Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

Nuances of subcoronal inflatable penile prosthesis for physicians accustomed to penoscrotal approach

Abstract

In a special miniseries highlighting the different surgical techniques to the inflatable penile prosthesis (IPP), Wilson’s Workshop seeks to bring forth skill considerations for the modern implanter. Each work is authored by a highly regarded surgeon who has truly honed the art of their respective approach. Today, most implanters are comfortable with either the penoscrotal or suprapubic incision. The following work directs the spotlight onto a much newer and less known technique, IPP implant via the subcoronal incision. SHP leads the Urology Center of Excellence in Seoul, South Korea, and has implanted more than 700 IPPs using the subcoronal approach since 2015. Here, he will share the clinical pearls of this novel incision gathered through trial and error over many repetitions. We are hopeful that this work will peak the interest of inquisitive minds and help disseminate improved implant techniques.

Access options

Rent or Buy article

Get time limited or full article access on ReadCube.

from$8.99

All prices are NET prices.

Fig. 1: Plastic drape with a water-tight hole.
Fig. 2: Subcoronal incision.
Fig. 3: Distal penile skin problems following subcoronal incision.
Fig. 4: Degloving the penis.
Fig. 5: Twin Deaver (actually twin “S” retractors) maneuver.
Fig. 6: Examples of tailpipe or Maserati penis.
Fig. 7: Olsen-Hegar needle holder places and cuts sutures.
Fig. 8: Deploying the disposable retractor prevents problems.
Fig. 9: Careful closure of subcoronal incision.

References

  1. 1.

    Smith AD. Circumcision incision for insertion of semirigid penile prosthesis. Urology. 1981;18:609.

    CAS  Article  Google Scholar 

  2. 2.

    Egydio PH. Surgical straightening with tunica incision and grafting technique. In: Levine LA, editor. Peyronie’S disease: a guide to clinical management. Totowa, NJ: Humana Press; 2007. p. 227–39.

  3. 3.

    Weinberg AC, Pagano MJ, Deibert CM, Valenzuela RJ. Sub-coronal inflatable penile prosthesis placement with modified no-touch technique: a step-by-step approach with outcomes. J Sex Med. 2016;13:270–6.

    Article  Google Scholar 

  4. 4.

    Park SH. How to perform revision IPP under local anesthesia. VJPU. 2018;2:129

    Google Scholar 

  5. 5.

    Valenzuela R. IPP insertion and vasectomy using a single subcoronal incision. VJPU. 2015;2:46

    Google Scholar 

  6. 6.

    Park SH, Mora C, Wilson SK. Everything you ever wanted to know about IPP via subcoronal incision. VJPU. 2020;4:169

    Google Scholar 

  7. 7.

    Otero JR, Manfredi C, Wilson SK. The good, the bad, and the ugly about surgical approaches for inflatable penile prosthesis implantation. Int J Impot Res. 2020:1. https://doi.org/10.1038/s41443-020-0319-4.

  8. 8.

    Wilson SK, Mora-Estaves C, Egydio P, Ralph D, Habous M, Love C, et al. Glans necrosis following penile prosthesis implantation: prevention and treatment suggestions. Urology. 2017;107:144–8.

    Article  Google Scholar 

  9. 9.

    Park SH. Subcoronal inflatable penile prosthesis under local anesthesia. J Vis Surg. 2019;5:65.

    Article  Google Scholar 

Download references

Author information

Affiliations

Authors

Corresponding author

Correspondence to Lexiaochuan Wen.

Ethics declarations

Conflict of interest

SHP: Consultant: Boston Scientific, Coloplast; LW: none; JM: Consultant: Boston Scientific, Coloplast; SKW: Consultant: AMT, Coloplast, International Medical Devices. Lecturer: Boston Scientific. Stockholder: NeoTract.

Additional information

Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Park, S.H., Wen, L., Mulcahy, J. et al. Nuances of subcoronal inflatable penile prosthesis for physicians accustomed to penoscrotal approach. Int J Impot Res (2020). https://doi.org/10.1038/s41443-020-00349-9

Download citation

Search

Quick links