Damage Control Considerations During IPP Surgery

Curr Urol Rep. 2019 Jan 30;20(2):10. doi: 10.1007/s11934-019-0872-x.

Abstract

Purpose of review: This review summarizes the latest reports in inflatable penile prosthesis (IPP) complication management.

Recent findings: IPP complications are rare, and reports are limited to retrospective studies. However, recent multi-institutional studies and use of national databases have provided further insight into risk factors for complications. Guidance on complication management is largely limited to techniques recommended by experts within the field. American Urological Association guidelines place IPP implantation as a first line erectile dysfunction treatment. However, the majority of cases are performed by low-volume (≤ 4 cases/year) surgeons. Herein, we summarize the IPP literature and our personal experience to provide guidance on managing IPP complications.

Keywords: Complications; Erectile dysfunction; Inflatable penile prosthesis; Outcomes.

Publication types

  • Review

MeSH terms

  • Dilatation / adverse effects
  • Dilatation / methods
  • Erectile Dysfunction / surgery*
  • Humans
  • Male
  • Necrosis
  • Penile Implantation / adverse effects*
  • Penile Implantation / methods
  • Penile Prosthesis / adverse effects*
  • Penis / blood supply
  • Penis / injuries*
  • Penis / pathology
  • Penis / surgery
  • Postoperative Complications / diagnosis
  • Postoperative Complications / therapy
  • Risk Factors
  • Urethra / injuries
  • Urethra / surgery