Section on Urology. (Abstracts of Scientific Posters).

UI-E. RADICAL RETROPUBIC PROSTATECTOMY IN PATIENTS WITH 3-PIECE INFLATABLE PENILE IMPLANTS. Felix Oben, MD, Augustine O. MirekuBoateng, MD, and William E. Matory, MD. Division of Urology, Washington, DC.

We report on the surgical techniques and safety of radical retropubic prostatectomy (REP) in patients who have had a 3-piece inflatable penile implants. We looked at the retrospective data of 5 patients who have undergone RRP for cancer of the prostate after a prior insertion of a 3-piece inflatable penile implant. We looked at the data involving operating time, blood loss, infection of penile implant, damage to the implant, surgical margins of the prostate, damage to other pelvic structures, length of hospital stay, time interval between insertion of implant and RRP, and technique of placing the reservoir during the implant surgery. The RRP procedures all went well with no injury to the preexisting penile implants. There was also no compromise in the surgery for the cancer treatment, or inadvertent injury to other pelvic organs. With increasing treatment of men with erectile dysfunction and also with increasing early diagnosis of cancer of the prostate, we are going to be seeing increasing numbers of patient s who have had inflatable penile implants and subsequently need RRP for treatment of cancer of the prostate. Our results demonstrate that surgery can be successfully accomplished without any complication to the implant, compromise of the surgical principles, or injury to other pelvic organs.