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Updated: May 10, 2026

Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy
Published on: June 16, 2022
[Three-piece inflatable penile prosthesis implantation in clinical practice]
Daniar Osmonov1, Agnieszka Chomicz2, Axel Stuart Merseburger3
1Klinik für Urologie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Deutschland. Daniar.osmonov@uksh.de.
Background:
Three-piece inflatable penile prosthesis (IPP) implantation is the gold standard for refractory erectile dysfunction.
Objective:
This work provides a practical overview of indications, perioperative management, surgical techniques, and complication management.
Methods:
The article comprises a narrative review based on European Association of Urology (EAU) guidelines and relevant literature.
Results:
An IPP is indicated after failure of conservative therapies and in Peyronie's disease, priapism, or after gender-affirming surgery. A penoscrotal approach offers advantages. Modern implants and infection prevention reduce complications. Ectopic reservoir placement is safe, especially in pre-operated patients.
Conclusion:
Inflatable penile prosthesis implantation is safe, effective, and highly satisfactory when performed with standardized techniques and structured perioperative management.

