title: Deep Venous Thrombosis as a Complication of Reservoir Placement in Post-Prostatectomy Erectile Dysfunction and Urinary Incontinence Prosthetic Surgery.
abstract: BACKGROUND
  In 2014, most radical surgery for carcinoma of the prostate, and often the bladder, is done with the robotic-assisted laparoscopic approach. While proponents argue that nerve sparing, blood loss, and recovery times are improved with the robotic-assisted approach, changes in postoperative pelvic anatomy have made subsequent placement of inflatable devices for erectile dysfunction and incontinence more difficult. Because of the obliteration of the space of Retzius and opening of the peritoneum, the classic placement of the reservoirs of these devices is compromised.
  
  
  OBJECTIVE
  Ectopic reservoir placement has attempted to alleviate these problems, but reservoir migration and problematic locations of these reservoirs persist.
  
  
  METHODS
  We report two cases of deep venous thrombosis after reservoir placement for inflatable prosthetic devices.
  
  
  RESULTS
  Patients may manifest these placement problems with symptoms of vascular compromise postoperatively.
  
  
  CONCLUSIONS
  Early identification and reservoir relocation can eliminate the vascular issues and maintain inflatable device function. Selph JP, McKim SE, Langston JP, and Carson CC. Deep venous thrombosis as a complication of reservoir placement in post-prostatectomy erectile dysfunction and urinary incontinence prosthetic surgery. Sex Med Rev 2014;2:59-63.
authors: Department of Urology, University of North Carolina, Chapel Hill, NC, USA.
authors: John Patrick
authors: JP
authors: Selph
authors: Department of Urology, University of North Carolina, Chapel Hill, NC, USA.
authors: Stephen E
authors: SE
authors: McKim
authors: Department of Urology, University of North Carolina, Chapel Hill, NC, USA.
authors: Joshua Paul
authors: JP
authors: Langston
authors: Department of Urology, University of North Carolina, Chapel Hill, NC, USA. Electronic address: culley_carson@med.unc.edu.
authors: Culley C
authors: CC
authors: Carson
keywords: Deep Venous Thrombosis; Erectile Dysfunction; Urinary Incontinence Prosthetic Surgery