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Should occasional implanters learn ectopic placement of IPP reservoirs?

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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.


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Correspondence to Steven K. Wilson.

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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

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Wilson, S.K., Simhan, J. & Osmonov, D. Should occasional implanters learn ectopic placement of IPP reservoirs?. Int J Impot Res 32, 371–378 (2020).

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