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Unexpected nuances of the penoscrotal inflatable penile prosthesis

International Journal of Impotence Research volume 34, pages 416–423 (2022)Cite this article

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Abstract

The inflatable penile prosthesis was first implanted with a large vertical suprapubic incision. Nowadays, three surgical approaches are utilized: penoscrotal, infrapubic, and subcoronal. Globally the penoscrotal approach is used most often. Our first author describes nuances of the high transverse scrotal incision technique gained over 48 years of experience. Many of these methods will interest the reader because they are divergent from the common practice of implanters across the world. These distinctions are designed to diminish the risk of infection, speed up the surgery, and improve outcomes for both the patient and his surgeon.

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Fig. 1: Original Scott inflatable prosthesis.
Fig. 2: Surgical wound draping suggestions.
Fig. 3: High transverse scrotal incision.
Fig. 4: Metal and disposable “Scott” retractors.
Fig. 5: Proper use of disposable retractor and accessories saves time.
Fig. 6: Wilson recommended accessories for IPP.
Fig. 7: Safety checks should be done on every IPP.
Fig. 8: IPP accessories may minimize infection and hematoma.

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Authors and Affiliations

  1. Department of Urology, Institutes for Urologic Excellence, La Quinta, CA, USA

    Steven K. Wilson

  2. Department of Urology, Perito Urology, Coral Gables, FL, USA

    Paul Perito

  3. Department of Urology, Sewum Prosthetic Urology, Seoul, South Korea

    Sean Sung Hun Park

  4. Department of Urology, University of Alabama, Birmingham, AL, USA

    John Mulcahy

Authors
  1. Steven K. Wilson
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  2. Paul Perito
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  3. Sean Sung Hun Park
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  4. John Mulcahy
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Corresponding author

Correspondence to Steven K. Wilson.

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Conflict of interest

SW: Consultant: AMT, Coloplast, International Medical Devices. Lecturer Boston Scientific. Stockholder NeoTract. PP: Consultant Boston Scientific, Coloplast. SP: Consultant Boston Scientific, Coloplast. JM: Consultant: Boston Scientific, Coloplast.

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Wilson, S.K., Perito, P., Park, S.S.H. et al. Unexpected nuances of the penoscrotal inflatable penile prosthesis. Int J Impot Res 34, 416–423 (2022). https://doi.org/10.1038/s41443-020-0341-6

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