7. VJSM Residents Corner

Autologous fascial Mini-Jupette sling for the management of post-prostatectomy climacturia


Description

Title: Autologous fascial Mini-Jupette sling for the management of post-prostatectomy climacturia

Contributor(s): Faysal A. Yafi, Judy Choi, Zhamshid Okhunov, Francis Jefferson, Farouk M. El-Khatib, Catherine Nguyen, James Furr

Publication Date: November 09, 2018

MJCSM Competency: Manage Erectile Dysfunction


Description:

The Andrianne Mini-Jupette has been shown to be a feasible adjunct to an IPP in patients with post-radical prostatectomy (RP) minimal stress urinary incontinence (SUI) and climacturia1. We describe a modified Mini-Jupette sling using autologous rectus fascial material. We present the case of a 68 year old male with a history of RP 11 years ago. He reports significant post-operative erectile dysfunction, mild SUI (1 pad/day) and significant climacturia. He underwent placement of an AMS 700 CX IPP with concomitant placement of a modified Mini-Jupette sling which was constructed from autologous rectus fascia. Graft measurements were as follows: width 4.0cm, length 3.0cm, and surface area 12.0cm2. The patient had an uneventful post-operative course and was discharged home on post-operative day 1. He was able to cycle his device early and began using his device 4 weeks after surgery with satisfactory functional and esthetic outcomes. He also reported complete resolution of his SUI and climacturia. The use of autologous fascia for a Mini-Jupette sling may be a safe and viable alternative to biologic and synthetic slings for the management of post-RP climacturia and minimal SUI. Longer term follow-up is needed to assess its safety and efficacy.


Key Words:

Mini-Jupette, penile prosthesis, sling, climacturia, stress urinary incontinence, erectile dysfunction

Content
  • Autologous fascial Mini-Jupette sling for the management of post-prostatectomy
  • Autologous fascial Mini-Jupette sling for the management of post-prostatectomy
Completion rules
  • All units must be completed
  • Leads to a certificate with a duration: Forever