Suprapubic Fat Pad Excision with Simultaneous Placement of Inflatable Penile Prosthesis

Area of Science:

• Urology
• Andrology
• Plastic Surgery

Background:

• Obesity is common in men with erectile dysfunction (ED).
• Excess suprapubic fat pads can reduce visible penile length and impact self-esteem.
• Surgical correction of fat pads may improve outcomes for penile implant surgery.

Purpose of the Study:

• To introduce and evaluate a novel surgical technique.
• Simultaneous suprapubic fat pad excision and inflatable penile prosthesis (IPP) placement.
• To assess functional, cosmetic, and patient satisfaction outcomes.

Main Methods:

• A single transverse incision was used for both procedures.
• Suprapubic fat pad was excised, followed by IPP implantation via an infrapubic approach.
• Wound closure involved multiple layers with drain placement.

Main Results:

• Eight patients underwent the combined procedure with an average BMI of 36.6.
• One patient experienced infection post-operatively.
• All other patients achieved excellent functional and cosmetic results.

Conclusions:

• This combined technique is safe and effective for selected patients.
• It can improve penile implant functionality, sexual activity, and quality of life.
• Patient counseling regarding potential risks, such as infection, is crucial.