Date Published: May 28, 2012
Publisher: Hindawi Publishing Corporation
Author(s): Edward Karpman.
The streamlined approach for infrapubic placement of an inflatable penile prosthesis is a variation of the traditional infrapubic approach. A better understanding of operative techniques and recent clinical outcome studies have led to an evolution of the original infrapubic approach. Small incisions and efficient operative maneuvers can shorten operative times and expedite postoperative recovery.
The penile prosthesis is the gold standard of treatment for men with erectile dysfunction (ED) refractory to more conservative therapy . Placement of the inflatable penile prosthesis (IPP) has been reported from several different approaches including penoscrotal, infrapubic, suprapubic, and perineal locations [2–4]. Each approach has its own unique advantages and disadvantages and it is ideal that any surgeon performing penile prosthetic surgery has some familiarity with at least a few of the approaches. Oftentimes, unique patient anatomy or previous surgery can make one approach more difficult, or easier, over another. The penoscrotal (PS) technique is currently the most popular approach with approximately 80% of IPPs placed in this manner based on manufacturer data .
Prosthetic surgeons should be familiar with more than one approach for placement of an inflatable penile prosthesis. The streamlined infrapubic approach is a variation of the traditional IP approach and may benefit the surgeon in terms of efficiency and the patient in terms of recovery.