Original Papers - Andrology Open access

Safety of large reservoirs in inflatable penile prosthesis surgery

Authors

Published
19 May 2025
Section
Original Papers - Andrology
DOI
10.4081/aiua.2025.13480

Abstract

Introduction: The use of inflatable penile prostheses (IPP) has become a well-established treatment for erectile dysfunction, offering significant improvements in the quality of life for many patients. The reservoir site and size in IPP surgery are areas of ongoing research and debate. This study aims to evaluate the outcomes associated with the use of large reservoirs in IPP, focusing on both the surgical techniques and postoperative complications.
Materials and methods: Our study is a retrospective study of 60 patients who underwent inflatable penile prosthesis (IPP) with large reservoir irrespective of the size of the prosthesis in Al Wakra Hospital from the period of 1st of January 2022 to 30th of August 2024.
Results: Successful insertion of the large reservoir was carried out in all patients from the same penoscrotal incision. There was no recorded migration, urethral injury, infection, device failure, pain, erosion or LUTS in our patients. Revision was done in one patient.
Conclusions: The use of large-volume reservoirs in inflatable penile prosthesis (IPP) surgery demonstrates a favorable safety profile, with no significant increase in complication rates compared to standard reservoir sizes.

Keywords

References

  1. Ayta IA, McKinlay JB, Krane RJ. The likely worldwide increase in erectile dysfunction between 1995 and 2025 and some possible policy consequences. BJU Int. 1999; 84:50-6.
  2. Feldman HA, Goldstein I, Hatzichristou DG, et al. Impotence and its medical and psychosocial correlates: results of the Massachusetts Male Aging Study. J Urol. 1994; 51:54-61.
  3. Levine LA, Becher EF, Bella AJ, et al. Penile prosthesis surgery: current recommendations from the international consultation on sexual medicine. J Sex Med. 2016; 13:489-518.
  4. Wilson SK, Cleves MA, Delk JR. Comparison of mechanical reliability of original and enhanced Mentor Alpha I penile prosthesis. J Urol. 1996; 155:145-7.
  5. Van Dyke M, Baumgarten AS, Ortiz N, et al. State of the reservoir: current concepts of penile implant reservoir placement and potential complications. Curr Urol Rep. 2021; 22:20.
  6. Carson CC, Mulcahy JJ, Harsch MR. Mechanical reliability and safety of, and patient satisfaction with, the AMS 700 inflatable penile prosthesis: results of a long-term multicenter study. J Urol. 2011;186:1216-20.
  7. Martínez-Holguín E, Lledó-García E, González J, Hernández-Fernández C. Three-piece inflatable penile prosthesis: ectopic reservoir placement. Actas Urol Esp (Engl Ed). 2020; 44:367-76.
  8. Henry G, Hsaio W, Karpman E, et al. A guide for inflatable penile prosthesis reservoir placement: pertinent anatomical measurements of the retropubic space. J Sex Med. 2014; 11:273-8.
  9. Chung E, Van CT, Wilson I, Cartmill RA. Penile prosthesis implantation for the treatment for male erectile dysfunction: clinical outcomes and lessons learnt after 955 procedures. World J Urol. 2013; 31:591-5.
  10. Amini E, Saldivar R, Hammad MA, Barham DW. Malfunction and mechanical failure of the inflatable penile prosthesis: a narrative review of etiologies and management. AME Med J. 2024; 9:28.

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