Improved pump placement with infrapubic penile prosthetic implantation.

A common problem with implantation of an inflatable penile prosthesis is inadequate placement and/or fixation of the pump mechanism. We report on a total of 45 of our most recent patients who underwent penile prosthesis implantation for erectile dysfunction. In all cases the implants were placed with an infrapubic approach in conjunction with a penoscrotal counterincision for improved pump placement and fixation. One patient (2.2%) had an infectious complication requiring revision. When we compared this infection rate with the infectious complication rates reported in the literature, we found that adding a penoscrotal counterincision did not increase the risk of infectious complication to the patient.