title: Surgical Techniques in Penoscrotal Implantation of an Inflatable Penile Prosthesis: A Guide to Increasing Patient Satisfaction and Surgeon Ease.
abstract: BACKGROUND
  Historically, early surgical treatment for erectile dysfunction involved the placement of rigid devices outside of the corpora cavernosa. However, this practice resulted in high rates of erosion and infection. Today, most urologists in the United States place an inflatable penile prosthesis (IPP) with an infection-retardant coating inside the corpora cavernosa. In addition to changes in the type of implant used, surgical techniques have evolved greatly in recent years, resulting in reduced operating times, lower infection rates, and improved outcomes.
  
  
  OBJECTIVE
  This review of surgical techniques and approaches provides step-by-step guidance from pre- to postoperative patient care within the scope of uncomplicated IPP cases.
  
  
  METHODS
  The published literature is reviewed for important contributions to penile prosthesis surgical techniques.
  
  
  METHODS
  Penoscrotal IPP surgical techniques that have improved outcomes and advanced the field of prosthetic urology for the treatment of medically refractive erectile dysfunction are presented.
  
  
  RESULTS
  A review of outcome analyses demonstrates that both the design and techniques of penile prostheses placement have advanced in terms of less postoperative pain, swelling, hematomas, and mechanical failures, with improved patient satisfaction and device survival rates.
  
  
  CONCLUSIONS
  Penoscrotal implantation of an IPP has improved both in terms of surgeon ease in placement and patient satisfaction. Henry GD, Mahle P, Caso J, Eisenhart E, Carrion R, and Kramer A. Surgical techniques in penoscrotal implantation of an inflatable penile prosthesis: A guide to increasing patient satisfaction and surgeon ease. Sex Med Rev 2015;3:36-47.
authors: Regional Urology, Shreveport, LA, USA. Electronic address: GDHenry@Hotmail.com.
authors: Gerard D
authors: GD
authors: Henry
authors: Louisiana State University Health Systems, Shreveport, LA, USA.
authors: Paul
authors: P
authors: Mahle
authors: Department of Urology, University of Miami Miller School of Medicine, Miami, FL, USA.
authors: Jorge
authors: J
authors: Caso
authors: Regional Urology, Shreveport, LA, USA.
authors: Elizabeth
authors: E
authors: Eisenhart
authors: Department of Urology, University of Southern Florida, Tampa, FL, USA.
authors: Rafael
authors: R
authors: Carrion
authors: Surgery, The University of Maryland, Baltimore, MD, USA.
authors: Andrew
authors: A
authors: Kramer
keywords: Impotence; Penile Prosthesis; Penis; Surgery