Infrapubic surgical approach for penile prosthesis surgery: Indications and technique

Area of Science:

• Urology
• Surgical Techniques
• Erectile Dysfunction Management

Background:

• Penile prosthesis surgery is a primary treatment for erectile dysfunction when other methods fail.
• Common surgical approaches include scrotal, infrapubic, and subcoronal techniques.

Purpose of the Study:

• To detail the infrapubic surgical technique for penile prosthesis implantation.
• To evaluate its indications, complications, and compare it with the penoscrotal approach.

Main Methods:

• A comprehensive literature review was conducted using Medline (PubMed, Cochrane Library) from 1983 to the present.
• PRISMA standards were followed, including 16 studies (prospective, retrospective, reviews, trials, descriptive papers).

Main Results:

• The infrapubic approach demonstrated shorter operative times and quicker return to sexual activity compared to the penoscrotal method.
• Complications were infrequent and comparable to the penoscrotal approach, with infection rates under 3% and no reported glans hypoesthesia.
• Patient and partner satisfaction rates for the infrapubic approach exceeded 80%.

Conclusions:

• The infrapubic approach is a feasible, reliable, and safe surgical option for penile prosthesis implantation.
• It offers high patient and partner satisfaction, comparable efficacy, and potential advantages in recovery time over the penoscrotal method.