Surgical Techniques in Penoscrotal Implantation of an Inflatable Penile Prosthesis: A Guide to Increasing Patient Satisfaction and Surgeon Ease

Satisfaction rate at 1‐year follow‐up in patients treated with penile implants: data from the multicentre prospective registry INSIST‐ED

“…Likewise, prior radical prostatectomy has been reported to impact postoperative satisfaction negatively because of high baseline erectile function (before radical prostatectomy) and self‐perceived penile shortening after PPI . In our series, we did not observe an association between ED aetiology and patient satisfaction scores, thus confirming recent studies that have reported high satisfaction for PPI even in patients with either Peyronie's disease or prior radical prostatectomy, as a consequence of the current improvement in surgical techniques .…”

“…The observed higher satisfaction scores among patients treated by high‐volume PPI surgeons could be associated with a number of factors: first, the risk of infections and other complications, such as lesion to the urethra and cylinder crossover, is strictly related to the refinement of the surgical technique and to surgeon experience ; second, the final cosmetic result and the related patient satisfaction could be influenced by the surgical technique, especially in terms of penile length, which has been widely associated with satisfaction after treatment ; third, both preoperative and postoperative counselling are crucial and should be properly conducted to avoid false expectations, to instruct the patient on the correct use of the device and to detect and manage postoperative technical issues in a timely manner .…”

“…Previously published data showed that up to 90% of patients reported high sexual satisfaction after PPI [3][4][5][6][7][8]. These favourable outcomes have been associated with the good efficacy and reliability of the available devices and of surgical techniques, which allow a low risk of complications, along with excellent functional results [9,10].…”

Novel protective penile collar following inflatable penile prosthesis placement: The “Wang Collar”

“… 4 Based on subsequent studies after his publication, by securing the scrotum and the pump in place with this wrap, postoperative complications such as expanding hematoma seemed to be reduced. 4 9 Since the introduction of the “Wang Collar,” our rate of hematoma formation is 0%. We are aware that this rate may be underreported given that many patients with small hematomas might consider it a part of the postoperative healing process and do not report it to the surgeon.…”

Buccal mucosa is a promising graft in Peyronie’s disease surgery. Our experience and a brief literature review on autologous grafting materials

“…A drainage was placed between the Buck' s fascia and the dartos in order to facilitate secretion discharge. Circumcisional incision was closed and a "mummy wrap" with a non sticky dressing was performed around the base to the circumcision site (18). Penis was located in a ventralized position.…”