Promedon VICTO+ Instructions D'utilisation page 10

NOTE: The endoscopic bag facilitates the
passage of the cuff from the abdominal zone
to the perineal zone by reducing the friction.
21. The cuff is placed around the urethra
and the tab is passed through the loop.
Using a haemostat, 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).
22. 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 (Figure 11).
23. Remove the haemostat in order to allow
the cuff to refill around the urethra.
NOTE: Verify that the white tube is not
strangulated in order to reduce the likelihood
of kinking.
INSERTION OF THE PUMP IN THE
SCROTUM
24. To place the control pump in the
scrotum, use blunt dissection with the
fingers and push up the scrotal wall on the
appropriate side so 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 10
NOTE: The ideal position of the pump in the
left or right base of the scrotum should have
previously been decided with the patient
(Figure 12).
NOTE: If considered necessary, a couple
of loose degradable sutures can be placed
around the pair of tubes leaving the pump
to ensure that the pump does not migrate
upwards during the initial healing period.
PLACEMENT OF PRESSURE
REGULATING BALLOON (PRB) AND
STRESS RELIEF BALLOON (SRB)
25. Through the lower abdominal incision,
place the PRB intraperitoneally and the
SRB preperitoneally.
26. The perineal and abdominal incisions
can be closed and dressed.
Figure 11
NOTE: Verify that both tubes are not
blocked.
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Figure 12