VJPU 2016; 2: 092
Steven K Wilson, MD, FACS, FRCS
Keywords: AUS. Sphincter, scrotal incision
Placing an AMS 800 through a scrotal incision seems quicker and easier for the occasional implanter. A second incision is not needed to place the pressure regulating balloon and with the tips of exposure outlined in this video, we believe the cuff is just as proximally placed as in the traditional perineal exposure. A key point is the patient is not in classic lithotomy but in low lithotomy which allows easier urethral circumferential dissection because the urethra is not on stretch. Use of the Scott self-retaining retractor, baby Deaver retractors, and Rake hooks allow for excellent exposure of the bulbar urethra.
Acknowledgements: American Medical Systems Supported this video with an unrestricted educational grant
Disclosure: The author is a Consultant for Abeon, AMS, Coloplast, NeoTract and Sontec
1. Wilson SK, Henry GD, Siegel A, Delk JR: New Surgical Technique for Implantation of AMS 800 Urinary Control System Utilizing Transverse Scrotal Incision. J Urol 169:261, 2003
2. Wilson SK, Aliotta P, Salem E, Mulcahy J. New enhancements of the scrotal one-incision technique for placement of artificial urinary sphincter allow proximal cuff placement. J Sex Med 2010; 7: 1510