Post-Procedure Information - Boston Scientific AMS 700 Mode D'emploi

11. Squeeze the tool handles until the closure stop touches the opposite handle. Do
not hold the tubing connection while squeezing the tool jaw as this could cause
misalignment. Check that all of the collet teeth are entering the connector before
completing the connection.
12. When using a right angle connector, the Quick Connect Assembly tool must be used
twice, once on each end of the connector. Again, make certain the tubing is touching
the middle wall on both sides of the connector. The closure stop of the assembly tool
must touch the opposite handle each time a connection is made (Figure 39).
Figure 39. Use the tool twice when using a right angle connector – once on each
connector end
13. After using the Quick Connect Assembly Tool, the tubing should bulge through the
connector windows. This indicates that the tubing is still firmly pressed against the
middle wall of the connector. The end of the collet outside of the connector should be
parallel to and almost flush with the end of the connector. This indicates that the collet
has been inserted completely into and attached to the connector. Give the tubing on
both ends of the connector a firm pull to confirm a good connection has been made.
14. If any of the collet teeth did not enter the connector, if the connection pulled apart
when tested, or if the connector is damaged, cut out the connection and make a
new one.
Suture Tie Connectors
1. Cut the tubing (Figure 33) to fit the patient's anatomy.
2. All connections using Suture-Tie Connectors are tied with 3-0 nonabsorbable
polypropylene. Clamp the component tubing using blue shod mosquito hemostats.
3. Use a 22-gauge blunt tip needle to flush the tubing ends with sterile normal saline to
remove particulate matter and air before connecting.
4. Push the tubing over the ends of the connector so that they meet at the center hub
of the connector.
Note: Make sure the tubing is on the connector straight.
5. Use a double-throw overhand surgeon's knot followed by a minimum of two single
throws to attach the tubing to the connector (Figure 40).
Note: The suture should crimp, but not cut the tubing.
Figure 40. Tie suture
6. Pass the suture 180° and use the same tying technique on the opposite side of the
connector. Use another suture and repeat on the opposite end of the connector.
Complete the Final Inflate/Deflate Test
1. After all the components are connected, completely inflate and deflate the cylinders
at least once to ensure the device is functioning properly, to check the quality of the
erection, and to evaluate flaccidity.
Note: The erect penis should present a satisfactory cosmetic result.
Note: The flaccid penis should lie close to body when deflated. There may be some
swelling that precludes a good flaccid result.
Note: If erect or flaccid results are not acceptable, check the amount of fluid in the
reservoir and adjust the volume if necessary.
2. Before ending the procedure, squeeze the deflation button to allow the cylinders
to partially deflate so that some fluid still remains in the cylinders postoperatively.
This will ensure the cylinder capsules are large enough to prevent resistance to
inflation. To prevent autoinflation, squeeze the deflation button as the last action
before closing the incision.
3. Close the incision in a fashion that prevents the connectors from rubbing on the tubing.
Note: Some physicians close the dartos in two layers with absorbable suture and then
close the skin.
4. Cut one end of traction suture approximately 2 cm from the glans; pull it out slowly
to minimize trauma to the glans and the front tip of the cylinder.
Note: Do not remove the traction sutures from the cylinders until the completion of
surgery in case the cylinders need to be repositioned. The suture is non-absorbable
and must be removed from the glans.
5. Apply a wound dressing and leave the cylinders partially inflated (Figure 41).
Figure 41. Wound dressing (example)
6. Support the penis on the lower abdomen.
7. A drain may be placed for 12-24 hours, if desired.

Post-Procedure Information

Immediately Postoperative
A closed system drain may be placed in the abdomen to drain excess fluid from the
incision site.
After 24 hours, remove the dressing. Support the penis on the abdomen for four to six
weeks to obtain a straight erection.
After the Patient is Released from the Hospital
The patient is usually discharged the same day or within 24 hours.
After the patient has returned home and the swelling from the surgery has subsided, the
physician may ask the patient to pull down on the pump located in the scrotum to properly
position it. Positioning the pump makes it easier for the patient to locate the pump.
The frequency of positioning the pump is up to the physician. Some physicians have
their patients position the pump daily.
To position the pump in the scrotum, a patient should be told to:
• Locate the pump in the scrotum.
• Grasp the pump firmly and carefully pull the pump down in the scrotum. The patient
should gently pull the pump into a position close to the outer scrotal wall.
After three to six weeks, the physician may instruct the patient to begin cycling the
device for the first time.
17
Black (K) ∆E ≤5.0