(409) Impact of Limited Hand Function on the Use of a New Penile Prosthesis Pump: Initial Clinical Insights

Abstract Introduction For patients with erectile dysfunction, limited hand function remains a significant barrier to pursuing an inflatable penile prosthesis (IPP). The impact of a new IPP pump design on these situations remains unknown. Objective Describe the initial clinical outcomes of patients with limited hand function who received an IPP having a new pump design. Methods Across 3 un-affiliated urology practices, patients with limited hand function received an AMS 700 IPP with TENACIO Pump (Boston Scientific, Marlborough, MA). Verbal patient consent was obtained for their anonymized case reports. Each underwent standard preoperative evaluation and counseling, including discussion of a non-inflatable or semi-rigid penile prosthesis as an option in the setting of limited hand function. Demographics and details of device activation / teaching visits were collected and described. Results Patients aged 61, 67, and 68 years underwent IPP surgery with routine recovery and postoperative courses. Limited hand function was secondary to Dupuytren’s Contracture with Intention Tremor, Stroke with limited dexterity, and Parkinson’s Disease, respectively. The latter two patients also had limited hand strength. All patients were very motivated to pursue IPP for management and were not interested in a semi-rigid device. During the initial postoperative visit, each patient could successfully inflate and deflate (cycle) their device. Each patient required only this one teaching session to be able to successfully function their device independently. The two latter patients inflated with rapid, shallow compressions or ‘flutter pumping’ and achieved sufficient rigidity with this technique. All devices have been in use for over 5 months and no patient has returned with issues or problems. At most recent follow-up, patients expressed satisfaction with and confirmed use of their devices. The eldest patient had 2 prior implants and stated the new pump design is better able to be secured and stabilized, easier to pump, and that he prefers it relative to his prior pumps. Conclusions The new TENACIO Pump may expand the benefit of inflatable penile prostheses to patients with erectile dysfunction who have limited hand function and historically have not been ideal candidates for an inflatable device. Disclosure Any of the authors act as a consultant, employee or shareholder of an industry for: Boston Scientific