VICTO EUA Instrucciones De Uso página 8

AbDOmINAL INCISION
13. make a lower abdominal incision
where the prB will be placed. use a blunt
dissection to create a space for the balloon.
CUFF PLACEmENT
14. squeeze the control pump to move the
fluid out of the cuff to the prB and clamp
off the tube (cuff – control pump) just below
the control pump with a hemostat. pass
the deflated cuff to the perineal site leaving
the pump and balloons protruding from the
abdominal incision above.
15. the cuff is placed around the urethra
and the tab is passed through the loop.
using a hemostat, the button is passed
through the hole to secure the cuff in
position. the cuff should not be tight (i.e.
it should be able to rotate freely around the
urethra).
16. the completed cuff insertion should
have the appearance shown in the figure,
with the connecting tube placed parallel to
the urethra by rotating the cuff to the left or
right as preferred.
17. remove the hemostat in order to allow
the cuff to refill around the urethra.
INSERTION OF THE PUmP IN THE
SCROTUm
18. to place the control pump in the
scrotum, use blunt dissection with fingers
and push up the scrotal wall on the
appropriate side in order that it appears
inverted at the abdominal incision. take
the pump and lower it down into a pocket
created in the scrotum until it is comfortably
situated at the base of the scrotum.
Figure 4
NOTE: the ideal position of the pump in the
left or right base of the scrotum should have
previously been decided with the patient.
NOTE: if considered necessary, a couple
of loose degradable sutures can be placed
around the fairing of the tubes leaving the
pump to ensure that the pump does not
migrate upwards during the initial healing
period.
PLACEmENT OF PRb
19. through the lower abdominal incision
place the prB intraperitoneal.
20. the perineal and abdominal incisions
can be closed and dressed.
post-operative care
immEDiAtElY PoSt-
OPERATIvE
Figure 5
an indwelling catheter should remain in
place for 24 hours. antibiotic cover should be
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Figure 6