AMS 700 IPP – Penoscrotal approach

Technique Description and Procedure Steps:

• 1. Penoscrotal incision with anticipation of scrotoplasty
• 2. Identification of proximal corporal body with corporotomy and hydrodilation
• 3. Placement of Furlow for sizing measurement of the corporal body
• 4. Placement of the penile implant reservoir through a submuscular/ectopic approach with a long lung grasping forcep
• 5. Placement of penile implant cylinders with pump connection to reservoir
• 6. Pump placement in the dependent scrotum.

Learning Points:

• Patient selection factors prior to penile implant
• Intraoperative considerations for the most optimal penile implant placement
• Technique for cylinder placement in patients with longer corporal lengths
• Technique for reservoir placement through submuscular approach

Clinical History:

• 58 year old male with a history of refractory erectile dysfunction
• Patient has failed prior conventional treatments for ED including PDE5 therapy and penile injection therapy.
• Patient decided to undergo penile implant surgery through penoscrotal approach for treatment of refractory ED.