SEOUL, South Korea–(BUSINESS WIRE)–#AMS–Doctors in Korea reported results of a case study on controlling dual
problems of erectile dysfunction (ED) and urinary incontinence by
implanting AMS 3-piece inflatable penile prosthesis (American Medical
System, MN, USA), attracting keen attention.
In its April issue, ‘The World Journal of Men’s Health’ published the
study report entitled ‘Urinary
Incontinence Could Be Controlled by Inflatable Penile Prosthesis’
co-authored by the team led by Drs. Hyun Min Choi and Hyung Ki Choi at Choi’s
SS Clinic in Seoul, Korea and the team led by Prof. Hye-Yeon Lee at
Department of Anatomy, Yonsei University College of Medicine.
The team analyzed 25 patients who failed in curing ED and incontinence
despite using drugs for median 3 years and 4 months after receiving
curative surgery at 5 university hospitals in Seoul during the past 5
The mean age of patients was 69 years (54~78 years) and their cancer was
found to be completely cured with prostate specific antigen (PSA) level
of 0.02 on average. Of 25 patients, 14 patients received curative
surgery after undergoing a laparotomy, and 11 patients received robotic
surgery. All of 25 patients were diagnosed as vasculogenic ED. Of them,
18 patients showed incontinence, while 7 patients had overactive bladder
Among patients with incontinence, 13 and 5 patients were classified as
mild stress incontinence and severe incontinence respectively, and they
were treated based on the international incontinence questionnaire score.
For all 25 patients, an AMS 3-piece inflatable penile prosthesis was
implanted. Of these patients, 20 patients received implantation surgery
under local anesthesia and 5 patients under spinal anesthesia. One
patient was complicated by a hernia. After surgery, all patients were
discharged on that day or the following day.
For 18 patients with incontinence, inflation of penile prosthesis was
attempted one month after surgery. Of these, 13 patients who frequently
wetted underpants achieved control of incontinence with partial
inflation of 50~60%. Five of 18 patients with severe incontinence who
had to always put on a pad obtained significant improvement in symptoms
with inflation but incontinence was not completely cured.
Consequently, ED in 25 patients was cured by 100%, and incontinence was
controlled in 72.2% of patients (13 out of 18 patients).
Dr. Hyun Min Choi said, “Patients with prostatic cancer are increasing
in recent years. Men are fearful of complications of ED and incontinence
that may occur after surgery. We have succeeded in demonstrating the
effect of 3-piece inflatable penile prosthesis in the study. We
recommend this surgery as an initial procedure.”
Choi’s SS Clinic
Dr. Hyung Ki Choi, 82-10-9442-0306