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Reservoir migration in inflatable penile prostheses: a systematic review and development of a clinical decision algorithm

  • 0Department of Urology, Holmesglen Private Hospital, Moorabbin, VIC, Australia. erinjessecurran@gmail.com.
International Journal of Impotence Research +

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August 1, 2025

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August 1, 2025

View abstract on PubMed

Summary

This summary is machine-generated.

The inflatable penile prosthesis (IPP) has a low 0.2% reservoir migration rate in men with erectile dysfunction. This systematic review informs placement decisions, especially for patients with complex pelvic anatomy.

Area Of Science

  • Urology
  • Medical Devices
  • Surgical Outcomes

Background

  • The three-piece inflatable penile prosthesis (IPP) is a durable solution for severe erectile dysfunction.
  • Reservoir migration, though rare, is a significant complication of IPP implantation.
  • Optimal placement techniques are crucial for minimizing IPP-related morbidity.

Purpose Of The Study

  • To systematically review the incidence of IPP reservoir migration.
  • To evaluate migration outcomes based on different surgical placement techniques.
  • To develop a clinical algorithm for guiding IPP reservoir placement decisions.

Main Methods

  • A comprehensive systematic literature search of PubMed and Cochrane Library was performed.
  • Included studies reported migration outcomes for functional IPP reservoirs.
  • Meta-analysis of proportions was conducted on data from 15 studies (5783 patients).

Main Results

  • The pooled incidence of IPP reservoir migration was 0.2% (95% CI: 0.0%-0.6%).
  • Moderate heterogeneity was observed (I² = 54.2%).
  • Migration risk is low but clinically significant, particularly in patients with altered pelvic anatomy.

Conclusions

  • IPP reservoir migration is infrequent but warrants careful consideration during surgical planning.
  • A proposed clinical algorithm can aid in optimizing reservoir placement based on patient-specific risk factors.
  • Further research with larger sample sizes and prospective designs is needed to refine understanding of migration risk.