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New Advancements in Inflatable Penile Prosthesis
Brian F Dinerman1, Leon Telis1, Jean Francois Eid2
1Department of Urology, Lenox Hill Hospital, Zucker School of Medicine at Hofstra/Northwell, New York, NY.
Sexual Medicine Reviews
|February 21, 2021
Summary
Recent advancements in inflatable penile prosthesis (IPP) technology have improved device concealability and surgical outcomes. These innovations enhance patient quality of life for erectile dysfunction treatment.
Area of Science:
- Urology
- Medical Device Technology
- Sexual Medicine
Background:
- Inflatable penile prosthesis (IPP) is a primary treatment for erectile dysfunction resistant to other therapies.
- Technological progress has focused on improving 3-piece IPP designs for better concealment and surgical ease since the 1980s.
Purpose of the Study:
- To review the latest technological updates in inflatable penile prosthesis (IPP) devices.
- To examine recent research on IPP innovations and their functional outcomes.
- To incorporate over 32 years of surgical and postoperative management experience.
Main Methods:
- Literature review of studies published in the last 10 years (up to March 2020).
- Focus on technical advancements in IPP components: pump, reservoir, tubing, and cylinders.
- Inclusion of anti-infective coatings, transgender innovations, and postoperative care.
Main Results:
- New designs feature improved discreteness (flat reservoir) and optimized tubing.
- Advancements include one-touch deflation, narrow cylinders, and improved cylinder-to-tubing angles for easier placement.
- Innovations also include anatomically designed cylinder tips and IPPs for neophallus construction; submuscular reservoir placement is FDA-approved.
Conclusions:
- Penile prosthesis technology has evolved to enhance function, usability, and reduce complications.
- IPP implantation significantly improves patient outcomes.
- Surgeons must stay updated on IPP advancements for optimal patient care.

