1. Inflatable penile prosthesis as tissue expander: what is the evidence?
- Author
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Paul H. Chung, Jordan A. Siegel, Timothy J. Tausch, Alexandra K. Klein, Jeremy M. Scott, and Allen F. Morey
- Subjects
Penile Prosthesis ,Erectile Dysfunction ,Surgical Procedures ,Operative ,Diseases of the genitourinary system. Urology ,RC870-923 - Abstract
ABSTRACT Objective: Many patients who undergo inflatable penile prosthesis (IPP) replacement are often upsized to larger cylinders, suggesting the IPP may serve as a tissue expander and increase internal penile length. The objective of this study is to evaluate whether cylinder length increases with subsequent IPP insertion. Materials and Methods: We queried American Medical Systems and Coloplast Patient Information Form databases to identify patients who underwent IPP placement and replacement between 2004-2013. Patients were grouped by device type and time to replacement (0.5 cm and 40% demonstrated increases of ≥1 cm. Conclusions: As demonstrated, the IPP may provide tissue expansion over time. Further evaluation is needed to determine if increased cylinder length correlates to increased functional length and patient satisfaction.
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