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While placement of a three-piece inflatable penile prosthesis (IPP) with a midline reservoir can be performed with favorable outcomes after radical prostatectomy (RP), postoperative fascial scarring can introduce surgical complexity, increase intra-operative complications and/or potential obstacles for future inguinal and/or perineal surgeries. We describe the implantation of the IPP with lateral reservoir placement through a separate incision to avoid surgical complications. We obtained clinical characteristics of all patients (1998–2009) who underwent RP before IPP placement with lateral reservoir placement (cases). For comparison, patients who underwent IPP placement with midline reservoir placement were also identified (controls). Thirty-one patients with a history of RP underwent IPP placement using the lateral placement technique without intra-operative or post-operative complications. There were no significant differences in the intra-operative complication rate among 31 control patients. However, at a median follow-up of >2 years, there was a significantly higher rate of post-operative complications in controls, likely reflecting the increased co-morbidities in this group. The results of this study suggest that three-piece IPP with lateral retroperitoneal reservoir implantation is associated with comparable long-term outcomes and can be performed safely in patients who have previously undergone RP. [ABSTRACT FROM AUTHOR]

The coupling between the prosthesis and the wand is dependent on distance, angle, coil geometry and relates ability to produce eddy currents in the prosthesis. Our experiments demonstrate that the amount of energy required for the activation of the prosthesis is strongly influenced by the coupling between the external wand and the prosthesis geometry. [Extracted from the article]

An abstract of the article "Early Outcomes of Concurrent Tachosil Grafting with IPP Placement" by N. Patel and colleagues is presented.