Alternative Reservoir Placement in Prosthetic Urology

VJPU 2016; 2: 093

Martin Gross, MD, Annah Vollstedt, MD and Paul Perito, MD

Keywords: ectopic, reservoir, inflatable penile prosthesis

Traditional placement of the inflatable penile prosthesis reservoir into the space of Retzius can be associated with bladder, bowel and vascular injuries. Men with a history of pelvic surgery can have the reservoir placed between the rectus abdominis muscle and the transversalis fascia, while men with virgin pelves can have the reservoir placed between the transversalis fascia and the peritoneum, which avoids a palpable reservoir. In this video, we present Dr. Perito’s technique of inserting the reservoir posterior to the abdominal wall musculature, which can be performed via an infrapubic or penoscrotal incision.

Acknowledgements: none

Disclosure: The authors have nothing to disclose.

1. Stember DS, Garber BS, Perito PE. Outcomes of abdominal wall reservoir placement in inflatable penile prosthesis implantation: a safe and efficacious alternative to the space of retzius. J Sex Med 2014;11:605-612