Zipster penile clamp trial#

Increased urethral pressure can lead to infection and eventual suppuration of the periurethral glands. The possible aetiopathogenesis for the diverticulum, in this case, could be prolonged application of a penile clamp resulting in urinary stasis and increased urethral pressure. A micturating cystourethrogram showed an anterior urethral diverticulum ( figure 2), which was confirmed on urethroscopy ( figure 3). He had been using a penile compression device for the past 6вЂ…years for post-prostatectomy incontinence ( figure 1). A 70-year-old man presented to our department with a history of painless progressively increasing swelling at the penoscrotal region for the past 2вЂ…years.

We encountered a potential hazard from a penile compression device in the form of anterior urethral diverticulum. It is recommended to de-clamp these devices at a regular interval of 4вЂ…h. 1 However, these devices have the risk of complications such as pain, urethral erosion, obstruction and oedema, with long-term use. Use of these devices has been shown to cause a significant reduction in Incontinence Impact Questionnaire scores in different studies. However, in patients who are not fit to undergo another surgery or cannot afford these devices, especially in developing countries, penile compression devices come in handy. Artificial urinary sphincter is the current gold standard for management of post-prostatectomy incontinence with acceptable long-term success rates.

Zipster penile clamp trial#

After a trial of conservative management, men are generally left with a choice of surgery, drainage or absorbent devices, or a penile compression device. Urinary incontinence is a common problem encountered after prostatectomy.