by RRP.
authors.affiliation: Vita-Salute University, Department of Urology, Milan, Italy. deho.federico@hsr.it
authors.forename: Federico
authors.initials: F
authors.lastname: Deho'
authors.forename: Andrea
authors.initials: A
authors.lastname: Salonia
authors.forename: Alberto
authors.initials: A
authors.lastname: Briganti
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Zanni
authors.forename: Andrea
authors.initials: A
authors.lastname: Gallina
authors.forename: Konstantinos
authors.initials: K
authors.lastname: Rokkas
authors.forename: Giorgio
authors.initials: G
authors.lastname: Guazzoni
authors.forename: Patrizio
authors.initials: P
authors.lastname: Rigatti
authors.forename: Francesco
authors.initials: F
authors.lastname: Montorsi
mesh_terms: D000368:Aged; D004869:Equipment Safety; D007172:Erectile Dysfunction / Q000209:etiology / Q000628:therapy*; D005240:Feasibility Studies; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D019935:Penile Implantation / Q000295:instrumentation; D015917:Penile Prosthesis / Q000009:adverse effects; D010413:Penis / Q000033:anatomy & histology*; D011468:Prostatectomy / Q000379:methods*; D011471:Prostatic Neoplasms / Q000150:complications / Q000601:surgery; D011474:Prosthesis Design