Simon Ross, Hakky Tariq S, Henry Gerard, Perito Paul, Martinez Daniel, Parker Justin, Carrion Rafael E
Department of Urology, Morsani College of Medicine, University of South Florida, Tampa, FL, USA.
J Sex Med. 2014 May;11(5):1325-33. doi: 10.1111/jsm.12481. Epub 2014 Feb 28.
There have been many advances in the inflatable penile prosthesis (IPP) since the 1970s. While these devices were initially fraught with mechanical malfunction, the most recent models prove to be much more reliable. Although reservoir complications are not common, when they do occur, it typically involves damage to the surrounding tissues. The ability to recognize and treat these complications is paramount for any surgeon that routinely places IPPs.
The aim of this article was to present a unique reservoir-related complication as well as perform a literature review of reservoir-related complications and techniques for reservoir placement, and provide a summary of dimensions and technical aspects of commonly used reservoirs.
We reviewed a unique reservoir-related complication that presented to our institution with urinary retention and constipation. We also reviewed reservoir-related complications since 1984, reviewed the most recent surgical techniques involved in reservoir placement, and summarized the dimensions and technical characteristics of both the American Medical System and Coloplast reservoirs.
A reservoir-related complication that resulted in urinary retention and constipation is the main outcome measure.
Although uncommon, reservoir complications do occur. The most common case report complication in the published literature is bladder erosion followed by external iliac compression, ileal conduit erosion, and small bowel obstruction. The case that presented at our institution was the result of a reservoir that was improperly placed in the perineum, causing urinary retention and constipation due to the compression of the bulbar urethra and rectum.
In this era, mechanical failures of IPP reservoirs are rare as most complications occur due to damage of the surrounding tissues. Prevention, diagnosis, and treatment of these complications are important for any surgeon that implants IPPs.
自20世纪70年代以来，可膨胀阴茎假体（IPP）有了许多进展。虽然这些装置最初存在机械故障问题，但最新的型号已被证明可靠得多。尽管储液器并发症并不常见，但一旦发生，通常涉及周围组织的损伤。对于任何常规植入IPP的外科医生来说，识别和治疗这些并发症的能力至关重要。
本文旨在介绍一种独特的与储液器相关的并发症，并对与储液器相关的并发症及储液器放置技术进行文献综述，同时总结常用储液器的尺寸和技术方面。
我们回顾了本院出现的一例与储液器相关的独特并发症，该并发症表现为尿潴留和便秘。我们还回顾了自1984年以来与储液器相关的并发症，研究了储液器放置的最新手术技术，并总结了美国医疗系统和康乐保储液器的尺寸和技术特点。
导致尿潴留和便秘的与储液器相关的并发症是主要观察指标。
尽管不常见，但储液器并发症确实会发生。已发表文献中最常见的病例报告并发症是膀胱侵蚀，其次是髂外压迫、回肠导管侵蚀和小肠梗阻。在本院出现的病例是由于储液器放置在会阴不当，压迫球部尿道和直肠导致尿潴留和便秘。
在这个时代，IPP储液器的机械故障很少见，因为大多数并发症是由于周围组织受损引起的。对于任何植入IPP的外科医生来说，预防、诊断和治疗这些并发症都很重要。
