Subcoronal inflatable penile prosthesis implantation: indications and outcomes

Area of Science:

• Urology
• Andrology
• Surgical Innovation

Background:

• Traditional inflatable penile prosthesis (IPP) implantation uses infrapubic or penoscrotal approaches.
• The subcoronal (SC) approach offers a single incision for IPP implantation and concurrent reconstructive procedures.
• This approach is particularly relevant for complex cases, such as severe Peyronie's disease.

Purpose of the Study:

• To evaluate the outcomes and complication rates of the SC approach for IPP implantation.
• To identify patient characteristics associated with undergoing the SC approach.
• To establish the SC approach as a viable alternative for specific patient populations.

Main Methods:

• Retrospective chart review of patients undergoing SC approach IPP implantation.
• Data collected from May 2012 to January 2022 at a single tertiary care institution.
• Review of postoperative complications, including wound issues, infections, and device revisions.

Main Results:

• Sixty-six patients underwent SC approach IPP implantation with a median follow-up of 29.4 months.
• Low complication rates: 1.8% wound complication, 3.6% infection requiring explantation.
• Revision rates for mechanical failure or cosmetic issues were 7.3%.

Conclusions:

• The SC approach for IPP implantation is safe, feasible, and associated with low complication and revision rates.
• It provides an alternative to standard approaches, especially when additional reconstructive procedures are needed.
• The SC incision is a preferred method for IPP implantation in patients with severe Peyronie's disease.