Steven J Hudak1,2. 1. Urology Clinic, Department of Surgery, Brooke Army Medical Center, 3551 Roger Brooke Dr., JBSA Fort Sam Houston, San Antonio, TX, 78234, USA. Steven.J.Hudak2.mil@mail.mil. 2. Uniformed Services University of the Health Sciences, Bethesda, MD, USA. Steven.J.Hudak2.mil@mail.mil.
Abstract
PURPOSE OF REVIEW: To discuss emerging alternative strategies for reservoir placement during inflatable penile prosthesis surgery. RECENT FINDINGS: Innovations in penile prosthesis design have facilitated the development of various alternative approaches for reservoir placement. Avoiding the space of Retzius is particularly appealing in patients with a history of pelvic surgery and/or radiation. The high submuscular technique utilizes a low-profile reservoir in combination with the implant's lockout valve to allow for safe placement in the potential space between the anterior abdominal wall musculature and the transversalis fascia, far cephalad from the external inguinal ring and without the need for a counter-incision. Multiple recent publications have demonstrated the safety and efficacy of the high submuscular technique. High submuscular inflatable penile prosthesis reservoir placement is a safe and effective alternative to placement within the space of Retzius.
PURPOSE OF REVIEW: To discuss emerging alternative strategies for reservoir placement during inflatable penile prosthesis surgery. RECENT FINDINGS: Innovations in penile prosthesis design have facilitated the development of various alternative approaches for reservoir placement. Avoiding the space of Retzius is particularly appealing in patients with a history of pelvic surgery and/or radiation. The high submuscular technique utilizes a low-profile reservoir in combination with the implant's lockout valve to allow for safe placement in the potential space between the anterior abdominal wall musculature and the transversalis fascia, far cephalad from the external inguinal ring and without the need for a counter-incision. Multiple recent publications have demonstrated the safety and efficacy of the high submuscular technique. High submuscular inflatable penile prosthesis reservoir placement is a safe and effective alternative to placement within the space of Retzius.
Entities:
Keywords:
Ectopic; High submuscular; Inflatable penile prosthesis; Reservoir
Authors: Gerard Henry; Wayland Hsiao; Wayland Hsaio; Edward Karpman; Anthony J Bella; Anthony T Bella; Rafael Carrion; Leroy Jones; Brian Christine; Elizabeth Eisenhart; Mario A Cleves; Andrew Kramer Journal: J Sex Med Date: 2013-11-26 Impact factor: 3.802
Authors: Christopher A Cefalu; Xiangrong Deng; Lee C Zhao; J Francis Scott; Sandeep Mehta; Allen F Morey Journal: Urology Date: 2013-10-11 Impact factor: 2.649