IntroductionManagement for distal impending erosion can be difficult and has been previously managed with counter incisions which can lead to unsightly scars and increased infection risk. AimTo demonstrate a novel technique in management of impending erosion. MethodsWe retrospectively reviewed patients who underwent placement of a distal biologic cap for impending erosion. Main Outcome MeasureThe main outcome was thesuccessful placement of inflatable penile prosthesis through a single incision. ResultsAll patients who underwent this procedure are functional and have had no evidence of recurrence. Clinical ImplicationsA simple approach to manage impending distal erosion. Strength & LimitationsLimitations include small sample size and short duration of follow-up. ConclusionThe distal biologic cap is a simple alternative technique to treat distal impending erosion of an inflatable penile prosthesis and can be performed safely without the need for additional incisions on the penis and with a minimal increase in operative times.Karpman E, DiGiorgio L, Carrion RE. Distal Biologic Cap for Impending Distal Erosion. J Sex Med 2020;17:551–555.