Ivan Samuel, Pryor Jessica, Maffucci Fenizia, Simhan Jay
Fox Chase Cancer Center, Department of Urology, 333 Cottman Ave, Philadelphia, PA, 19111, USA.
Int J Impot Res. 2025 May 12. doi: 10.1038/s41443-025-01082-x.
Reservoir placement for the inflatable penile prosthesis has evolved over time with surgical safety and functional outcomes driving innovative changes. This state of the art review describes contemporary placement options for the inflatable penile prosthesis reservoir, including traditional space of Retzius placement and other alternate reservoir placements. The space of Retzius remains a familiar location for virgin placements while submuscular placement has gained popularity for its versatility and lower risk of visceral injury. The lateral retroperitoneal location can be considered for a patient with a hostile pelvis. A comparison of complications and functional outcomes highlights benefits and drawbacks of each location. This review aims to equip the prosthetic urologist with modern techniques and a surgical armamentarium that can address any reservoir placement.
随着手术安全性和功能结果推动创新变革,可膨胀阴茎假体储液囊的放置位置多年来不断演变。这篇前沿综述描述了可膨胀阴茎假体储液囊的当代放置选择,包括传统的耻骨后间隙放置和其他替代储液囊放置位置。耻骨后间隙仍是初次放置的常见位置,而肌下放置因其多功能性和较低的内脏损伤风险而越来越受欢迎。对于骨盆情况不佳的患者,可考虑侧腹膜后位置。对并发症和功能结果的比较突出了每个位置的优缺点。本综述旨在为假体泌尿外科医生提供现代技术和手术器械,以应对任何储液囊放置情况。