182 A Novel Approach For Inflatable Penile Prosthesis Reservoir Removal

Abstract

In the setting of an infected inflatable penile prosthesis (IPP), removal of the reservoir is a surgical challenge. We describe a novel laparoscopic technique for IPP reservoir removal at the time of IPP explantation. We performed a review of current literature concerning techniques and indications for removal of IPPs and the reservoir. We present two cases of infected IPPs requiring complete removal of all components of the implant. The corporal cylinders and scrotal pump were removed via a single peno-scrotal incision. A lighted, hand-held retractor was then used for visibility and laparoscopic instruments were utilized to dissect the tissue surrounding reservoir and the attached tubing until free. Then a completely intact reservoir was easily removed. Infected IPP reservoirs were successfully removed with the use of laparoscopic instruments via the peno-scrotal incision without any complications. This new technique not only facilitated the safe removal of the reservoir, but also enhanced surgical efficiency by eliminating the need for additional incisions.