title: Prostate cryoablation in patients with multiple-component inflatable penile prostheses.
abstract: OBJECTIVE
  To evaluate and assess any inflatable penile prosthesis (IPP)-related complications in patients with organ-confined prostate cancer treated definitively with third-generation, ultrasound-guided prostate cryoablation.
  
  
  METHODS
  From November 2003 to October 2010, we identified 100 consecutive patients with clinically organ-confined prostate cancer who were treated with targeted cryoablation as primary or salvage therapy by a single surgeon. Review of these patients revealed 13 who had previously been diagnosed with organic erectile dysfunction and had been implanted with a multiple-component IPP by the same surgeon. To assess IPP complications related to the cryoablation procedure, we retrospectively reviewed events occurring within a 6-month postoperative follow-up period.
  
  
  RESULTS
  For the entire series, the patient ages ranged from 42-84 years (mean 68). Of the 13 patients with IPPs, no device-related complication (eg, IPP infection, erosion, or malfunction) was found. No patient required IPP revision or removal.
  
  
  CONCLUSIONS
  Patients with organ-confined prostate cancer who also have a multiple-component IPP may safely undergo ultrasound-guided prostate cryoablation as definitive therapy. Cryoprobe and thermocouple placement must be carried out carefully, using ultrasound guidance. To avoid IPP reservoir injury, suprapubic tube placement should be avoided.
authors.affiliation: Division of Urology, Department of Surgery, Hahnemann University Hospital, Drexel University College of Medicine, Philadelphia, PA, USA. bgarber@comcast.net
authors.forename: Bruce B
authors.initials: BB
authors.lastname: Garber
authors.forename: Ashley H
authors.initials: AH
authors.lastname: Tapscott
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003452:Cryosurgery / Q000379:methods; D007172:Erectile Dysfunction / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015917:Penile Prosthesis; D011467:Prostate / Q000601:surgery*; D011468:Prostatectomy / Q000009:adverse effects*; D011471:Prostatic Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D011474:Prosthesis Design; D012189:Retrospective Studies; D025321:Surgery, Computer-Assisted; D014463:Ultrasonography