Comparison of infrapubic versus transcrotal approaches for inflatable penile prosthesis placement: a multi-institution report

Inflatable penile prostheses (IPP) are associated with excellent long-term outcomes. To date, no study has evaluated the significance of surgical approach on IPP intraoperative variables. High-volume surgeons placing the Titan 0-degree prosthesis from March-July 2012 completed questionnaires includi...

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Bibliographic Details
Published in:International journal of impotence research 2015-05, Vol.27 (3), p.86-89
Main Authors: Trost, L W, Boonjindasup, A G, Hellstrom, W J G
Format: Article
Language:English
Subjects:
692/700/565/545
Adult
Cancer surgery
Care and treatment
Comparative analysis
Health aspects
Health Care Surveys
Humans
Impotence
Male
Medicine
Medicine & Public Health
Methods
Middle Aged
original-article
Patient outcomes
Penile Implantation - methods
Penile prostheses
Penile Prosthesis
Penis
Penis - surgery
Prospective Studies
Prostate cancer
Prostatectomy
Prostheses
Prosthesis Design
Reoperation - statistics & numerical data
Reproductive Medicine
Robotics
rology
Scrotum - surgery
Sexual disorders
Surgeons
Surgery, Plastic
Surveys and Questionnaires
Transplants & implants
Urological surgery
Urology
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Summary:Inflatable penile prostheses (IPP) are associated with excellent long-term outcomes. To date, no study has evaluated the significance of surgical approach on IPP intraoperative variables. High-volume surgeons placing the Titan 0-degree prosthesis from March-July 2012 completed questionnaires including pre-/intraoperative variables. Intraoperative data were compared between surgeons performing an infrapubic versus transcrotal approach for total length of prosthesis, proximal and distal measurements, rear-tip extender (RTE) length, reservoir size and fill volume and ability to place the reservoir in the space of Retzius. Forty-six surgeons placed 256 IPPs, with a median of 5 (range 1–10) inserted. Transcrotal placement was performed most commonly (80%). Revision procedures accounted for 13% of cases, with 19% previously undergoing robotic-assisted prostatectomy. Compared with infrapubic, transcrotal placement resulted in a longer total prosthesis (22.3 cm vs 20.6 cm, P
ISSN:0955-9930
1476-5489
DOI:10.1038/ijir.2014.35