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

11. Position the distal end of the cylinder by pulling on the traction sutures (Figure 14) to
guide the cylinder until the front tip is placed at mid glans.
Figure 14. Use the traction suture to position the distal cylinder
end at mid glans
12. Repeat Steps 9 through 11 to place the other cylinder.
13. Assess each cylinder length for satisfactory fit within the corpora cavernosa
by ensuring that the distal tip is snugly at mid glans, the cylinder lies within the
corporotomy, and the proximal end is firmly against the crus.
NOTE: The corporal incision may need to be extended to ensure the input tubing
exits directly from the corporotomy.
14. Once both cylinders are implanted, close the tunica albuginea. Place the Closing
Tool or the closing end of the Proximal Tool (or other suitable instruments) over the
cylinder to protect it from inadvertent needle injury, so that the corporal body can
be closed (Figure 15). This should be done with meticulous attention to hemostasis.
Figure 15. Place an instrument over the cylinder to protect it
while closing the corporotomy
Implant the Pump
1. Use blunt dissection to form a pocket in the most lateral and dependent portion
of the scrotum (Figure 16). The pump may also be placed in a dependent position
between the two testicles.
Figure 16. Use blunt dissection to form a pocket
2. Insert the pump into the scrotal pocket (Figures 17 and 18). The tubing between the
pump and cylinders should not be palpable to the patient. A suture may be placed to
secure the pump in the scrotum, if desired.
Figure 17. Insert the pump in the scrotal pocket
Figure 18. Final pump placement
3. After both the cylinders and pump are implanted, inflate the device to check the
quality of the erection and deflate to evaluate flaccidity. The penis should lie close
to the body when deflated. There may be some swelling that precludes a good
flaccid result.
4. Close the incision.
Note: Some physicians close the dartos in two layers with a running 2-0
absorbable suture.
5. Remove the traction sutures from the cylinders by cutting one end of the traction
suture approximately 2 cm from the glans. Pull it out slowly to minimize trauma to
the glans and the distal tip of the cylinder. Repeat with the other traction suture.
6. Apply a wound dressing (Figure 19) and leave the cylinders partially inflated.
Support the penis on the lower abdomen. A drain may be placed for 12 to 24 hours,
if desired.
Figure 19. Apply a wound dressing and support the penis on the
lower abdomen (example)

Post-procedure Information

Immediately Postoperative
After the surgery, some physicians partially inflate the cylinders for the first 24 hours.
This will aid hemostasis. A closed system drain may be placed in the abdomen to drain
excess fluid from the incision site.
After 24 hours, remove the dressing and completely deflate the cylinders. Support the
penis on the abdomen for four to six weeks to obtain a straight erection.
After the Patient is Released from the Hospital
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.
9
Black (K) ∆E ≤5.0