Sub-Coronal Inflatable Penile Prosthesis Placement With Modified No-Touch Technique: A Step-by-Step Approach With...

Area of Science:

• Urology
• Andrology
• Surgical Innovation

Background:

• Surgical treatment for male sexual dysfunction often requires multiple incisions for various procedures.
• Current methods include sub-coronal, infra-pubic, and scrotal incisions for different penile surgeries.

Purpose of the Study:

• To evaluate the outcomes of a single sub-coronal incision technique for inflatable penile prosthesis (IPP) placement.
• To assess the feasibility of performing multiple reconstructive procedures through this single incision.

Main Methods:

• A prospective review of 200 men undergoing IPP placement via a modified no-touch sub-coronal incision.
• The technique involved degloving the penis, excluding skin from the operative field, and inspecting the corpora for abnormalities.
• IPP models were placed, and any identified abnormalities were repaired concurrently.

Main Results:

• The sub-coronal approach was used for IPP placement in 200 men, with 92 treated for Peyronie's disease plaque (PDP).
• Complication rates, operative times (mean 73 minutes), and the need for accessory procedures were recorded.
• Prosthesis exchange and ectopic reservoir placement were also managed through this single incision.

Conclusions:

• A modified no-touch single sub-coronal incision is a safe and effective approach for IPP placement and complex penile reconstructive surgeries.
• This technique offers comprehensive access to the corporal body, enhancing surgical outcomes for male sexual dysfunction.
• It simplifies surgical management by consolidating multiple procedures into a single incision.