title: [Asynchronous implantation of a penile prosthesis (AMS 700) in patients with an artificial urinary sphincter (AMS 800): what functional outcomes can we expect from the AMS 1500?].
abstract: OBJECTIVE
  To report the functional results and morbidity after metachronous implantation of an AMS 800 artificial urinary sphincter (AUS) and an AMS 700 inflatable penile prosthesis (IPP).
  
  
  METHODS
  From the 250 patients treated in our department between 2000 and 2011 for the insertion of an AUS, we retrospectively selected patients who also underwent implantation of an IPP. The following data were recorded: age, aetiology of urinary incontinence (UI) and erectile dysfunction (ED), treatment history of UI/ED, date of insertion of the AUS and the IPP and time gap between the two implants. We evaluated both the pad-test and the number of protective pads used per day, before and after AUS insertion. We also analysed the IIEF5 score before and after IPP. Patients were reviewed at 3, 6 and 12 months and annually thereafter.
  
  
  RESULTS
  In total, five patients were included. The median age was 69 years. The median follow-up after IPP was 22.6 months and the time gap between the two implants was 50 months. The aetiology of UI and ED was prostate surgery in four cases. Complete continence without leakage was observed in three patients and the IIEF5 score increased from 6.6 preoperatively to 22.2 for four patients. One patient developed a urethral erosion of the AUS cuff 6 months after implantation of the IPP. The AUS cuff has been explanted but the patient remains continent with the IPP cylinders semi-inflated.
  
  
  CONCLUSIONS
  From our small study, it appears that the combined use of an AMS 800 AUS and an AMS 700 IPP was a feasible and efficacious option in patients with concomitant refractory UI and ED.
authors.affiliation: Service d'urologie, l'hôpital Pitié-Salpêtrière, faculté de médecine Pierre-et-Marie-Curie, université Paris VI, Assistance publique-Hôpitaux de Paris, 47-83, boulevard de l'Hôpital, 75013 Paris, France.
authors.forename: L
authors.initials: L
authors.lastname: Alechinsky
authors.forename: V
authors.initials: V
authors.lastname: Phé
authors.forename: D R
authors.initials: DR
authors.lastname: Yates
authors.forename: V
authors.initials: V
authors.lastname: Bourgade
authors.forename: J
authors.initials: J
authors.lastname: Parra
authors.forename: F
authors.initials: F
authors.lastname: Richard
authors.forename: E
authors.initials: E
authors.lastname: Chartier-Kastler
authors.forename: M-O
authors.initials: MO
authors.lastname: Bitker
authors.forename: M
authors.initials: M
authors.lastname: Rouprêt
mesh_terms: D000368:Aged; D006801:Humans; D008297:Male; D008875:Middle Aged; D019935:Penile Implantation / Q000009:adverse effects; D019919:Prosthesis Implantation / Q000009:adverse effects / Q000379:methods*; D012189:Retrospective Studies; D016896:Treatment Outcome; D016741:Urinary Sphincter, Artificial