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.

Wilson's Workshop

Should occasional implanters learn ectopic placement of IPP reservoirs?

International Journal of Impotence Research volume 32, pages 371–378 (2020)Cite this article

Subjects

This is a preview of subscription content, access via your institution

Relevant articles

Open Access articles citing this article.

Access options

Rent or buy this article

Prices vary by article type

from$1.95

to$39.95

Learn more

Prices may be subject to local taxes which are calculated during checkout

Fig. 1: The journey to ectopic or high submuscular placement.
Fig. 2: Everything implanted (even bullets) in humans is surrounded by capsule.
Fig. 3: Low profile reservoirs developed for ectopic placement.
Fig. 4: Anatomy of the abdominal wall or ectopic reservoir placement.
Fig. 5
Fig. 6: Latest developments in journey to ectopic placement.
Fig. 7
Fig. 8
Fig. 9: Bowel injury following traditional reservoir placement.
Fig. 10: Release of Scarpa’s fascia is key to ectopic placement of reservoir.
Fig. 11: Cadaver study showing proper ectopic location medially beneath muscles and lateral to umbilicus.
Fig. 12: Inadvertent piercing of transversalis fascia results in reservoir in peritoneal cavity: this patient underwent concomitant robotic prostatectomy and IPP.
Fig. 13
Fig. 14: Visible and palpable ectopic reservoir on post op day 3.

References

  1. Wilson SK, Henry GD, Delk JR Jr, Cleves MA. The mentor Alpha 1 penile prosthesis with reservoir lock-out valve: effective prevention of auto-inflation with improved capability for ectopic reservoir placement. J Urol. 2002;168:1475–8.

    Article  Google Scholar 

  2. Tausch TJ, Morey AF, Zhao LC, Knoll P, Simhan J, Scott JF, et al. High submuscular versus space of Retzius placement of inflatable penile prosthesis reservoirs: results of a surgeon survey. Can J Urol. 2014;21:7465–9.

    PubMed  Google Scholar 

  3. Oberlin DT, Matulewicz RS, Bachrach L, Hofer MD, Brannigan RE, Flury SC. National practice patterns of treatment of erectile dysfunction with penile prosthesis implantation. J Urol. 2015;193:2040–4.

    Article  Google Scholar 

  4. Riemenschneider HW. Epigastric placement of reservior for inflatable penile prosthesis. Urology. 1981;17:79–81.

    Article  CAS  Google Scholar 

  5. Wilson SK, Delk JR. Excessive periprosthetic capsule formation of the penile prosthesis reservoir: incidence in various prostheses and a simple surgical solution. J Urol. 1995;153:358A.

    Article  Google Scholar 

  6. Perito PE, Wilson SK. Traditional (retroperitoneal) and abdominal wall (ectopic) reservoir placement. J Sex Med. 2011;8:656–9.

    Article  Google Scholar 

  7. Morey AF, Cefalu CA, Hudak SJ. High submuscular placement of urologic prosthetic balloons and reservoirs via transscrotal approach. J Sex Med. 2013;10:603–10.

    Article  Google Scholar 

  8. Laps BKA. External iliac vein injury from penile implant reservoir. How can it be damaged or avoided in the future? VJPU. 2018;2:147.

    Google Scholar 

  9. Stember DS, Garber BB, Perito PE. Outcomes of abdominal wall reservoir placement in inflatable penile prosthesis implantation: a safe and efficacious alternative to the space of Retzius. J Sex Med. 2014;11:605–12.

    Article  Google Scholar 

  10. Hudak SJ. Reservoir placement considerations during inflatable penile prosthesis surgery. Curr Urol Rep. 2019;20:8.

    Article  Google Scholar 

  11. Karpman E, Sadeghi-Nejad H, Henry G, Khera M, Morey AF. Current opinions on alternative reservoir placement for inflatable penile prosthesis among members of the Sexual Medicine Society of North America. J Sex Med. 2013;10:2115–20.

    Article  Google Scholar 

  12. Osmonov D, Chomicz A, Tropmann-Frick M, Arndt KM, Junemann KP. High-submuscular vs. space of Retzius reservoir placement during implantation of inflatable penile implants. Int J Impot Res. 2020;32:18–23.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Urology, Institute of Urologic Excellence, Indio, CA, USA

    Steven K. Wilson

  2. Departments of Urology, Einstein Healthcare Network and Fox Chase Cancer Center, Philadelphia, PA, USA

    Jay Simhan

  3. Department of Urology and Pediatric Urology, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany

    Daniar Osmonov

Authors
  1. Steven K. Wilson
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Jay Simhan
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Daniar Osmonov
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Steven K. Wilson.

Ethics declarations

Conflict of interest

SKW is Consultant to AMT, Coloplast, International Medical Devices and Lecturer for Boston Scientific. JS is Consultant for Boston Scientific and Coloplast. DO is Consultant for Boston Scientific and Coloplast

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

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Wilson, S.K., Simhan, J. & Osmonov, D. Should occasional implanters learn ectopic placement of IPP reservoirs?. Int J Impot Res 32, 371–378 (2020). https://doi.org/10.1038/s41443-020-0269-x

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/s41443-020-0269-x

This article is cited by

Search

Advanced search

Quick links