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Updated: Jun 17, 2026
08:09
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
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Subcoronal Incision for Inflatable Penile Prosthesis Does Not Risk Glans Necrosis
Sung Hun Park1, Steven K Wilson2, Lexiaochuan Wen3
1Sewum Prosthetic Urology Center of Excellence, Seoul, South Korea.
The Journal of Urology
|July 25, 2023
Summary
The subcoronal incision for penile implant surgery is safe and does not cause glans ischemia or necrosis. This procedure can be effectively performed using local anesthetic, with or without sedation, for both initial and revision surgeries.
Area of Science:
- Urology
- Surgical Innovation
- Prosthetics
Background:
- Glans vascular compromise was historically considered a rare but severe complication of subcoronal incisions in inflatable penile prosthesis surgery.
- This study aimed to evaluate contemporary complication rates associated with this surgical approach.
Purpose of the Study:
- To assess the contemporary complication rates of subcoronal incisions for inflatable penile prosthesis (IPP) surgery.
- To determine if the subcoronal approach poses a risk for glans ischemia or necrosis.
Main Methods:
- Retrospective review of 898 subcoronal IPP placements by a single surgeon.
- Patients received either Coloplast Titan or AMS 700 devices.
- Data analyzed included patient comorbidities, complications, and anesthetic methods used.
Main Results:
- No instances of glans necrosis or ischemia were observed in 898 patients.
- The most common complication was transient distal penile edema (74.7%).
- Distal penile skin necrosis occurred in 0.5% of circumcised patients; glans ischemia was not observed.
Conclusions:
- The subcoronal incision is a safe approach for penile implant surgery, with no increased risk of glans ischemia or necrosis.
- The procedure can be safely performed under local anesthetic alone or with conscious sedation for both primary and revision surgeries.
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