title: Subcutaneous Placement of Inflatable Penile Prosthesis Reservoirs.
abstract: OBJECTIVE
  To review our experience with subcutaneous inflatable penile prosthesis reservoir insertion in a large, single-surgeon series.
  
  
  METHODS
  We carried out a retrospective review of 1000 consecutive Coloplast Titan inflatable penile implant procedures carried out by a single high-volume surgeon. Eight patients underwent subcutaneous reservoir placement (SRP) and are the subject of this review.
  
  
  RESULTS
  Eight of our last 1000 patients underwent SRP. SRP was only employed in patients with a thick subcutaneous abdominal fat layer, which would be capable of concealing the reservoir. Seven patients recovered uneventfully, and none reported a palpable or visible reservoir. One patient, who had 5 prior penile implant procedures, developed peri-prosthetic infection, and required complete device removal. Reservoir removal in this obese patient was facilitated by the device's subcutaneous location.
  
  
  CONCLUSIONS
  SRP is a viable option for carefully selected obese patients. We suggest that this approach only be utilized in those with high body mass index and a thick subcutaneous abdominal fat layer. In thinner patients, the reservoir will be visible and/or palpable; we do not recommend subcutaneous placement under those circumstances.
authors.affiliation: Division of Urology, Hahnemann University Hospital, Philadelphia, PA. Electronic address: bgarber@comcast.net.
authors.forename: Bruce B
authors.initials: BB
authors.lastname: Garber
authors.affiliation: Division of Urology, Einstein Medical Center, Philadelphia, PA.
authors.forename: Michael
authors.initials: M
authors.lastname: Bickell
mesh_terms: D000368:Aged; D006801:Humans; D008297:Male; D008875:Middle Aged; D019935:Penile Implantation / Q000379:methods*; D015917:Penile Prosthesis; D011474:Prosthesis Design; D012189:Retrospective Studies; D040521:Subcutaneous Tissue